Abstract
Policy and practice guidelines recommend person-centred care to support people to live well with dementia in long-term care. Therefore, staff working in long-term care settings need to be trained in dementia awareness and person-centred care. However, the access to, content of and reach of training across long-term care settings can be varied. Data on current and ongoing access to person-centred care training can form an important component of data gathered on usual care in research studies, in particular clinical trials within long-term care. However, no suitable assessment tools are available to measure dementia awareness and person-centred care training availability, content and reach. This paper describes the development of a training audit tool to meet this need for a usual care measure of dementia awareness and person-centred care training. The ‘Assessment of Dementia Awareness and Person-centred care Training’ tool was based on a review of published person-centred care literature and consultation with dementia and aged care experts. The Assessment of Dementia Awareness and Person-centred care Training tool was piloted in 13 long-term care facilities the UK and Australia, before being used to assess the content of dementia and person-centred care awareness training in 50 UK settings in a randomized controlled trial as part of usual care recording. Following pilot testing, modifications to the Assessment of Dementia Awareness and Person-centred care Training tool’s wording were made to enhance item clarity. When implemented in the randomized controlled trial, pre-baseline training assessment data showed that the Assessment of Dementia Awareness and Person-centred care Training tool was able to differentiate between the training in different long-term care settings and identify settings where further dementia awareness training was required. The Assessment of Dementia Awareness and Person-centred care Training tool was then used as a method of recording data on dementia awareness and person-centred care training as part of ongoing usual care data collection. The Assessment of Dementia Awareness and Person-centred care Training tool is suitable for use by researchers to establish the availability, content and reach of dementia and person-centred care awareness training to staff within research studies.
Highlights
Person-centred care (PCC) is internationally recognised as a best-practice model of care for people with dementia (Bolster & Manias, 2010; Kontos & Naglie, 2007; McCormack & McCance, 2006), and is recommended in international policy and practice guidelines National Institute for Health and Care Excellence/Social Care Institute for Excellence (NICE/SCIE, 2011)
The current paper presented the development, piloting, and use of the ADAPT tool, developed to evaluate dementia awareness and PCC training
The ADAPT tool identified that the majority of participating long-term care (LTC) provided sufficient dementia and PCC dementia awareness training to their care staff, according to levels determined within the randomized controlled trial (RCT)
Summary
Practice and policy guidelines highlight the need for improved dementia training in LTC staff; PCC (All-Party Parliamentary Group on Dementia, 2009; Fossey et al, 2014; Prince, Prina, & Guerchet, 2013). These calls for action have led to increased PCC training for LTCs and the development of PCC training packages by training providers, dementia support groups and government agencies. A recent review of PCC training packages (Fossey et al, 2014) identified that 80% were of variable quality and 98% were not evidence based, highlighting the need for LTC providers to evaluate the quality and content of training being delivered. The drive to deliver better PCC has led to increased research on the application of psychosocial interventions within LTC settings and standardised methods for assessing usual care components that may impact on outcomes, such as staff exposure to PCC training, are required
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