SENSE-Cog Residential Care: hearing and vision support for residents with dementia in long-term care in Ireland-protocol for a pilot cluster-randomised controlled trial

被引:0
作者
Connelly, J. P. [1 ]
Boland, Erin [1 ]
Buckley, Brenda [2 ]
Curley, Niall [3 ]
El Refaie, Amr [4 ]
Galvin, Miriam [1 ]
Gibb, Matthew [5 ]
Graham, Liz [6 ]
Lennon, Brendan [7 ]
Valdes, Alejandro Lopez [1 ]
Mullally, Ann-Michelle [1 ]
Mueller, Nicole [4 ]
Nolan-Palmer, Janice [2 ]
O'Nolan, Gerald [1 ]
O'Reilly, Ciara [2 ]
Rezk, Valeria Raaft [1 ]
Rochford-Brennan, Helen [2 ]
Tobin, Katy [1 ]
Tormey, Helen [1 ]
Trepel, Dominic [1 ]
Leroi, Iracema [1 ]
机构
[1] Trinity Coll Dublin, Global Brain Hlth Inst, Dublin, Ireland
[2] Alzheimer Soc Ireland, Dublin, Ireland
[3] Visioncall Ireland, 21 Main St, Derrygassan Upper H18 DY22, Co Monaghan, Ireland
[4] Univ Coll Cork, Dept Speech & Hearing Sci, Cork T12 XF62, Ireland
[5] St Jamess Hosp Dublin, Dublin, Ireland
[6] Univ Leeds, Bradford Teaching Hosp NHS Fdn Trust, Acad Unit Ageing & Stroke Res, Bradford BD9 6RJ, England
[7] Chime, Natl Char Deafness & Hearing Loss, 35 North Frederick St, Dublin, Ireland
关键词
Dementia; Hearing impairment; Vision impairment; Complex intervention; Cluster-randomised controlled trial; Non-pharmacological intervention; Sensory rehabilitation; Long-term care facility; QUALITY-OF-LIFE; HOME RESIDENTS; IMPAIRMENT; PREVALENCE; MANAGEMENT; INVENTORY; PEOPLE; DEMQOL;
D O I
10.1186/s40814-024-01582-5
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
BackgroundHearing and vision loss is highly prevalent in residents with dementia (RwD) living in long-term care (LTC) facilities. Sensory loss often has a negative impact on quality of life and other dementia-related outcomes. Optimising sensory function may improve dementia-related outcomes in LTC facilities. The SENSE-Cog Residential Care pilot trial will evaluate whether a multi-faceted hearing and vision intervention for RwD and concurrent sensory loss is suitable for definitive testing in a large-scale cluster-randomised control trial (RCT) in Ireland and how this can best be achieved.MethodsThis is a 6-month feasibility-pilot, multicentre, cluster RCT. Between eight and 15 LTC facilities (with an average of 5 RwD recruited per home) will be randomly assigned to receive either 'care as usual' (CAU) or a multi-component sensory intervention comprising (1) personalised resident hearing and vision support, (2) staff training in sensory health, (3) fostering a 'sensory friendly' environment, and (4) mapping sensory care provision with community-based audiologists and opticians. The intervention's feasibility, acceptability, and tolerability for residents and staff will be examined. In addition, a battery of exploratory outcome measures will be evaluated for suitability for the definitive trial and to inform the choice of primary and secondary outcome measures.DiscussionIf the SENSE-Cog Residential Care pilot trial demonstrates that the sensory support intervention for residential care is feasible and tolerated in LTC facilities in Ireland, a larger definitive trial to evaluate its effectiveness in improving dementia-related outcomes will be conducted. Training materials, resources, and information will be made available to health and social care providers to enable the implementation of sensory support for RwD in routine LTC, potentially improving the quality of such care in Ireland.Trial registrationISRCTN, ISRCTN14462472. Registered 24 February 2022, https://doi.org/10.1186/ISRCTN14462472
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