Italian Dementia-Friendly Hospital Trial (IDENTITA): efficacy of a dementia care intervention for hospital staff

被引:4
作者
Rosi, Alessia [1 ]
Govoni, Stefano [2 ,3 ]
Del Signore, Federica [3 ,6 ]
Tassorelli, Cristina [1 ,4 ]
Cappa, Stefano [4 ,5 ]
Allegri, Nicola [3 ]
机构
[1] Univ Pavia, Brain & Behav Sci Dept, Pavia, Italy
[2] Univ Pavia, Drug Sci Dept, Pavia, Italy
[3] Univ Pavia, CEFAT Ctr Pharmaceut Econ & Med Technol Evaluat, Pavia, Italy
[4] IRCCS Mondino Fdn, Pavia, Italy
[5] Univ Sch Adv Studies, IUSS, Pavia, Italy
[6] Golgi Cenci Fdn, Abbiategrasso, Italy
关键词
Cognitive impairment; dementia; training; health care staff; hospital; dementia-friendly; dementia and cognitive disorders; health service use; psychosocial interventions; staffing; TRAINING-PROGRAM; OLDER-PEOPLE; KNOW ME; EDUCATION; KNOWLEDGE; ATTITUDES;
D O I
10.1080/13607863.2022.2084507
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives This study investigated the short-term impact and the retention of a dementia care intervention for healthcare staff working in an Italian acute hospital setting. Additionally, we identified the predictors of improvement across the intervention. Method Sixty-two healthcare staff from an Italian public hospital participated in a dementia care intervention consisting of 5 modules delivered in a 5-hour training program focusing on dementia management, knowledge, and care. A pre-test/post-test and six-months follow-up design was used to evaluate participants' changes in knowledge, attitudes, and confidence in dementia. Results The intervention significantly improved healthcare staff's dementia knowledge and confidence immediately after the end of the intervention. No significant changes were observed from post-test to follow-up, indicating retention of these outcomes over six months. Regarding attitude to dementia, we found an immediate improvement only in the Recognition of Personhood scale. Looking at the predictors of improvement, healthcare staff with lower levels of knowledge, attitudes, and confidence in dementia at pre-test were those who improved more following the intervention. Conclusion These findings provide further evidence that dementia care interventions are suitable initiatives to promote knowledge and skills required to manage the needs of people with dementia in an acute hospital setting.
引用
收藏
页码:921 / 929
页数:9
相关论文
共 56 条
[1]   Dementia-friendly intervention for hospitalized older adults with cognitive impairments: results of the Italian Dementia-Friendly Hospital Trial (IDENTITA) [J].
Allegri, Nicola ;
Rosi, Alessia ;
Del Signore, Federica ;
Cremascoli, Riccardo ;
Cappa, Stefano ;
Tassorelli, Cristina ;
Govoni, Stefano .
AGING & MENTAL HEALTH, 2022, 26 (04) :716-724
[2]   2020 Alzheimer's disease facts and figures [J].
不详 .
ALZHEIMERS & DEMENTIA, 2020, 16 (03) :391-460
[3]  
[Anonymous], 1997, Dementia reconsidered: The person comes first
[4]   Educating a health service workforce about dementia: a qualitative study [J].
Baillie, Lesley ;
Sills, Eileen ;
Thomas, Nicola .
QUALITY IN AGEING AND OLDER ADULTS, 2016, 17 (02) :119-130
[5]   Quality of care in private sector and NHS facilities for people with dementia: cross sectional survey [J].
Ballard, C ;
Fosssey, J ;
Chithramohan, R ;
Howard, R ;
Burns, A ;
Thompson, P ;
Tadros, G ;
Fairbairn, A .
BRITISH MEDICAL JOURNAL, 2001, 323 (7310) :426-427
[6]   Validation of the 4AT, a new instrument for rapid delirium screening: a study in 234 hospitalised older people [J].
Bellelli, Giuseppe ;
Morandi, Alessandro ;
Davis, Daniel H. J. ;
Mazzola, Paolo ;
Turco, Renato ;
Gentile, Simona ;
Ryan, Tracy ;
Cash, Helen ;
Guerini, Fabio ;
Torpilliesi, Tiziana ;
Del Santo, Francesco ;
Trabucchi, Marco ;
Annoni, Giorgio ;
Maclullich, Alasdair M. J. .
AGE AND AGEING, 2014, 43 (04) :496-502
[7]   The Prevalence of Dementia and Cognitive Impairment in Hospitals Results from the General Hospital Study (GHoSt) [J].
Bickel, Horst ;
Hendlmeier, Ingrid ;
Hessler, Johannes Baltasar ;
Junge, Magdalena Nora ;
Leonhardt-Achilles, Sarah ;
Weber, Joshua ;
Schaeufele, Martina .
DEUTSCHES ARZTEBLATT INTERNATIONAL, 2018, 115 (44) :733-+
[8]  
Boltz M, 2015, NEURODEGENER DIS MAN, V5, P203, DOI [10.2217/nmt.15.10, 10.2217/NMT.15.10]
[9]   A Review of Interprofessional Dissemination and Education Interventions for Recognizing and Managing Dementia [J].
Brody, Abraham ;
Galvin, James .
GERONTOLOGY & GERIATRICS EDUCATION, 2013, 34 (03) :225-256
[10]   The personhood in patients with dementia assessed in Italian healthcare professionals: an explorative study [J].
Carvello, Maicol ;
Vitale, Elsa ;
Babini, Melissa ;
Conte, Luana ;
Lupo, Roberto ;
Rubbi, Ivan .
JOURNAL OF GERONTOLOGY AND GERIATRICS, 2022, 70 (01) :50-57