1998-2009 EOP Research Development

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The Enriched Opportunities Program for individuals with dementia living in additional care lodging: A randomized group controlled trial of an unpredictable psycho-social intercession Dawn Brooker, Association for Dementia Studies University of Worcester Elaine Argyle, David Clancy, Andy Scally, University of Bradford. Fellow Page ExtraCare Charitable Trust Hazel May Gloucester 2gether NHS Foundation Trust

1998-2009 EOP Research & Development 1998-2000 Between gathering examination of nursing home inhabitants taking an interest in an action challenge occasion and a coordinated control amass. 2001-2003 The improvement of the EOP program utilizing subjective enquiry and inside gathering quantitative assessment in four study locales 2005-2009 Random group controlled trial in ten additional care lodging plans University of Worcester Association for Dementia Studies

Kate Allen Paul Batson Ann Childs Richard Coaten Tina Free Penny Garner Margaret Goodall John Killick Sally Nocker Pam Schweitzer Rebecca Leech Clive Ballard Karen Bryan Errollyn Bruce Jan Oyebode Martin Orrell Ann Netten John Keady James Lindsay Hazel May Esme Moniz-Cook Claire Surr Sheila Cheyney Jim Ellis Jim O'Hagen Peter Andrew Margaret Hardware Carole Dinshaw Jane Fossey Jeremy Porteus Graham Stokes Kate Read Denise Westwood Dawn Brooker Rosie Woolley David Lee Elaine Argyle David Clancy Andy Scally Caron Alder David Campey Graham Carter Jenny Falconer Phil Hall Melanie Howard Steve Burnell Lorraine Haining Guy Page Helen Kavanagh Angela McCann Emmett McNamee Jane Mitchell Janet Moorhouse Nick Stephens Paul Sykes Liz Taylor Karen Woolrich Annette Platek Mike Hill Patricia Hayward Trudy Kovacs Joanne Taylor Norma Mather Spencer Crowe April Harper Marion Cooper Kate Trevis Balbir Gill Therapeutic Academic Service client Expert Practice ECCT Research group Bringing together mastery University of Worcester Association for Dementia Studies

Extra Care Housing highlights Tenancy rights and your own front entryway Restaurant, bar, shop, library, IT, exercise center, hair salon and group offices People strengthening, ministers, grants, client input Physical environment high spec Mixed age & reliance levels Care and help programs University of Worcester Association for Dementia Studies

People with dementia – a home forever? College of Worcester Association for Dementia Studies

Cluster randomized controlled trial Evaluation of the Enriched Opportunities Program in additional care lodging contrasted with a consideration fake treatment intercession by method for a Randomized Cluster Controlled Trial (RCT) in 10 ExtraCare lodging plans over a time of eighteen months. Consider focussed on the lives of the 20-30 most helpless individuals living in every plan. College of Worcester Association for Dementia Studies

EOP: The 5 Components Specialist Expertise – the Locksmith – opens potential, unpicks issues Individual Assessment and case work - applies 'Enhanced Model' - proactive contact with group & assets Activity, Occupation and mediations Training – empowers entire group approach Management and Leadership – maintains after some time

Attention fake treatment Employment of an additional senior individual from staff (Project Support Worker Coach) to for the most part help with advancing exercises inside the lodging plan.

Study destinations 10 additional care lodging plans & towns in the Midlands and North West of England running in size from 45 to 320 inhabitants Randomized at site level 5 plans Enriched Opportunities Program, 5 plans consideration fake treatment 35 occupants for every site chose by weakness to prohibition from the group

Inclusion Criteria Dementia or disarray Communication troubles Social detachment Challenging conduct Depression or low state of mind

Total of members more than year and a half

Significant change EOP Rated Quality of Life all the more emphatically Reported diminished indications of discouragement University of Worcester Association for Dementia Studies

QOLAD self-evaluated; time x mediation collaboration: p < 0.001

QOLAD staff-appraised; time x intercession cooperation: p = 0.004

Depression GDS; time x intercession connection: p = 0.003

Significant change EOP Half as liable to need to move out into a care home Spent essentially less time in doctor's facility More prone to have a GP visit More liable to get to group wellbeing assets More liable to have a psychological wellness analyze University of Worcester Association for Dementia Studies

Reasons for drop-out from program

GP visits, group OT, Physio and chiropody costs EOP ascended from £26,643 (6 month costs) at standard to £35,877 for a similar day and age toward the end of the mediation. In correlation the Placebo costs tumbled from £30,269 to £24,702 for a similar era.

In-patient healing center Costs for the EOP inhabitants tumbled from £58,794 (6 month expenses) to £34, 177 through the span of the intercession. Costs for the Placebo inhabitants ascended from £56,646 to £117,589 for a similar timeframe.

Changes saw after some time in EOP and PSWC destinations Greater chance to be dynamic Greater utilization of group offices More fun Greater assortment of things to do Improved prosperity watched Dependency by and large expanded after some time University of Worcester Association for Dementia Studies

Things that didn't change in year and a half People stayed happy with their level of bolster Staff states of mind were certain in the first place and remained so University of Worcester Association for Dementia Studies

References Brooker D., Argyle, E., Clancy, D. & Scally A. (2009) Enriched Opportunities Programme:  A group randomized controlled trial of another way to deal with living with dementia and other psychological wellness issues in ExtraCare lodging plans and towns . College of Bradford. May, H., Edwards, P. what's more, Brooker, D. (2009). Advanced Care Planning for People with Dementia: A Good Practice Guide to Delivering Person-Centered Care. London, Jessica Kingsley Publications Brooker D., Argyle, E. & Clancy, D. (2009) Mental Health Needs of individuals living in additional care lodging . Diary of Care Services Management , Vol 3.3 March/April  Brooker, D. & Woolley, R. (2007) Enriching Opportunities for People living with Dementia: The Development of a Blueprint for a Sustainable Activity-Based Model of Care. Maturing and Mental Health, 11(4): 371-383 Brooker, D., Woolley, R. & Lee, D. (2007) Enriching Opportunities for People living with Dementia in Nursing Homes: An assessment of a multi-level movement based model of care. Maturing and Mental Health 11(4): 361-370 Brooker, D. (2001) Enriching Lives: assessment of the ExtraCare Activity Challenge. Diary of Dementia Care. (Investigate Focus) 9 (3), 33-37. College of Worcester Association for Dementia Studies

Next strides Writing up for companion audit Roll-out crosswise over ExtraCare Charitable Trust towns and plans Dissemination get ready for Dept of Health Development of initiative, "Locksmith" and general dementia mindfulness preparing and instruction materials University of Worcester Association for Dementia Studies

Thank you for tuning in! Prof Dawn Brooker Association for Dementia Studies d.brooker@worc.ac.uk http://ihsc.worc.ac.uk/dementia www.extracare.org.uk Photographs of individuals living with dementia participating in The Enriched Opportunities Program