Evidence map›Paper›PMID 25016303›Full record

Trial reportTrials2014

Improving Well-being and Health for People with Dementia (WHELD): study protocol for a randomised controlled trial.

Rhiannon Whitaker, Jane Fossey, Clive Ballard, Martin Orrell, Esme Moniz-Cook, Robert T Woods, Joanna Murray, Jane Stafford, Martin Knapp, Renee Romeo and 3 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Rhiannon Whitaker
Jane FosseyPsychological Services, Oxford Health NHS Foundation Trust, Fulbrook Centre, Oxford OX3 7JU, UK. jane.fossey@oxfordhealth.nhs.uk.
Clive Ballard
Martin Orrell
Esme Moniz-Cook
Robert T Woods
Joanna Murray
Jane Stafford
Martin Knapp
Renee Romeo
Barbara Woodward Carlton
Ingelin Testad
Zunera Khan

Funding

Department of Health RP-PG-0608-10133
6 · The paper itself

Abstract

backgroundPeople with dementia living in care homes often have complex mental health problems, disabilities and social needs. Providing more comprehensive training for staff working in care home environments is a high national priority. It is important that this training is evidence based and delivers improvement for people with dementia residing in these environments. Well-being and Health for People with Dementia (WHELD) combines the most effective elements of existing approaches to develop a comprehensive but practical staff training intervention. This optimised intervention is based on a factorial study and qualitative evaluation, to combine: training on person-centred care, promoting person-centred activities and interactions, and providing care home staff and general practitioners with updated knowledge regarding the optimal use of psychotropic medications for persons with dementia in care homes.

designThe trial will be a randomised controlled two-arm cluster single blind trial that will take place for nine months across 80 care homes in the United Kingdom. DISCUSSION: The overarching goal of this trial is to determine whether this optimised WHELD intervention is more effective in improving the quality of life and mental health than the usual care provided to people with dementia living in nursing homes. This study will be the largest and best powered randomised controlled trial (RCT) evaluating the benefits of an augmented person-centred care training intervention in care homes worldwide.

trial registrationCurrent controlled trials ISRCTN62237498 Date registered: 5 September 2013.

Indexed as

Community Mental Health ServicesHealth Services for the AgedHomes for the AgedMental HealthNursing HomesQuality of LifeResearch DesignAntipsychotic AgentsClinical ProtocolsCombined Modality TherapyCooperative BehaviorCost-Benefit AnalysisDementiaEducation, Medical, ContinuingHealth Care CostsHumansAntipsychotic Agents

Identifiers

PMID25016303
PMCPMC4227075

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.