Evidence map›Paper›PMID 26167720›Full record

ArticleAging & mental health2016

FITS into practice: translating research into practice in reducing the use of anti-psychotic medication for people with dementia living in care homes.

Dawn J Brooker, Isabelle Latham, Simon C Evans, Nicola Jacobson, Wendy Perry, Jennifer Bray, Clive Ballard, Jane Fossey, James Pickett

2 registry-linked trialsAbstract readComment
PubMed Full text at PMC Publisher
In one paragraph

Article in Aging & mental health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

NCT02703792 completednot on this map

Enhanced Care Home Outcomes (ECHO): An Evaluation of the Experiences of Staff and Stakeholders Working With an Integrated Care Home Support Service (CHSS)

TypeobservationalSponsorOxford Health NHS Foundation TrustRan2016 to 2016Enrolled19ConditionsStaff Attitude
NCT04590469 nawithdrawnnot on this mapstarted 2021, after this paper: background citation

Evidence-Based Supported Digital Intervention for Improving Wellbeing and Health of People Living in Care Homes and Care Home Staff (WHELD) During COVID-19: An RCT to Evaluate COVID-19 Adapted E-WHELD: Benefits and Cost-Effectiveness

TypeinterventionalSponsorUniversity of ExeterRan2021 to 2022Enrolled0ConditionsDementiaArmsCOVID WHELD
3 · Its place in the literature

Who cites it

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

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Dawn J Brookera Association for Dementia Studies, University of Worcester , Worcester , UK.
Isabelle Lathama Association for Dementia Studies, University of Worcester , Worcester , UK.
Simon C Evansa Association for Dementia Studies, University of Worcester , Worcester , UK.
Nicola Jacobsona Association for Dementia Studies, University of Worcester , Worcester , UK.
Wendy Perrya Association for Dementia Studies, University of Worcester , Worcester , UK.
Jennifer Braya Association for Dementia Studies, University of Worcester , Worcester , UK.
Clive Ballardb King's College London , London , UK.
Jane Fosseyc Oxford Health NHS Foundation Trust , Oxford , UK.
James Pickettd Alzheimer's Society , London , UK.

Funding

Department of Health
6 · The paper itself

Abstract

objectivesThis paper reports on the acceptability and effectiveness of the FITS (Focussed Intervention Training and Support) into Practice Programme. This intervention was scaled up from an earlier cluster randomised-controlled trial that had proven successful in significantly decreasing antipsychotic prescribing in care homes.

methodAn in depth 10-day education course in person-centred care was delivered over a three-month period, followed by six supervision sessions. Participants were care-home staff designated as Dementia Care Coaches (DCCs) responsible for implementing interventions in 1 or 2 care homes. The course and supervision was provided by educators called Dementia Practice Development Coaches (DPDCs). Effectiveness data included monitoring antipsychotic prescriptions, goal attainment, knowledge, attitudes and implementation questionnaires. Qualitative data included case studies and reflective journals to elucidate issues of implementation.

resultsOf the 100 DCCs recruited, 66 DCCs completed the programme. Pre-post questionnaires demonstrated increased knowledge and confidence and improved attitudes to dementia. Twenty per cent of residents were prescribed antipsychotics at baseline which reduced to 14% (31% reduction) with additional dose reductions being reported alongside improved personalised goal attainment. Crucial for FITS into Practice to succeed was the allocation and protection of time for the DCC to attend training and supervision and to carry out implementation tasks in addition to their existing job role. Evaluation data showed that this was a substantial barrier to implementation in a small number of homes. DISCUSSION AND

conclusionsThe FITS into practice programme was well evaluated and resulted in reduction in inappropriate anti-psychotic prescribing. Revisions to the intervention are suggested to maximise successful implementation.

Indexed as

Quality of Health CareAntipsychotic AgentsDementiaFeasibility StudiesHealth PersonnelHumansNursing HomesPatient-Centered CareQuality of LifeSelf CareSurveys and QuestionnairesAntipsychotic Agentsantipsychotic medication and dementiacare homesperson centred carequality of caretraining, staff roles

Identifiers

PMID26167720
PMCPMC4898161

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.