ArticleBMC geriatrics2017
Prioritizing problems in and solutions to homecare safety of people with dementia: supporting carers, streamlining care.
Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Understanding the training and education needs of homecare workers supporting people with dementia and cancer: A systematic review of reviews.Dementia (London, England) · 2020Pooled it
- Understanding how social context shapes decisions to seek institutional care: a qualitative study of experiences of progressive cognitive decline among Latinx families.The Gerontologist · 2025Article
- Home Caregivers of Elderly People: Perceptions and Quality of Life.Geriatrics (Basel, Switzerland) · 2025Article
- Tube feeding in advanced dementia: Insights from South African speech-language therapists.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2024Article
- Family caregiver's concerns and anxiety about unaccompanied out-of-home activities of persons with cognitive impairment.BMC geriatrics · 2023Article
- Risk factors associated with home care safety for older people with dementia: family caregivers' perspectives.BMC geriatrics · 2023Article
- Priorities for family physician and general practitioner recruitment and retention in Singapore: a PRIORITIZE study.BMC family practice · 2021Article
- Home care in dementia: The views of informal carers from a co-designed consultation.Dementia (London, England) · 2021Article
- Dementia and patient safety in the community: a qualitative study of family carers' protective practices and implications for services.BMC health services research · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDementia care is predominantly provided by carers in home settings. We aimed to identify the priorities for homecare safety of people with dementia according to dementia health and social care professionals using a novel priority-setting method.
methodsThe project steering group determined the scope, the context and the criteria for prioritization. We then invited 185 North-West London clinicians via an open-ended questionnaire to identify three main problems and solutions relating to homecare safety of people with dementia. 76 clinicians submitted their suggestions which were thematically synthesized into a composite list of 27 distinct problems and 30 solutions. A group of 49 clinicians arbitrarily selected from the initial cohort ranked the composite list of suggestions using predetermined criteria.
resultsInadequate education of carers of people with dementia (both family and professional) is seen as a key problem that needs addressing in addition to challenges of self-neglect, social isolation, medication nonadherence. Seven out of top 10 problems related to patients and/or carers signalling clearly where help and support are needed. The top ranked solutions focused on involvement and education of family carers, their supervision and continuing support. Several suggestions highlighted a need for improvement of recruitment, oversight and working conditions of professional carers and for different home safety-proofing strategies.
conclusionsClinicians identified a range of suggestions for improving homecare safety of people with dementia. Better equipping carers was seen as fundamental for ensuring homecare safety. Many of the identified suggestions are highly challenging and not easily changeable, yet there are also many that are feasible, affordable and could contribute to substantial improvements to dementia homecare safety.
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