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Feasibility of a staff training and support programme to improve pain assessment and management in people with dementia living in care homes

Petyaeva, Anya; Kajander, Martine; Lawrence, Vanessa; Clifton, Lei; Thomas, Alan J.; Ballard, Clive; Leroi, Iracema; Briggs, Michelle; Closs, Jose; Dening, Tom; Nunez, Kayleigh Marie; Testad, Ingelin; Romeo, Renee; Johar, Iskandar; Corbett, Anne

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Authors

Anya Petyaeva

Martine Kajander

Vanessa Lawrence

Lei Clifton

Alan J. Thomas

Clive Ballard

Iracema Leroi

Michelle Briggs

Jose Closs

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TOM DENING TOM.DENING@NOTTINGHAM.AC.UK
Clinical Professor in Dementia Research

Kayleigh Marie Nunez

Ingelin Testad

Renee Romeo

Iskandar Johar

Anne Corbett



Abstract

Objectives: The objective of this study was to establish the feasibility and initial effectiveness of training and support intervention for care staff to improve pain management in people with dementia living in care homes (PAIN-Dem). Methods: PAIN-Dem training was delivered to care staff from three care homes in South London, followed by intervention support and resources to encourage improved pain management by staff over 4 weeks. Feasibility was assessed through fidelity to intervention materials and qualitative approaches. Focus group discussions with staff explored the use of the PAIN-Dem intervention, and interviews were held with six residents and family carers. Pain was assessed in all residents at baseline, 3 and 4 weeks, and goal attainment scaling was assessed at 4 weeks. Results: Delivery of training was a key driver for success and feasibility of the PAIN-Dem intervention. Improvements in pain management behaviour and staff confidence were seen in homes where training was delivered in a care home setting across the care team with good manager buy-in. Family involvement in pain management was highlighted as an area for improvement. Goal attainment in residents was significantly improved across the cohort, although no significant change in pain was seen. Conclusions: This study shows good initial feasibility of the PAIN-Dem intervention and provides valuable insight into training and support paradigms that deliver successful learning and behaviour change. There is a need for a larger trial of PAIN-Dem to establish its impact on resident pain and quantifiable staff behaviour measures. Copyright © 2017 John Wiley & Sons, Ltd.

Citation

Petyaeva, A., Kajander, M., Lawrence, V., Clifton, L., Thomas, A. J., Ballard, C., …Corbett, A. (2018). Feasibility of a staff training and support programme to improve pain assessment and management in people with dementia living in care homes. International Journal of Geriatric Psychiatry, 33(1), 221-231. https://doi.org/10.1002/gps.4727

Journal Article Type Article
Acceptance Date Mar 30, 2017
Online Publication Date May 5, 2017
Publication Date 2018-01
Deposit Date Jul 30, 2023
Publicly Available Date Aug 23, 2023
Journal International Journal of Geriatric Psychiatry
Print ISSN 0885-6230
Electronic ISSN 1099-1166
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 33
Issue 1
Pages 221-231
DOI https://doi.org/10.1002/gps.4727
Public URL https://nottingham-repository.worktribe.com/output/17090021
Publisher URL https://onlinelibrary.wiley.com/doi/10.1002/gps.4727
PMID 28474837