Development and testing of the Dementia Symptom Management at Home (DSM-H) program

An interprofessional home health care intervention to improve the quality of life for persons with dementia and their caregivers

Abraham A Brody, Carrie Guan, Tara Cortes, James E. Galvin

Research output: Contribution to journalArticle

Abstract

Home health care agencies are increasingly taking care of sicker, older patients with greater comorbidities. However, they are unequipped to appropriately manage these older adults, particular persons living with dementia (PLWD). We therefore developed the Dementia Symptom Management at Home (DSM-H) Program, a bundled interprofessional intervention, to improve the care confidence of providers, and quality of care delivered to PLWD and their caregivers. We implemented the DSM-H with 83 registered nurses, physical therapists, and occupational therapists. Overall, there was significant improvement in pain knowledge (5.9%) and confidence (26.5%), depression knowledge (14.8%) and confidence (36.1%), and neuropsychiatric symptom general knowledge (16.8%), intervention knowledge (20.9%), attitudes (3.4%) and confidence (27.1%) at a statistical significance of (P < .0001). We also found significant differences between disciplines. Overall, this disseminable program proved to be implementable and improve clinician's knowledge and confidence in caring for PLWD, with the potential to improve quality of care and quality of life, and decrease costs.

Original languageEnglish (US)
Pages (from-to)200-6
Number of pages7
JournalGeriatric Nursing
Volume37
Issue number3
DOIs
StatePublished - Feb 29 2016

Fingerprint

Home Care Services
Caregivers
Dementia
Quality of Life
Delivery of Health Care
Quality of Health Care
Home Care Agencies
Physical Therapists
Comorbidity
Nurses
Depression
Costs and Cost Analysis
Pain

Keywords

  • Journal Article

Cite this

@article{91492df813c548569644fc78e5e864b5,
title = "Development and testing of the Dementia Symptom Management at Home (DSM-H) program: An interprofessional home health care intervention to improve the quality of life for persons with dementia and their caregivers",
abstract = "Home health care agencies are increasingly taking care of sicker, older patients with greater comorbidities. However, they are unequipped to appropriately manage these older adults, particular persons living with dementia (PLWD). We therefore developed the Dementia Symptom Management at Home (DSM-H) Program, a bundled interprofessional intervention, to improve the care confidence of providers, and quality of care delivered to PLWD and their caregivers. We implemented the DSM-H with 83 registered nurses, physical therapists, and occupational therapists. Overall, there was significant improvement in pain knowledge (5.9{\%}) and confidence (26.5{\%}), depression knowledge (14.8{\%}) and confidence (36.1{\%}), and neuropsychiatric symptom general knowledge (16.8{\%}), intervention knowledge (20.9{\%}), attitudes (3.4{\%}) and confidence (27.1{\%}) at a statistical significance of (P < .0001). We also found significant differences between disciplines. Overall, this disseminable program proved to be implementable and improve clinician's knowledge and confidence in caring for PLWD, with the potential to improve quality of care and quality of life, and decrease costs.",
keywords = "Journal Article",
author = "Brody, {Abraham A} and Carrie Guan and Tara Cortes and Galvin, {James E.}",
note = "Published by Elsevier Inc.",
year = "2016",
month = "2",
day = "29",
doi = "10.1016/j.gerinurse.2016.01.002",
language = "English (US)",
volume = "37",
pages = "200--6",
journal = "Geriatric Nursing",
issn = "0197-4572",
publisher = "Mosby Inc.",
number = "3",

}

TY - JOUR

T1 - Development and testing of the Dementia Symptom Management at Home (DSM-H) program

T2 - An interprofessional home health care intervention to improve the quality of life for persons with dementia and their caregivers

AU - Brody, Abraham A

AU - Guan, Carrie

AU - Cortes, Tara

AU - Galvin, James E.

N1 - Published by Elsevier Inc.

PY - 2016/2/29

Y1 - 2016/2/29

N2 - Home health care agencies are increasingly taking care of sicker, older patients with greater comorbidities. However, they are unequipped to appropriately manage these older adults, particular persons living with dementia (PLWD). We therefore developed the Dementia Symptom Management at Home (DSM-H) Program, a bundled interprofessional intervention, to improve the care confidence of providers, and quality of care delivered to PLWD and their caregivers. We implemented the DSM-H with 83 registered nurses, physical therapists, and occupational therapists. Overall, there was significant improvement in pain knowledge (5.9%) and confidence (26.5%), depression knowledge (14.8%) and confidence (36.1%), and neuropsychiatric symptom general knowledge (16.8%), intervention knowledge (20.9%), attitudes (3.4%) and confidence (27.1%) at a statistical significance of (P < .0001). We also found significant differences between disciplines. Overall, this disseminable program proved to be implementable and improve clinician's knowledge and confidence in caring for PLWD, with the potential to improve quality of care and quality of life, and decrease costs.

AB - Home health care agencies are increasingly taking care of sicker, older patients with greater comorbidities. However, they are unequipped to appropriately manage these older adults, particular persons living with dementia (PLWD). We therefore developed the Dementia Symptom Management at Home (DSM-H) Program, a bundled interprofessional intervention, to improve the care confidence of providers, and quality of care delivered to PLWD and their caregivers. We implemented the DSM-H with 83 registered nurses, physical therapists, and occupational therapists. Overall, there was significant improvement in pain knowledge (5.9%) and confidence (26.5%), depression knowledge (14.8%) and confidence (36.1%), and neuropsychiatric symptom general knowledge (16.8%), intervention knowledge (20.9%), attitudes (3.4%) and confidence (27.1%) at a statistical significance of (P < .0001). We also found significant differences between disciplines. Overall, this disseminable program proved to be implementable and improve clinician's knowledge and confidence in caring for PLWD, with the potential to improve quality of care and quality of life, and decrease costs.

KW - Journal Article

U2 - 10.1016/j.gerinurse.2016.01.002

DO - 10.1016/j.gerinurse.2016.01.002

M3 - Article

VL - 37

SP - 200

EP - 206

JO - Geriatric Nursing

JF - Geriatric Nursing

SN - 0197-4572

IS - 3

ER -