Dementia: just one hour of social interaction each week has positive results

Staff trained to deliver person-centred care, such as talking to residents about interests

 

Dementia care for elderly people living in care homes is improved by just one hour of social interaction each week, a study suggests.

A large-scale trial found that increasing the amount of social interaction improves quality of life when combined with personalised care, and also saves money.

Previous research has found that in many care homes, residents have as little as two minutes of social interaction per day.

The research – which was led by the University of Exeter, King’s College London and Oxford Health NHS Foundation Trust – trained key care home staff to deliver person-centred care, such as talking to residents about their interests.

When combined with just one hour a week of social interaction, the programme improved quality of life and reduced agitation and aggression in people with dementia, the study found.

“We have previously found that the average amount of social interaction for people with dementia was just two minutes a day,” said Prof Clive Ballard, of the University of Exeter Medical School. “It’s hardly surprising when that has a knock-on effect on quality of life and agitation.

“Our approach improves care and saves money. We must roll out approaches that work to do justice to some of the most vulnerable people in society. Incredibly, of 170 carer training manuals available on the market, only four are based on evidence that they really work. That is simply not good enough – it has to change.”

Gillian Martin, a behaviour specialist at the Callan Institute in the Saint John of God Community Services in Shankill, Dublin, recently wrote about the pain and loneliness of carers and their loved ones, as they find themselves being increasingly isolated from their social circles.

The trial involved more than 800 people with dementia across 69 care homes in south London, north London and Buckinghamshire. Two “care staff champions” at each home were trained over four day-long sessions, to take simple measures that involve talking to residents about their interests and decisions around their own care.

Importantly, the approach also saved money compared to standard care.

“Taking a person-centred approach is about getting to know each resident as an individual – their interests and preferences – and reflecting these in all aspects of care,” said Dr Jane Fossey, from the Oxford Health NHS Foundation Trust. “We’ve shown that this approach significantly reduces agitation and saves money. Rolling out the training nationwide could benefit many other people.”

Last month, it was announced that a research team Researchersat the Telecommunications, Software and Systems Group (TSSG) at Waterford Institute of Technology has secured funding to develop a “low cost” technological tool to help track dementia patients whose safety is put at risk by wandering from care settings.

– PA

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