Enriching Opportunities for People Living with Dementia in Nursing Homes: An Evaluation of a Multi-level Activity-based Model of Care

Brooker, Dawn ORCID: https://orcid.org/0000-0001-8636-5147, Woolley, R.J. and Lee, D. (2007) Enriching Opportunities for People Living with Dementia in Nursing Homes: An Evaluation of a Multi-level Activity-based Model of Care. Aging and Mental Health, 11 (4). pp. 361-370. ISSN Print: 1360-7863 On-line: 1360-7863

Abstract

This paper reports on the evaluation of the Enriched Opportunities Programme in improving well-being, diversity of activity, health, and staff practice in nursing home care for people with dementia. Participants were 127 residents with a diagnosis of dementia or enduring mental health problems in three specialist nursing homes in the UK. A repeated measures within-subjects design was employed, collecting quantitative and qualitative data at three points over a twelve-month period in each facility with follow-up 7 to 14 months later. Two-way ANOVAs revealed a statistically significant increase in levels
of observed well-being and in diversity of activity following the intervention. There was a statistically significant increase in the number of positive staff interventions but no change in the number of negative staff interventions overall. There was a significant reduction in levels of depression. No significant changes in anxiety, health status, hospitalisations, or psychotropic medication usage were observed. The Enriched Opportunities Programme demonstrated a positive impact on the lives of people with dementia in nursing homes already offering a relatively good standard of care, in a short period of time. The refined programme requires further evaluation to establish its portability.

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