The Impact of Renovations in Long Term Care Living Spaces on Residents With Dementia, Their Families and the Staff That Care for Them
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- Changes in Building Occupant Satisfaction Survey of Staff
研究概览
简要总结
A long-term care facility in central Canada planned to renovate their existing dementia care units. The overarching objective of this study was to examine the effects of the renovations on residents, family, and staff.
详细描述
A long-term care facility in central Canada renovated their existing dementia care units, which accommodates 60 residents with intermediate and advanced stages of dementia. The primary features of the renovation include physical upgrades and the addition of a large u-shaped activity pavilion. The overarching objective of this study was to examine the effects of these design transformations in the facility and grounds on residents, family, and staff. The overall project addressed the following questions:
- How does the long-term care unit renovation affect the health outcomes, quality of life, and lived experiences of residents?
- What are the effects of the long-term care unit renovation on care staff and family members?
- What aspects of the transformation were responsible for observed changes? And what aspects worked or did not?
A multi-component, mixed-methods (qualitative and quantitative) research plan was used in this project. Personal (resident, families, staff) and environmental variables (social interactions, implementation and use of technology and physical space) were assessed pre-renovation (spring/summer 2017) and post-renovation (summer 2019 and 2020). Due to the COVID-19 pandemic, plans for additional data collection in the summer of 2020 were not completed. With this mixed-methods research plan, the investigators gained valuable information about the renovation that is important for long term care facilities.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Other
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Currently living on special care unit for residents with intermediate to advanced dementia or cognitive impairment in a long-term care facility
- •Family Member Inclusion:
- •Must have a family member/friend/neighbour currently living on the special care unit.
- •For the QUALID, the family member must have visited the resident at least three out of the last seven days
- •Family Member
排除标准
- •Must be able to participate in-person.
- •Must be able to communicate in English.
- •Must be cognitively able to participate.
- •Staff Inclusion Criteria:
- •Must currently work on the special care unit (either full or part-time or occasional)
- •For the survey, staff must be able to read and understand English.
结局指标
主要结局
Changes in Building Occupant Satisfaction Survey of Staff
时间窗: Perspectives taken pre- and post-renovation (approximately 2 years later or whenever renovations are complete).
Staff perspective of how the space is used and functions before and after renovations. This survey measures variables such as overall environmental satisfaction, including satisfaction with acoustics, lighting, indoor air quality, and thermal comfort. Participants are also asked to provide descriptions of personal workspace, window proximity and workstation tenure, job satisfaction and demand, and method of working/time allocation. This survey has demonstrated reliability (Cronbach's alpha=0.728 to 0.873) and validity when compared with physical environment measures. There are no sub-scales. Each question will be evaluated independently.
Changes in Space Utilization
时间窗: Data will be collected for six months prior to and six months after the renovations (approximately 2 years later or whenever renovations are complete)
Using a floor plan/map, observers will indicate the locations of occupants with a dot on a map and an activity code that indicates the behaviour of that person. Observations will occur every hour over 18 hours and over 6 days. This will show how the space is used before and after renovations.
Satisfaction of Space on Resident Quality of Life and Family Interactions from Pre- to Post-renovation from Family Perspective Using Photovoice and Photo Elicitation
时间窗: Perspectives taken a pre- and post-renovation (approximately 2 years later or whenever renovations are complete).
Family member's perspective regarding whether the renovations have had an effect on the resident's quality of life and the quality of their family's interactions with the resident. This will be gathered using photovoice (participant taken photos) and photo elicitation (researcher taken photos). In this method, both photo types will be discussed in one interview at pre- and one interview at post-renovation to gather impressions of the space and its impact on resident quality of life and family interactions. This is a qualitative research method. It will assess impressions at pre-renovations and at post-renovations.
次要结局
- Neuropsychiatric Symptoms of Residents from Six Months Prior to Renovation to Six Months Post-Renovation(Measures will be collected six months prior to renovations and and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Functional and Health Status of Residents: Changes in Depression Rating Scale Scores(Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Use and Maintenance of Space from Pre- to Post-renovation(Perspectives taken pre- and post-renovation (approximately 2 years later or whenever renovations are complete).)
- Physical Restraints of Residents from Six Months Prior to Renovation to Six Months Post-Renovation(Measures will be collected six months prior to renovations and and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Anti-psychotic Medications and Sedatives with Residents from Six Months Prior to Renovation to Six Months Post-Renovation(Measures will be collected six months prior to renovations and and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Patient Safety Indicators of Residents from Six Months Prior to Renovations to Six Months Post-renovation: Frequency of medication errors and residents falls(Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Functional and Health Status of Residents: Changes in Cognitive Performance Scale Scores(Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Functional and Health Status of Residents: Changes in the Index of Social Engagement Scale(Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Functional and Health Status of Residents: Changes in Activities of Daily Living Short Form Scale Scores(Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Functional and Health Status of Residents: Changes in Aggressive Behaviour Scale Scores(Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Functional and Health Status of Residents: Changes in Falls Risks Assessment Scale Scores(Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Changes in Staffing from Pre- to Post-renovation: Absenteeism(Data will be collected for six months prior to and six months after the renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Changes in Staffing from Pre- to Post-renovation: Leave of Absence(Data will be collected for six months prior to and six months after the renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Changes in the Quality of Life in Late Stage Dementia (QUALID) Scores of Residents(Data will be taken pre- and post-renovation (approximately 2 years later or whenever renovations are complete). The QUALID takes approximately 10 minutes to complete whereas DCM occurs over 2 days.)
- Functional and Health Status of Residents: Changes in Sleep Records(Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Functional and Health Status of Residents: Change in Pain Scale Scores(Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Functional and Health Status of Residents: Changes in Resident's Engagement Level using the Pool Activity Level (PAL) tool(Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Changes in Staffing from Pre- to Post-renovation: Worker's Compensation Board Claims(Data will be collected for six months prior to and six months after the renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Changes in Staffing from Pre- to Post-renovation: Staff Turnover(Data will be collected for six months prior to and six months after the renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Changes in Indoor Environment Measures: Air Quality - Volatile Organic Compounds (VOC)(Data will be collected for prior to and after the renovations (approximately 2 years later or whenever renovations are complete))
- Functional and Health Status of Residents: Changes in Activities of Daily Living Self-Performance Hierarchy Scale Scores(Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Changes in the Quality of Life of Residents: Dementia Care Mapping(Data will be taken pre- and post-renovation (approximately 2 years later or whenever renovations are complete). The QUALID takes approximately 10 minutes to complete whereas DCM occurs over 2 days.)
- Changes in Indoor Environment Measures: Dry Bulb Temperature(Data will be collected for prior to and after the renovations (approximately 2 years later or whenever renovations are complete))
- Changes in Indoor Environment Measures: Relative Humidity(Data will be collected for prior to and after the renovations (approximately 2 years later or whenever renovations are complete))
- Changes in Indoor Environment Measures: Air Quality - Carbon Dioxide (CO2)(Data will be collected for prior to and after the renovations (approximately 2 years later or whenever renovations are complete))
- Changes in Indoor Environment Measures: Air Quality - Formaldehyde(Data will be collected for prior to and after the renovations (approximately 2 years later or whenever renovations are complete))
- Changes in Indoor Environment Measures: Air Quality - Airborne Particulates(Data will be collected for prior to and after the renovations (approximately 2 years later or whenever renovations are complete))
- Functional and Health Status of Residents: Changes in Activities of Daily Living Long Form Scale Scores(Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Changes in Staffing from Pre- to Post-renovation: Staff Retention(Data will be collected for six months prior to and six months after the renovations have been completed (approximately 2 years later or whenever renovations are complete).)
- Changes in Indoor Environment Measures: Light Level(Data will be collected for prior to and after the renovations (approximately 2 years later or whenever renovations are complete))
- Changes in Indoor Environment Measures: Air Speed(Data will be collected for prior to and after the renovations (approximately 2 years later or whenever renovations are complete))
- Changes in Indoor Environment Measures: Noise Level(Data will be collected for prior to and after the renovations (approximately 2 years later or whenever renovations are complete))
研究者
Michelle Porter
Professor
University of Manitoba