Organizational Change And Treatment Of Depression And Dementia In Aged Care Facilities
Funder
National Health and Medical Research Council
Funding Amount
$567,052.00
Summary
Mental health disorders are common in aged care settings. However, these problems are not well managed. This situation results in distress for residents and family members, as well as high levels of burnout and turnover among staff. This project will address the organizational barriers with the aim of better managing and treating depression and behavioural problems associated with dementia.
Promoting Independence Through Quality Dementia Care At Home (PITCH)
Funder
National Health and Medical Research Council
Funding Amount
$1,541,611.00
Summary
Many people with dementia live at home with support from both paid and unpaid carers. There are currently limited opportunities for carers of people with dementia to receive education and training in how to communicate, manage symptoms and deliver person-centred care. This project will develop and trial a education and training program for front-line home care workers that aims to improve quality of care and quality of life for people with dementia and their carers.
Music Therapy Interventions For Dementia: Cluster Randomised Control Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,014,430.00
Summary
Music therapy interventions are increasingly used in aged care facilities across Australia, however Australian-based research that tests its effectiveness is scarce. In this study, we track the impact of group music therapy and group singing on levels of depression, cognitive function, quality of life, and other symptoms of dementia. By providing music therapy programs across sites in Victoria, NSW and Queensland, we will also evaluate the cost effectiveness of the intervention.
Consumer Directed Care In Residential Aged Care: Transforming Practice Through The Resident At The Centre Of Care (RCC) Program
Funder
National Health and Medical Research Council
Funding Amount
$836,087.00
Summary
The impending introduction of Consumer Directed Care (CDC) into Residential Aged Care Facilities (RACFs) will require organisations to respond rapidly in both ‘mindset’ and service delivery to radically change the nature of their current care practices. This project will allow our industry partners to implement and evaluate a CDC model of care that, if successful, will lead to a sustainable site specific implementation plan of CDC for RACFs across Australia with better outcomes for residents.
ELders AT Ease Program (ELATE): A Cluster Randomised Controlled Trial Of A Sustainable And Scalable Mental Health Service For Australian Residential Aged Care Facilities
Funder
National Health and Medical Research Council
Funding Amount
$999,551.00
Summary
Elders living in residential facilities suffer significant levels of depression or anxiety. This study examines an innovative program to improve mental health of residents living in such facilities. The program involves counselling, staff training and family support. The study uses a cluster randomised controlled trial of facilities to evaluate the impact of ELATE: Elders at Ease Program” on residents’ psychological wellbeing, staff knowledge, family carer stress and, health care costs.
IMPART - IMproving PAlliative Care In Residential Aged Care Using Telehealth
Funder
National Health and Medical Research Council
Funding Amount
$1,047,058.00
Summary
Sixty-thousand Australians die every year in residential aged care facilities but the quality of their end-of-life care varies. The IMPART program aims to improve palliative care in residential aged care using telehealth. We provide training and palliative-geriatric support to aged care staff and general practitioners to enable timely end-of-life discussions, improve documentation of care preferences, reduce avoidable hospitalisation and improve residents' quality of care at the end of life.
A Cluster RCT Of A Novel Psychological Intervention To Reduce Depression Among At-risk Older Adults Transitioning To Residential Aged Care
Funder
National Health and Medical Research Council
Funding Amount
$893,152.00
Summary
Depression is common in aged care facilities, with many older adults finding the transition extremely difficult. We have developed a simple intervention to help new residents, including those with dementia, to adjust to life in aged care. This program focuses on key aspects of psychological wellbeing, and is designed for widespread use in aged care. We will evaluate the intervention to determine if it is superior to current care approaches in reducing depression and improving quality of life.
A Randomised Controlled Trial To Improve Depression In Family Carers Through A Physical Activity Intervention
Funder
National Health and Medical Research Council
Funding Amount
$727,745.00
Summary
This RCT of a physical activity intervention for carers and care recipients aims to determine whether physical activity (designed for carer and care recipient to do together) can reduce depression in older carers. The intervention includes a physiotherapist assessment, Otago and Otago-Plus exercise programs in carer/care recipient’s home over six-months. An economic evaluation will be undertaken. If successful, the intervention could be broadly applied within the carer support service system.
The Impact Of Befriending On Depression, Anxiety, Social Support And Loneliness In Older Adults Living In Residential Aged Care Facilities
Funder
National Health and Medical Research Council
Funding Amount
$661,872.00
Summary
About half of people living in residential aged care facilities may have significant depression symptoms. Many residents are socially isolated in RACFs even though they are in communal living, and social isolation is a contributor to depression. We propose a trial of befriending which is emotional and social support from trained volunteers. Volunteers will be trained using Beyondblue resources and a manual developed by the investigators.
Evaluation Of An Instrument For Management Of Behavioural And Psychological Symptoms Of Dementia.
Funder
National Health and Medical Research Council
Funding Amount
$598,468.00
Summary
Behavioural and Psychological Symptoms of Dementia (BPSD) distress the patient and others. The behaviours, and not the underlying causes, are often treated with antipsychotics, despite side effects and low efficacy. An assessment instrument for care staff to determine and address causes of BPSD will be implemented. We predict training will reduce inappropriate prescribing and other reasons for distress. Where medication is required, detailed information will assist more targeted prescribing.