PMID- 32691610
OWN - NLM
STAT- MEDLINE
DCOM- 20211011
LR  - 20211011
IS  - 1364-6915 (Electronic)
IS  - 1360-7863 (Linking)
VI  - 25
IP  - 10
DP  - 2021 Oct
TI  - Behaviour assessment tools in long-term care homes in Canada: a survey.
PG  - 1857-1868
LID - 10.1080/13607863.2020.1793904 [doi]
AB  - OBJECTIVE: Many people living in long-term care homes (LTCH) experience changes 
      in behaviour termed the behavioural and psychological symptoms of dementia 
      (BPSD). The valid and reliable assessment of BPSD is essential to guide treatment 
      and monitor the effect of interventions. The aim of this study was to identify 
      behavioural assessment tools implemented in LTCH and factors that impact on their 
      use in clinical care. METHODS: We completed an online mixed-design survey of 300 
      randomly selected Canadian LTCH between September and November 2018. Respondents 
      were asked to report tools used, reasons for use, methods of administration, 
      training/supports available, confidence in use and challenges faced. Survey 
      results were summarized descriptively and the correlation between implementation 
      supports and confidence examined. Free-text responses were analysed 
      qualitatively. RESULTS: Of 300 LTCH invited to participate, 103 completed the 
      survey. Homes reported using a mean 2.2 +/- 1.1 (range 0-7) different tools. The 
      two most commonly used tools were the Dementia Observation System (DOS) and 
      Cohen-Mansfield Agitation Inventory (CMAI). Overall confidence in most aspects of 
      tool use was reported to be high, with workload identified as the greatest 
      challenge. Training and supports correlated with confidence in tool use. 
      Qualitative findings indicate tools provide valuable data to understand 
      behaviours, facilitate team communication, target interventions and track 
      outcomes. CONCLUSIONS: Behavioural assessment tools, in particular a direct 
      observation tool, are widely used in clinical care in Canadian LTCH. Education, 
      enhanced resources, leadership support and applications of technology represent 
      opportunities to improve their use.
FAU - Penko, Marion
AU  - Penko M
AD  - St. Joseph's Healthcare Hamilton, Halton Seniors Mental Health Outreach, 
      Burlington, Ontario, Canada.
FAU - Quirt, Hannah
AU  - Quirt H
AUID- ORCID: 0000-0002-5326-6609
AD  - Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, 
      Canada.
FAU - Schindel Martin, Lori
AU  - Schindel Martin L
AUID- ORCID: 0000-0003-1089-344X
AD  - Daphne Cockwell School of Nursing, Faculty of Community Services, Ryerson 
      University, Toronto, Ontario, Canada.
FAU - Iaboni, Andrea
AU  - Iaboni A
AUID- ORCID: 0000-0003-4268-6832
AD  - Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, 
      Canada.
AD  - Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
LA  - eng
GR  - CAN 137794/CIHR/Canada
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20200721
PL  - England
TA  - Aging Ment Health
JT  - Aging & mental health
JID - 9705773
SB  - IM
MH  - Behavioral Symptoms
MH  - Canada
MH  - *Dementia
MH  - Humans
MH  - *Long-Term Care
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Long-term care
OT  - behavioural and psychological symptoms of dementia
OT  - dementia
OT  - measurement
OT  - neuropsychiatric symptoms
OT  - nursing home
OT  - responsive behaviour
EDAT- 2020/07/22 06:00
MHDA- 2021/10/12 06:00
CRDT- 2020/07/22 06:00
PHST- 2020/07/22 06:00 [pubmed]
PHST- 2021/10/12 06:00 [medline]
PHST- 2020/07/22 06:00 [entrez]
AID - 10.1080/13607863.2020.1793904 [doi]
PST - ppublish
SO  - Aging Ment Health. 2021 Oct;25(10):1857-1868. doi: 10.1080/13607863.2020.1793904. 
      Epub 2020 Jul 21.