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Alleviating staff stress in care homes for people with dementia: protocol for stepped-wedge cluster randomised trial to evaluate a web-based Mindfulness- Stress Reduction course

Christine Baker, Peter Huxley, Michael Dennis, Saiful Islam Orcid Logo, Ian Russell

BMC Psychiatry, Volume: 15, Issue: 1

Swansea University Authors: Michael Dennis, Saiful Islam Orcid Logo

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DOI (Published version): 10.1186/s12888-015-0703-7

Abstract

There has been continuing change in the nature of care homes in the UK with 80 % of residents now living with some form of dementia or memory problem. Caring in this environment can be complex, challenging and stressful for staff; this can affect the quality of care provided to residents, lead to st...

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Published in: BMC Psychiatry
Published: 2015
URI: https://cronfa.swan.ac.uk/Record/cronfa25444
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2016-01-07T11:28:57.8435214</datestamp><bib-version>v2</bib-version><id>25444</id><entry>2016-01-07</entry><title>Alleviating staff stress in care homes for people with dementia: protocol for stepped-wedge cluster randomised trial to evaluate a web-based Mindfulness- Stress Reduction course</title><swanseaauthors><author><sid>e2fb156498bd28a936b34e986dfa01b7</sid><firstname>Michael</firstname><surname>Dennis</surname><name>Michael Dennis</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>4157d27b800a8357873bdfc9c71bd596</sid><ORCID>0000-0003-3182-8487</ORCID><firstname>Saiful</firstname><surname>Islam</surname><name>Saiful Islam</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2016-01-07</date><deptcode>SGMED</deptcode><abstract>There has been continuing change in the nature of care homes in the UK with 80 % of residents now living with some form of dementia or memory problem. Caring in this environment can be complex, challenging and stressful for staff; this can affect the quality of care provided to residents, lead to staff strain and burnout, and increase sickness, absence and turnover rates. It is therefore important to find interventions to increase the wellbeing of staff that will not only benefit staff themselves but also residents and care providers. Mindfulness training is known to be effective in treating a variety of physical and mental health conditions.Methods and design. The study uses mixed methods centred on a stepped-wedge cluster randomised trial. Thirty care homes in Wales are implementing a brief web-based mindfulness training course, starting in random sequence. Four to ten consenting staff from each facility undertake the course and complete validated questionnaires at baseline and after eight and 20 weeks. We shall also interview a stratified sample of ten trained staff and analyse the transcripts thematically. The primary outcome is stress; secondary outcomes include job satisfaction, attitudes towards residents and sickness absence rates. With increasing numbers of people living with dementia in care homes and causing stress in their carers, it is important to evaluate support strategies for staff. Mindfulness-based therapies may be of potential benefit and need detailed examination.Trial registration</abstract><type>Journal Article</type><journal>BMC Psychiatry</journal><volume>15</volume><journalNumber>1</journalNumber><publisher/><keywords>Dementia Challenging behaviour Care homes Care staff Stress Mindfulness Stepped-wedge cluster randomised trial</keywords><publishedDay>31</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2015</publishedYear><publishedDate>2015-12-31</publishedDate><doi>10.1186/s12888-015-0703-7</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School - School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>SGMED</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2016-01-07T11:28:57.8435214</lastEdited><Created>2016-01-07T11:28:57.8435214</Created><path><level id="1">Swansea University Medical School</level><level id="2">Medicine</level></path><authors><author><firstname>Christine</firstname><surname>Baker</surname><order>1</order></author><author><firstname>Peter</firstname><surname>Huxley</surname><order>2</order></author><author><firstname>Michael</firstname><surname>Dennis</surname><order>3</order></author><author><firstname>Saiful</firstname><surname>Islam</surname><orcid>0000-0003-3182-8487</orcid><order>4</order></author><author><firstname>Ian</firstname><surname>Russell</surname><order>5</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling 2016-01-07T11:28:57.8435214 v2 25444 2016-01-07 Alleviating staff stress in care homes for people with dementia: protocol for stepped-wedge cluster randomised trial to evaluate a web-based Mindfulness- Stress Reduction course e2fb156498bd28a936b34e986dfa01b7 Michael Dennis Michael Dennis true false 4157d27b800a8357873bdfc9c71bd596 0000-0003-3182-8487 Saiful Islam Saiful Islam true false 2016-01-07 SGMED There has been continuing change in the nature of care homes in the UK with 80 % of residents now living with some form of dementia or memory problem. Caring in this environment can be complex, challenging and stressful for staff; this can affect the quality of care provided to residents, lead to staff strain and burnout, and increase sickness, absence and turnover rates. It is therefore important to find interventions to increase the wellbeing of staff that will not only benefit staff themselves but also residents and care providers. Mindfulness training is known to be effective in treating a variety of physical and mental health conditions.Methods and design. The study uses mixed methods centred on a stepped-wedge cluster randomised trial. Thirty care homes in Wales are implementing a brief web-based mindfulness training course, starting in random sequence. Four to ten consenting staff from each facility undertake the course and complete validated questionnaires at baseline and after eight and 20 weeks. We shall also interview a stratified sample of ten trained staff and analyse the transcripts thematically. The primary outcome is stress; secondary outcomes include job satisfaction, attitudes towards residents and sickness absence rates. With increasing numbers of people living with dementia in care homes and causing stress in their carers, it is important to evaluate support strategies for staff. Mindfulness-based therapies may be of potential benefit and need detailed examination.Trial registration Journal Article BMC Psychiatry 15 1 Dementia Challenging behaviour Care homes Care staff Stress Mindfulness Stepped-wedge cluster randomised trial 31 12 2015 2015-12-31 10.1186/s12888-015-0703-7 COLLEGE NANME Medical School - School COLLEGE CODE SGMED Swansea University 2016-01-07T11:28:57.8435214 2016-01-07T11:28:57.8435214 Swansea University Medical School Medicine Christine Baker 1 Peter Huxley 2 Michael Dennis 3 Saiful Islam 0000-0003-3182-8487 4 Ian Russell 5
title Alleviating staff stress in care homes for people with dementia: protocol for stepped-wedge cluster randomised trial to evaluate a web-based Mindfulness- Stress Reduction course
spellingShingle Alleviating staff stress in care homes for people with dementia: protocol for stepped-wedge cluster randomised trial to evaluate a web-based Mindfulness- Stress Reduction course
Michael Dennis
Saiful Islam
title_short Alleviating staff stress in care homes for people with dementia: protocol for stepped-wedge cluster randomised trial to evaluate a web-based Mindfulness- Stress Reduction course
title_full Alleviating staff stress in care homes for people with dementia: protocol for stepped-wedge cluster randomised trial to evaluate a web-based Mindfulness- Stress Reduction course
title_fullStr Alleviating staff stress in care homes for people with dementia: protocol for stepped-wedge cluster randomised trial to evaluate a web-based Mindfulness- Stress Reduction course
title_full_unstemmed Alleviating staff stress in care homes for people with dementia: protocol for stepped-wedge cluster randomised trial to evaluate a web-based Mindfulness- Stress Reduction course
title_sort Alleviating staff stress in care homes for people with dementia: protocol for stepped-wedge cluster randomised trial to evaluate a web-based Mindfulness- Stress Reduction course
author_id_str_mv e2fb156498bd28a936b34e986dfa01b7
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author_id_fullname_str_mv e2fb156498bd28a936b34e986dfa01b7_***_Michael Dennis
4157d27b800a8357873bdfc9c71bd596_***_Saiful Islam
author Michael Dennis
Saiful Islam
author2 Christine Baker
Peter Huxley
Michael Dennis
Saiful Islam
Ian Russell
format Journal article
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college_str Swansea University Medical School
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hierarchy_top_id swanseauniversitymedicalschool
hierarchy_top_title Swansea University Medical School
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hierarchy_parent_title Swansea University Medical School
department_str Medicine{{{_:::_}}}Swansea University Medical School{{{_:::_}}}Medicine
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description There has been continuing change in the nature of care homes in the UK with 80 % of residents now living with some form of dementia or memory problem. Caring in this environment can be complex, challenging and stressful for staff; this can affect the quality of care provided to residents, lead to staff strain and burnout, and increase sickness, absence and turnover rates. It is therefore important to find interventions to increase the wellbeing of staff that will not only benefit staff themselves but also residents and care providers. Mindfulness training is known to be effective in treating a variety of physical and mental health conditions.Methods and design. The study uses mixed methods centred on a stepped-wedge cluster randomised trial. Thirty care homes in Wales are implementing a brief web-based mindfulness training course, starting in random sequence. Four to ten consenting staff from each facility undertake the course and complete validated questionnaires at baseline and after eight and 20 weeks. We shall also interview a stratified sample of ten trained staff and analyse the transcripts thematically. The primary outcome is stress; secondary outcomes include job satisfaction, attitudes towards residents and sickness absence rates. With increasing numbers of people living with dementia in care homes and causing stress in their carers, it is important to evaluate support strategies for staff. Mindfulness-based therapies may be of potential benefit and need detailed examination.Trial registration
published_date 2015-12-31T03:45:04Z
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