An investigation of the efficacy of training care home staff in a formulation based functional analysis approach to understanding stress and distress behaviours with dementia

De Pfeiffer, Lucy (2016) An investigation of the efficacy of training care home staff in a formulation based functional analysis approach to understanding stress and distress behaviours with dementia. Doctoral thesis, University of East Anglia.

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Abstract

Objectives: The aim of this study was to evaluate the outcome of a package of evidencebased
person-focused training for formal carers working with people with dementia living in
care homes. Specifically evaluating the efficacy of a new Formulation based Functional
Analysis (FFA) approach to understanding stress and distress behaviours (SAD-behaviours)
with dementia.
Design: The study employed an open trial design, with three independent groups: two
training interventions and a waiting list control.
Method: Forty eight care staff were recruited from care homes across Cambridgeshire.
Participants in intervention group one attended 15 hours of training (CAMTED), participants
in intervention group two attended 21 one hours of training including a FFA module in
understanding SAD-behaviours (CAMTED-Plus). The waiting list control consisted of staff
waiting to receive training. All participants completed outcome measures on knowledge and
attitudes to dementia, burden, job satisfaction and perceived frequency of SAD-behaviours
and confidence in managing SAD-behaviours at baseline and post-intervention.
Results: Due to the small sample size the waiting list group was excluded from data analyses.
Results showed that there were no statistically significant differences between CAMTED and
CAMTED-Plus on any of the outcomes at the end of the intervention. Within-group analyses
of pre-post change found statistically significant differences for CAMTED in the degree of
hopefulness about dementia and CAMTED-Plus in attitude to dementia, extent to which a
person-centred approach is adopted and levels of depersonalisation. Positive feedback was
provided on the use of the jigsaw training tool and verbal feedback indicated participants’
positivity about the training.
Conclusion: The results provide preliminary support for the utility of the FFA approach as a
training intervention. Although the results are limited due to the methodological
shortcomings, they provide a range of evidence in support of the FFA approach, which may
be built on in the future.

Item Type:	Thesis (Doctoral)
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User:	Jackie Webb
Date Deposited:	19 Oct 2016 10:58
Last Modified:	19 Oct 2016 10:58
URI:	https://ueaeprints.uea.ac.uk/id/eprint/60991
DOI:

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