Evidence-Based Supported Digital Intervention for Improving Wellbeing and Health of people living in Care Homes (WHELD) During COVID-19

在 COVID-19 期间，基于证据的支持数字干预可改善护理院 (WHELD) 居民的福祉和健康

• 批准号: MR/V027794/1
• 负责人: Clive Ballard
• 金额: $ 156.91万
• 依托单位: UNIVERSITY OF EXETER
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FV027794%2F1
• 关键词: Evidence; Based; Supported; Digital; Intervention

The COVID-19 crisis is severely affecting care staff and the 400,000 older people living in care homes. Care home residents include the frailest members of society, many with dementia, mental and physical health symptoms. Care home staff are finding it challenging to provide support in these times and they face an increasingly difficult and distressing work environment. We urgently need to support care staff and provide the best environment possible for care home residents. Our care home training (WHELD) has shown benefits in two large clinical trials; and we have also demonstrated benefits from a digital version, incorporating virtual supervision in a new trial. We will optimise this programme by adapting it for the COVID crisis, to include peer networking and solution sharing. This will add to the person-centred approach, enhanced activities and reduction in sedative medications that the current WHELD programme already achieves. This digital intervention with virtual supervision will be available to 160 care homes within 4 weeks. We will further improve eWHELD based on benefits, feedback and barriers to implementation, make it available to almost 1500 care homes during the programme and ensure that it is ready to roll out to all UK care homes.

COVID-19危机严重影响了护理人员和居住在养老院的40万老年人。护理之家的居民包括社会上最脆弱的成员，许多人患有痴呆症，精神和身体健康症状。护理之家的工作人员发现，在这些时候提供支持是具有挑战性的，他们面临着越来越困难和痛苦的工作环境。我们迫切需要支持护理人员，并为护理院居民提供最好的环境。我们的护理之家培训（WHELD）在两项大型临床试验中显示出了益处;我们还展示了数字版本的益处，并在新的试验中纳入了虚拟监督。我们将优化该计划，使其适应COVID危机，包括同行网络和解决方案共享。这将加强以人为本的方法，加强活动，减少镇静剂药物，目前的卫生和农村发展方案已经做到了这一点。这种具有虚拟监督的数字干预将在4周内提供给160家养老院。我们将根据好处，反馈和实施障碍进一步改进eWHELD，在计划期间向近1500家养老院提供，并确保它准备好向所有英国养老院推出。

项目成果

Impact of the iWHELD digital person-centered care program on quality of life, agitation and psychotropic medications in people with dementia living in nursing homes during the COVID-19 pandemic: A randomized controlled trial.

iWHELD 以人为本的数字护理计划对 COVID-19 大流行期间居住在疗养院的痴呆症患者的生活质量、躁动和精神药物的影响：一项随机对照试验。

• DOI: 10.1002/alz.13582
• 发表时间: 2024
• 期刊: Alzheimer's & dementia : the journal of the Alzheimer's Association
• 作者: McDermid,Joanne;Henley,William;Corbett,Anne;Williams,Gareth;Fossey,Jane;Clare,Linda;Fox,Chris;Aarsland,Dag;Khan,Zunera;Soto,Maria;Woodward-Carlton,Barbara;Cook,EsmeMoniz;Cummings,Jeffrey;Sweetnam,Adrienne;Chan,Xavier;Lawrenc
• 通讯作者: Lawrenc

Impact of the Covid-19 pandemic on neuropsychiatric symptoms and antipsychotic prescribing for people with dementia in nursing home settings.

• DOI: 10.1002/gps.5878
• 发表时间: 2023-01
• 期刊: INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
• 影响因子: 4
• 作者: McDermid, Joanne;Ballard, Clive;Khan, Zunera;Aarsland, Dag;Fox, Chris;Fossey, Jane;Clare, Linda;Moniz-Cook, Esme;Soto-Martin, Maria;Sweetnam, Adrienne;Mills, Kathryn;Cummings, Jeffrey;Corbett, Anne
• 通讯作者: Corbett, Anne