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Wednesday, 07 February 2018

Social interaction improves quality of life for dementia patients, study finds

Written by Rod Minchin

Dementia care for elderly people living in care homes is improved by just one hour of social interaction each week, a study suggests.

A large-scale trial found that increasing the amount of social interaction improves quality of life when combined with personalised care, and also saves money.

Previous research has found that in many care homes, residents have as little as two minutes of social interaction per day.

The research - which was led by the University of Exeter, King's College London and Oxford Health NHS Foundation Trust - trained key care home staff to deliver person-centred care, such as talking to residents about their interests.

When combined with just one hour a week of social interaction, the programme improved quality of life and reduced agitation and aggression in people with dementia, the study found.

Professor Clive Ballard (pictured), of the University of Exeter Medical School, said: "While many care homes are excellent, standards still vary hugely.

"We have previously found that the average amount of social interaction for people with dementia was just two minutes a day. It's hardly surprising when that has a knock-on effect on quality of life and agitation.

"Our approach improves care and saves money. We must roll out approaches that work to do justice to some of the most vulnerable people in society.

"Incredibly, of 170 carer training manuals available on the market, only four are based on evidence that they really work. That is simply not good enough - it has to change."

The trial involved more than 800 people with dementia across 69 care homes in south London, north London and Buckinghamshire.

Two "care staff champions" at each home were trained over four day-long sessions, to take simple measures that involve talking to residents about their interests and decisions around their own care.

Importantly, the approach also saved money compared to standard care. Researchers say the next key challenge is to roll out the programme to the 28,000 care homes in the UK to benefit the lives of the 300,000 people with dementia living in these facilities.

Dr Jane Fossey, from the Oxford Health NHS Foundation Trust, said: "Taking a person-centred approach is about getting to know each resident as an individual - their interests and preferences - and reflecting these in all aspects of care.

"We've shown that this approach significantly reduces agitation and saves money. Rolling out the training nationwide could benefit many other people."

Dr Doug Brown, director of research at Alzheimer's Society, added: "This study shows that training to provide this type of individualised care, activities and social interactions can have a significant impact of the well-being of people living with dementia in care homes.

"It also shows that this kind of effective care can reduce costs, which the stretched social care system desperately needs."

- The study - Impact of person-centred care training and person-centred activities on quality of life, agitation, and antipsychotic use in people with dementia living in nursing homes: A cluster-randomised controlled trial - was funded by the National Institute of Health Research and is published in the journal PLOS Medicine.

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