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SettleIN: Using a Manualised Intervention to Facilitate the Adjustment of Older Adults with Dementia Following Placement into Residential Care

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  • Caroline A Saint-Bryant

    (Research Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London WC1E 7HB, UK)

  • Judy Murrill

    (Research Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London WC1E 7HB, UK)

  • Janine K Hayward

    (Research Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London WC1E 7HB, UK)

  • Kayleigh-Marie Nunez

    (Wolfson Centre for Age Related Diseases, Kings College London, Wolfson Wing, Hodgkin Building, Guys Campus, London SE1 1UL, UK)

  • Aimee Spector

    (Research Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London WC1E 7HB, UK)

Abstract

The authors examined the feasibility of delivering an adapted version of SettleIN, a manualised staff-led programme designed to facilitate adjustment to care for new residents with dementia. The effects of SettleIN on resident adjustment, mood and quality of life were also investigated. A pilot randomised controlled trial was conducted. Nineteen new residents with dementia and 21 staff participants were recruited. Residents were randomly assigned to receive the SettleIN programme or residential care as usual. Resident quality of life, mood and overall adjustment were measured at baseline and post-intervention, in week seven. Interviews were conducted with staff in week seven to explore intervention feasibility. Despite medium to large effect sizes, there was no significant difference in mean change scores between the two conditions, with regards to quality of life, psychological wellbeing or overall adjustment outcomes. Qualitative feedback indicated that SettleIN was not feasible across all areas, with problems around recruitment and practicality. However, SettleIN was deemed feasible in terms of retention and acceptability among staff. The majority of staff felt that SettleIN was beneficial for residents but that organisational and programme factors impacted upon intervention feasibility. Further exploration of organisational barriers is needed in order to reduce the impact of such factors on care home research.

Suggested Citation

  • Caroline A Saint-Bryant & Judy Murrill & Janine K Hayward & Kayleigh-Marie Nunez & Aimee Spector, 2020. "SettleIN: Using a Manualised Intervention to Facilitate the Adjustment of Older Adults with Dementia Following Placement into Residential Care," IJERPH, MDPI, vol. 17(7), pages 1-18, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2606-:d:344077
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    References listed on IDEAS

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    1. Tanya E. Davison & Vera Camões-Costa & Anna Clark, 2019. "Adjusting to life in a residential aged care facility: Perspectives of people with dementia, family members and facility care staff," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(21-22), pages 3901-3913, November.
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    Cited by:

    1. Reena Devi & Adam Gordon & Tom Dening, 2022. "Enhancing the Quality of Care in Long-Term Care Settings," IJERPH, MDPI, vol. 19(3), pages 1-3, January.

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