A pilot and feasibility study of the effectiveness of care mapping on person-centred care in neurorehabilitation settings.

Publisher: Routledge, Taylor & Francis Group Country of Publication: England NLM ID: 9112672 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1464-0694 (Electronic) Linking ISSN: 09602011 NLM ISO Abbreviation: Neuropsychol Rehabil Subsets: MEDLINE

Publication: [London] : Routledge, Taylor & Francis Group
Original Publication: Hove, East Sussex, UK : Lawrence Erlbaum Associates Ltd., c1991-

Attitude of Health Personnel* ; Clinical Competence* ; Neurological Rehabilitation*/methods ; Neurological Rehabilitation*/standards ; Patient-Centered Care*/methods ; Patient-Centered Care*/standards ; Process Assessment, Health Care* ; Self Efficacy*; Dementia/*therapy; Adult ; Feasibility Studies ; Follow-Up Studies ; Humans ; Pilot Projects

Dementia care mapping for neurorehabilitation (DCM-NR) is a tool designed to increase person-centred care (PCC) in neurorehabilitation settings. This paper reports pilot and feasibility testing of a cluster-randomized controlled trial assessing the effectiveness of DCM-NR at increasing PCC. Forty-one staff members, from four neurorehabilitation wards, were cluster-randomized to receive DCM-NR (experimental group) or care as usual (control). Measures of PCC, attitudes to people with brain injury, and PCC self-efficacy were taken at baseline and follow-up. The experimental group were also interviewed about their experiences of the trial. Twenty-nine participants completed the study. Participants generally found the intervention and trial to be acceptable. PCC was significantly higher in the experimental than the control group at follow-up, despite levels of exposure to the intervention being low. PCC self-efficacy increased in the control group, but not in the experimental group, perhaps reflecting an initial reduction in perceived competence following feedback. Neither group showed a change in attitudes to people with brain injury. The findings suggest that this cluster-randomized trial design is acceptable; that DCM-NR shows promise as a tool for increasing PCC; and highlight modifications to the protocol that could increase the success and theoretical value of a future large-scale study.

Keywords: DCM; DCM-NR; Dementia care mapping; Feasibility; Neurorehabilitation; Person-centred care; Pilot; RCT

Date Created: 20190409 Date Completed: 20210611 Latest Revision: 20210611

20221213

10.1080/09602011.2019.1598446

30957646