A pilot and feasibility study of the effectiveness of care mapping on person-centred care in neurorehabilitation settings. Issue 9 (20th October 2020)

• Record Type: Journal Article
• Authors: Brown, Laura J. E.; Blake, Daniel; Berry, Katherine; Sheldrick, Russell
• Is Part Of: Neuropsychological rehabilitation. Volume 30:Issue 9(2020)
• Page Start: 1648
• Page End: 1665
• Publication Date: 2020-10-20
• Subjects: Dementia care mapping -- DCM -- DCM-NR -- Person-centred care -- Feasibility -- RCT -- Pilot -- Neurorehabilitation; Brain damage -- Patients -- Rehabilitation -- Periodicals; Clinical neuropsychology -- Periodicals; 617.4810443
• DOI: 10.1080/09602011.2019.1598446
• Languages: English
• ISSNs: 0960-2011

Abstract

ABSTRACT: 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.