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SPAN+: Empowering people with dementia

Projectomschrijving

Dementie heeft ingrijpende gevolgen voor het dagelijks leven. Om de eigen kracht van mensen met dementie te ondersteunen, hebben we het programma SPAN+ ontwikkeld en geëvalueerd.

Werkwijze

Samen met input van de doelgroep is een eerder ontwikkeld ondersteuningsprogramma voor jonge mensen met dementie (SPANkracht) geschikt gemaakt voor oudere mensen met dementie. Ook is de effectiviteit en toepasbaarheid van het programma geëvalueerd. 

Dit project is een actieonderzoek: de ‘mensen waar het om gaat’ hadden zelf een grote rol. De centrale uitvoering van het project is in handen van een werkgroep die bestaat uit 2 zorgprofessionals, 2 welzijnsprofessionals, iemand met dementie, een mantelzorger, een onderzoeker en een projectleider. De inbreng van de doelgroep was gegarandeerd in alle fasen van het project.

Resultaten

Zorgprofessionals kunnen het programma SPAN+ samen met mensen met dementie en hun naasten inzetten; thuis en in het verpleeghuis. Het programma focust op eigen kracht door zich te richten op 4 domeinen: 

  1. het in Stand houden van eigenwaarde, 
  2. de Persoon zijn die je bent, 
  3. Autonome keuzes en controle
  4. je Nodig en nuttig voelen. 

Gebruikers waren over het algemeen positief over SPAN+. Op basis van onze evaluaties is het programma bijgesteld. 

SPAN+ is medio 2024 beschikbaar op de website van UKON. De materialen bevatten ook een praktische handreiking voor zorgprofessionals en organisaties om met SPAN+ aan de slag te gaan.

Producten

Titel: Promoting empowerment for people living with dementia in nursing homes: Development and feasibility evaluation of an empowerment program
Auteur: Charlotte van Corven 1, Annemiek Bielderman 1, Mandy Wijnen 2, Ruslan Leontjevas 3 1, Peter Lbj Lucassen 4, Maud Jl Graff 5, Debby L Gerritsen 4
Magazine: Dementia (London)
Titel: Het welbevinden van mensen met dementie staat bovenaan
Auteur: Monique Brandt
Magazine: Alzheimer Magazine
Titel: Empowerment for people living with dementia: An integrative literature review.
Auteur: van Corven CTM, Bielderman A, Wijnen M, Leontjevas R, Lucassen PLBJ, Graff MJL, Gerritsen DL.
Magazine: Int J Nurs Stud
Titel: Eigen kracht bij dementie
Auteur: van Corven, C., Bielderman, A., Leontjevas, R., Lucassen, P., Graff, M., & Gerritsen, D.
Magazine: Denkbeeld
Titel: Empowerment for people living with dementia: An integrative literature review.
Auteur: van Corven CTM, Bielderman A, Wijnen M, Leontjevas R, Lucassen PLBJ, Graff MJL, Gerritsen DL.
Magazine: International Journal of Nursing Studies
Titel: Empowering interventions for people living with dementia: A European survey
Auteur: Charlotte T M van Corven 1, Annemiek Bielderman 1, Ana Diaz Ponce 2, Dianne Gove 2, Jean Georges 2, Maud J L Graff 3, Debby L Gerritsen 1
Magazine: J Adv Nurs
Titel: Empowerment for people living with dementia: An integrative literature review
Auteur: Charlotte T M van Corven 1, Annemiek Bielderman 2, Mandy Wijnen 3, Ruslan Leontjevas 4, Peter L B J Lucassen 5, Maud J L Graff 6, Debby L Gerritsen 7
Magazine: Int J Nurs Stud
Titel: Defining empowerment for older people living with dementia from multiple perspectives: A qualitative study
Auteur: Charlotte T M van Corven 1, Annemiek Bielderman 2, Mandy Wijnen 3, Ruslan Leontjevas 4, Peter L B J Lucassen 5, Maud J L Graff 6, Debby L Gerritsen 7
Magazine: Int J Nurs Stud
Titel: Defining empowerment for older people living with dementia from multiple perspectives: A qualitative study
Auteur: Charlotte T M van Corven, Annemiek Bielderman, Mandy Wijnen, Ruslan Leontjevas, Peter L B J Lucassen, Maud J L Graff, Debby L Gerritsen
Magazine: International Journal of Nursing Studies
Titel: Family caregivers' perspectives on their interaction and relationship with people living with dementia in a nursing home: a qualitative study
Auteur: Charlotte T M van Corven 1, Annemiek Bielderman 2, Peter L B J Lucassen 3, Hilde Verbeek 4, Ivonne Lesman-Leegte 5, Marja F I A Depla 6, Annerieke Stoop 7, Maud J L Graff 8, Debby L Gerritsen 2
Magazine: BMC Geriatr
Titel: SPAN+: Empowerment among people living with dementia
Auteur: van Corven, C.
Magazine: Alzheimer Europe newsletter
Titel: Empowerment bij dementie
Magazine: Tijdschr Gerontol Geriatr
Titel: Family caregivers’ perspectives on their interaction and relationship with people living with dementia in a nursing home: a qualitative study.
Auteur: van Corven, C.T.M., Bielderman, A., Lucassen, P.L.B.J., Verbeek, H., Lesman-Leegte, I., Depla, M.F.I.A., Stoop, A., Graff, M.J.L. & Gerritsen, D. L. (2022).
Magazine: BMC Geriatrics
Titel: Empowering elderly people with dementia: A qualitative study
Auteur: Charlotte van Corven, Annemiek Bielderman, Maud Graff, Roeslan Leontjevas, Peter Lucassen, Debby Gerritsen
Titel: Empowerment interventions for people with dementia: a European survey
Auteur: VAN CORVEN Charlotte, BIELDERMAN Annemiek, GRAFF Maud, LEONTJEVAS Roeslan, LUCASSEN Peter, KOOPMANS Raymond, GERRITSEN Debby

Verslagen


Samenvatting van de aanvraag

BACKGROUND For experiencing wellbeing, it is imperative that people with dementia (PwD) feel empowered to remain active and involved in society. Thereto, this mixed-methods Action Research (AR) project aims to deliver an effective empowerment intervention applicable for PwD at home and in care homes. Jointly, researchers, PwD, (in)formal carers, and case managers for PwD will: 1) perform a European survey of current empowerment interventions, identify effective and usable elements and implementation strategies; 2) explore needs and preferences of PwD and carers about empowerment in daily life; 3) adapt an existing empowerment intervention and investigate its applicability and (cost)effectiveness; 4) determine, based on the European survey, how the intervention can be integrated adequately within the range of related interventions in Europe (specifically the Netherlands); 5) publish and disseminate the empowerment-intervention, with implementation guidelines. We chose to adapt an existing intervention because this intervention, SPAN, focuses on self-management, has a strong empirical base and innovative elements while the availability of empowerment interventions seems to be limited. SPAN stands for Social involvement, Pleasant activities, being physically Active and being Needed and was developed for people with young-onset dementia. It is unclear when and how to apply an empowerment-intervention such as SPAN in older people and how this relates to other empowering interventions, such as the evidence-based COTiD program. Also, it is unknown how these and possible other interventions may be complementary. Importantly, none seem to be developed for PwD in care homes. DESIGN Action Research with thorough methods of a) intervention development, i.e. Intervention Mapping, b) process evaluation (framework of Leontjevas et al. [1]), and c) effect evaluation by embedding two RCTs. AR is a cyclic research process in which participants plan, act, reflect on the results, and modify the plan for the next cycle, repeated until they achieve their goal [2]. In this study, 3 AR cycles are run. Cycle 1: Map current empowerment interventions by a European digital survey; explore empowerment needs in focus groups and set intervention targets. Select the intervention’s objectives, outcomes, elements, and applicable behavioral change theories. Cycle 2: Develop, pretest and evaluate pilot-intervention SPAN+. Cycle 3: Evaluate SPAN+ in two RCTs (at home vs. in care homes) about the (cost)effectiveness for self-management abilities, quality of life, neuropsychiatric symptoms of PwD; burden and sense of competence of informal carers; burnout and work satisfaction of formal carers. After critical evaluation, SPAN+ is adapted and published and its implementation started. TARGET GROUP PwD at home and in care homes. Other stakeholders are their informal carers, case managers and care home staff. METHODS Three groups run the project. A working group of main stakeholders performs the project and consists of a researcher, PwD and carer, project leader and 4 care professionals (2 for PwD at home, 2 for PwD in care homes). The project group monitors the project’s progress. An advisory board with representatives of relevant bodies serves as a sounding board for the other groups. DELIVERABLES European overview of currently available empowerment-interventions and their elements; applicable, (cost)effective empowerment intervention for PwD at home and in care homes; insight into how it can improve or replace other existing interventions; factsheet on the project’s results and the intervention; implementation guide and start of implementation; PhD-thesis and scientific publications. PWD AND CARERS As per the AR design, PwD and carers are part of the project’s working group and thus represented in all project phases, including the writing of this proposal. Further, they participate in the focus groups on the basis of which the intervention is adapted, the panel review for confirming the adaptations, the interpretation of the study results. Also, they comment on benefits, user friendliness and possible barriers and facilitators as users of the intervention in the (pilot) evaluation. FEASIBILITY Feasibility is guaranteed by: our knowledge on development, evaluation, education, implementation of care innovations; our experience with running large studies in dementia care; and the infrastructure of our care networks. With the involvement of Alzheimer Europe and the COTiD network, we can study and increase empowerment with international input and perhaps create international dissemination potential in the future. Alzheimer Europe is THE representative of PwD and has a large network of national associations, facilitating the communication and implementation of study results.

Kenmerken

Projectnummer:
733050832
Looptijd: 100%
Looptijd: 100 %
2018
2023
Onderdeel van programma:
Gerelateerde subsidieronde:
Projectleider en penvoerder:
prof. dr. D.L. Gerritsen
Verantwoordelijke organisatie:
Radboud Universitair Medisch Centrum