Impact of Renovations in Long Term Care Living Spaces on Residents With Dementia, Their Families and Staff

NCT ID: NCT04054583

Last Updated: 2021-09-22

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 75 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2017-05-09
• Study Completion Date: 2021-03-31

Brief Summary

A long-term care facility in central Canada planned to renovate their existing dementia care units. The overarching objective of this study was to examine the effects of the renovations on residents, family, and staff.

Detailed Description

A long-term care facility in central Canada renovated their existing dementia care units, which accommodates 60 residents with intermediate and advanced stages of dementia. The primary features of the renovation include physical upgrades and the addition of a large u-shaped activity pavilion. The overarching objective of this study was to examine the effects of these design transformations in the facility and grounds on residents, family, and staff. The overall project addressed the following questions:

• How does the long-term care unit renovation affect the health outcomes, quality of life, and lived experiences of residents?
• What are the effects of the long-term care unit renovation on care staff and family members?
• What aspects of the transformation were responsible for observed changes? And what aspects worked or did not?

A multi-component, mixed-methods (qualitative and quantitative) research plan was used in this project. Personal (resident, families, staff) and environmental variables (social interactions, implementation and use of technology and physical space) were assessed pre-renovation (spring/summer 2017) and post-renovation (summer 2019 and 2020). Due to the COVID-19 pandemic, plans for additional data collection in the summer of 2020 were not completed. With this mixed-methods research plan, the investigators gained valuable information about the renovation that is important for long term care facilities.

Conditions

Dementia

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: OTHER

Study Groups

Residents

Residents living on a special care unit in a long-term care facility. All 60 residents residing in the unit pre- and post-renovation will be eligible, and all will have intermediate or advanced dementia.

Renovation of long-term residential care living spaces

Intervention Type: OTHER

Living spaces of the long term care facility will be renovated.

Family Members

Family members are defined as the key person who supports the resident on a regular basis. This could include a spouse, adult child, adult grandchild, niece or nephew, close friend, former neighbour, or other significant person to the resident.

Renovation of long-term residential care living spaces

Intervention Type: OTHER

Living spaces of the long term care facility will be renovated.

Staff

Staff are the people who work on the special care unit. They may work only briefly or work on the design of the renovations. Types include: managers, nurses, health care aides, recreation facilitators, social worker, occupational therapist, physiotherapist, rehabilitation assistant, speech language pathologist, physicians, designers, and cleaning staff.

Renovation of long-term residential care living spaces

Intervention Type: OTHER

Living spaces of the long term care facility will be renovated.

Interventions

Renovation of long-term residential care living spaces

Living spaces of the long term care facility will be renovated.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Currently living on special care unit for residents with intermediate to advanced dementia or cognitive impairment in a long-term care facility

Family Member Inclusion:

• Must have a family member/friend/neighbour currently living on the special care unit.
• For the QUALID, the family member must have visited the resident at least three out of the last seven days

• Must currently work on the special care unit (either full or part-time or occasional)
• For the survey, staff must be able to read and understand English.

Exclusion Criteria

• Must be able to participate in-person.
• Must be able to communicate in English.
• Must be cognitively able to participate.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Riverview Health Centre Foundation

OTHER

Sponsor Role: collaborator

Mitacs

INDUSTRY

Sponsor Role: collaborator

University of Manitoba

OTHER

Sponsor Role: lead

Responsible Party

Michelle Porter

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Michelle M Porter, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Manitoba

Locations

University of Manitoba

Winnipeg, Manitoba, Canada

Countries

Canada

Other Identifiers

E2016:084

Identifier Type: -

Identifier Source: org_study_id