scholarly journals User-centred design of companion robot pets: care home resident-robot interactions followed by focus groups with residents, staff and family (Preprint)

10.2196/30337 ◽  
2021 ◽  
Author(s):  
Hannah Bradwell ◽  
Katie Edwards ◽  
Deborah Shenton ◽  
Rhona Winnington ◽  
Serge Thill ◽  
...  
Keyword(s):  
Focus Groups ◽  
Care Home ◽  
User Centred Design ◽  
Care Home Resident

scholarly journals Care home resident and staff perceptions of the acceptability of nutrition intervention trial procedures: a qualitative study embedded within a cluster randomised feasibility trial

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e022307
Author(s):  
Ruth Elizabeth Stow ◽  
Christina H Smith ◽  
Alison B Rushton
Keyword(s):  
Focus Groups ◽  
Care Home ◽  
Nutrition Intervention ◽  
Nutrition Support ◽  
Feasibility Trial ◽  
Trial Participation ◽  
Staff Perceptions ◽  
Nutritional Interventions ◽  
Cluster Randomised ◽  
Care Home Resident

ObjectivesTo examine care home resident and staff perceptions of the acceptability of participating in a feasibility trial evaluating nutritional interventions in the treatment of malnutrition.DesignExploratory qualitative methodology was used to gather descriptions of resident and staff perceptions of trial procedures, using semi-structured interviews with residents and focus groups with staff. The interviews were used to explore individual perceptions of the acceptability of the assigned intervention and the outcomes measured. Focus groups were used to explore staff experiences of trial participation and perspectives of nutritional support interventions.SettingThe study was embedded within a cluster randomised feasibility trial, which randomised six care homes to provide standard care (SC), food-based (FB) intervention or oral nutritional supplement (ONS) intervention to residents with, or at risk of, malnutrition.ParticipantsResidents in the trial with capacity to consent (n=7) formed the sampling frame for inclusion. Four agreed to be approached by the researcher and to take part in the individual interviews. All were women, representing two arms of the trial (ONS and SC). Twelve staff participated in six focus groups, one at each care home. All participants were women, representing all three arms of the trial.ResultsMajor themes that emerged from both interviews and focus groups included the perceived acceptability of trial involvement, the value of residents completing participant-reported outcome measures and the challenges associated with outcomes measurement in this setting. Themes that emerged from the focus groups alone, included the importance of individualising an intervention, and the perceived value of FB and ONS interventions and dietetic input.ConclusionsResidents and staff perceived involvement in a trial evaluating nutritional interventions to be acceptable, although the challenges associated with research in this setting were acknowledged. Resident preferences were highlighted by staff as an important consideration when implementing a nutrition support plan.Trial registration numberISRCTN38047922

scholarly journals Adopt a Care Home: An intergenerational initiative bringing children into care homes

Dementia ◽  
2017 ◽  
Vol 18 (5) ◽  
pp. 1679-1694 ◽  
Author(s):  
Laura Di Bona ◽  
Sheila Kennedy ◽  
Gail Mountain
Keyword(s):  
Mixed Methods ◽  
Focus Groups ◽  
Social Inclusion ◽  
Care Home ◽  
Care Homes ◽  
Care Home Staff ◽  
Impact Data ◽  
School Care

Dementia friendly communities, in which people living with dementia actively participate and those around them are educated about dementia, may improve the wellbeing of those living with dementia and reduce the associated stigma. The Adopt a Care Home scheme aims to contribute towards this by teaching schoolchildren about dementia and linking them with people living with dementia in a local care home. Forty-one children, 10 people living with dementia and 8 school/care home staff participated in a mixed methods (questionnaires, observations, interviews and focus groups) evaluation to assess the scheme’s feasibility and impact. Data were analysed statistically and thematically. The scheme was successfully implemented, increased children’s dementia awareness and appeared enjoyable for most participants. Findings, therefore, demonstrate the scheme’s potential to contribute towards dementia friendly communities by increasing children’s knowledge and understanding of dementia and engaging people living with dementia in an enjoyable activity, increasing their social inclusion.

scholarly journals 6 * JOINT GP AND GERIATRICIAN CARE HOME RESIDENT REVIEWS: AN INTEGRATED MODEL

2015 ◽  
Vol 44 (suppl 1) ◽  
pp. i2-i2
Author(s):  
A. Folwell ◽  
D. Heseltine ◽  
C. Henderson ◽  
K. Athorn
Keyword(s):  
Care Home ◽  
Integrated Model ◽  
Care Home Resident

scholarly journals Aesthetically Designing Video-Call Technology With Care Home Residents: A Focus Group Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Sonam Zamir ◽  
Felicity Allman ◽  
Catherine Hagan Hennessy ◽  
Adrian Haffner Taylor ◽  
Ray Brian Jones
Keyword(s):  
Focus Group ◽  
Older People ◽  
Focus Groups ◽  
New Technologies ◽  
Low Cost ◽  
Care Home ◽  
Framework Analysis ◽  
Focus Group Study ◽  
People With Dementia ◽  
Technological Intervention

BackgroundVideo-calls have proven to be useful for older care home residents in improving socialization and reducing loneliness. Nonetheless, to facilitate the acceptability and usability of a new technological intervention, especially among people with dementia, there is a need for user-led design improvements. The current study conducted focus groups with an embedded activity with older people to allow for a person-centered design of a video-call intervention.MethodsTwenty-eight residents across four care homes in the South West of England participated in focus groups to aesthetically personalize and ‘dress-up’ the equipment used in a video-call intervention. Each care home was provided with a ‘Skype on Wheels’ (SoW) device, a wheelable ‘chassis’ comprising an iPad or tablet for access to Skype, and a telephone handset. During the focus group, residents were encouraged to participate in an activity using colorful materials to ‘dress-up’ SoW. Comments before, during and after the ‘dress up’ activity were audio recorded. Framework analysis was used to analyze the focus group data.ResultsOlder people, including seven with dementia were able to interact with and implement design changes to SoW through aesthetic personalization. Themes arising from the data included estrangement, anthropomorphism, reminiscence, personalization, need for socialization versus fear of socialization and attitudes toward technology. After this brief exposure to SoW, residents expressed the likelihood of using video-calls for socialization in the future.ConclusionCare home residents enjoy engaging with new technologies when given the opportunity to interact with it, to personalize it and to understand its purpose. Low cost aesthetic personalization of technologies can improve their acceptability, usability, and implementation within complex care environments.

scholarly journals Genomic epidemiology of COVID-19 in care homes in the east of England

eLife ◽  
2021 ◽  
Vol 10 ◽  
Author(s):  
William L Hamilton ◽  
Gerry Tonkin-Hill ◽  
Emily R Smith ◽  
Dinesh Aggarwal ◽  
Charlotte J Houldcroft ◽  
...  
Keyword(s):  
Infection Control ◽  
Older People ◽  
Severe Disease ◽  
Care Home ◽  
Genomic Analysis ◽  
Viral Transmission ◽  
Care Homes ◽  
Temporal Data ◽  
Genomic Epidemiology ◽  
Care Home Resident

COVID-19 poses a major challenge to care homes, as SARS-CoV-2 is readily transmitted and causes disproportionately severe disease in older people. Here, 1167 residents from 337 care homes were identified from a dataset of 6600 COVID-19 cases from the East of England. Older age and being a care home resident were associated with increased mortality. SARS-CoV-2 genomes were available for 700 residents from 292 care homes. By integrating genomic and temporal data, 409 viral clusters within the 292 homes were identified, indicating two different patterns – outbreaks among care home residents and independent introductions with limited onward transmission. Approximately 70% of residents in the genomic analysis were admitted to hospital during the study, providing extensive opportunities for transmission between care homes and hospitals. Limiting viral transmission within care homes should be a key target for infection control to reduce COVID-19 mortality in this population.

Intensive Interaction and discourses of personhood: A focus group study with dementia caregivers

Dementia ◽  
2018 ◽  
Vol 19 (6) ◽  
pp. 2018-2037
Author(s):  
Cheyann J Heap ◽  
Emma Wolverson
Keyword(s):  
Focus Groups ◽  
Critical Discourse Analysis ◽  
Residential Care ◽  
Social Power ◽  
Care Home ◽  
Dementia Care ◽  
Focus Group Study ◽  
People With Dementia ◽  
Medical Discourses ◽  
Paid Caregivers

Introduction Societal discourses of dementia are medicalised and dehumanising. This leads to a social problem: the loss of personhood in dementia care. The communication technique Intensive Interaction, however, honours personhood. The current study aimed to explore how paid caregivers of people with dementia enact societal discourses of dementia, with and without the context of Intensive Interaction. This was to explore ways to address the loss of personhood in dementia care. Method Paid caregivers from two residential care homes attended an Intensive Interaction training day. Caregivers participated in focus groups before and after training. Transcripts of the focus groups were analysed with Critical Discourse Analysis, an approach which relates discourse to social power. Results Before Intensive Interaction training, carers accessed medical discourses of loss, non-communication and lack of personhood. ‘Being with’ people with dementia was framed as separate to paid work. After training, caregivers accessed discourses of communication and personhood. Intensive Interaction reframed ‘being with’ people with dementia as part of ‘doing work’. Family caregivers were largely absent from discourses. Care home hierarchies and the industrialisation of care were barriers towards honouring personhood. Conclusions Medical discourses of dementia reinforce a status quo whereby interpersonal interactions are devalued in dementia care, and professional ‘knowledge’ (thereby professional power) is privileged over relationships. Intensive Interaction may enable paid caregivers to access person-centred discourses and related practices. However, this requires support from management, organisational structures, and wider society. More research is needed to identify ways to involve families in residential care and to explore the effects of using Intensive Interaction in practice.

scholarly journals Pharmacists detecting atrial fibrillation in general practice: a qualitative focus group study

BJGP Open ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. bjgpopen20X101042
Author(s):  
Vilius Savickas ◽  
Emma L Veale ◽  
Sukvinder K Bhamra ◽  
Adrian J Stewart ◽  
Alistair Mathie ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
General Practice ◽  
Focus Groups ◽  
Care Home ◽  
Theoretical Domains Framework ◽  
Risk Groups ◽  
Added Value ◽  
Focus Group Study ◽  
Practice Staff ◽  
Stakeholder Groups

BackgroundAtrial fibrillation (AF) affects up to 10% of people aged ≥65 years, yet a third of all cases remain undetected. Practice-based pharmacists are in an ideal position to facilitate opportunistic AF screening, while increasing general practice capacity at a time of workforce crisis.AimTo explore the perspectives of three stakeholder groups involved in the ‘Pharmacists Detecting Atrial Fibrillation’ (PDAF) study to elucidate the facilitators and barriers to pharmacist-led AF screening in general practice.Design & settingA qualitative study took place, comprising homogeneous focus groups with stakeholders in Kent, UK.MethodThe stakeholder groups — patients, general practice staff (GPS), and clinical pharmacists (CPs) — were recruited using convenience sampling. Audio-recordings were transcribed verbatim and analysed using a deductive Theoretical Domains Framework (TDF) approach.ResultsTwenty-five patients, four pharmacists, and nine practice staff participated in six focus groups. Three main themes were identified: knowledge and awareness; prioritisation of resources; and environmental considerations. The public’s lack of awareness of AF-related risks and pharmacist-led screening services was highlighted. Practice-based pharmacists were perceived as an underutilised educational resource which, together with novel electrocardiogram devices, enabled convenient access to screening while reducing GPs’ workload. Participants agreed that AF screening should be incorporated into personalised health checks and at-risk groups should be prioritised, such as care home residents. Patients favoured the general practice environment over the community pharmacy where concerns of privacy, staffing, and commercialisation were raised.ConclusionThe findings of this study support the introduction of pharmacist-led AF screening programmes in general practice surgeries. Commissioners should consider the added value of utilising CPs and focus on the delivery of AF screening within an integrated service.

scholarly journals Genomic epidemiology of COVID-19 in care homes in the East of England

2020 ◽  
Author(s):  
William L. Hamilton ◽  
Gerry Tonkin-Hill ◽  
Emily Smith ◽  
Dinesh Aggarwal ◽  
Charlotte J. Houldcroft ◽  
...  
Keyword(s):  
Infection Control ◽  
Older People ◽  
Severe Disease ◽  
Care Home ◽  
Genomic Analysis ◽  
Viral Transmission ◽  
Care Homes ◽  
Temporal Data ◽  
Genomic Epidemiology ◽  
Care Home Resident

AbstractCOVID-19 poses a major challenge to care homes, as SARS-CoV-2 is readily transmitted and causes disproportionately severe disease in older people. Here, we report on 6,600 COVID-19 cases from the East of England, 1,167 of which were identified as residents from 337 care homes. Older age and being a care home resident were associated with increased mortality. SARS-CoV-2 genomes were available for 700 residents from 292 care homes. By integrating genomic and temporal data we defined 409 viral clusters within the 292 homes, indicating two different patterns - outbreaks among care home residents and independent introductions with limited onward transmission. Approximately 70% of residents in the genomic analysis were admitted to hospital during the study period, providing extensive opportunities for transmission between care homes and hospitals. Limiting viral transmission between care home residents should be a key target for infection control to reduce COVID-19 mortality in this population.

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