Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Oct 15;8(10):e025411.
doi: 10.1136/bmjopen-2018-025411.

Effects of the Namaste Care Family programme on quality of life of nursing home residents with advanced dementia and on family caregiving experiences: study protocol of a cluster-randomised controlled trial

Affiliations

Effects of the Namaste Care Family programme on quality of life of nursing home residents with advanced dementia and on family caregiving experiences: study protocol of a cluster-randomised controlled trial

Hanneke J A Smaling et al. BMJ Open. .

Erratum in

Abstract

Introduction: Quality of life of people with advanced dementia living in nursing homes is often suboptimal. Family caregivers can feel frustrated with limited contact with their relatives, which results in visits that are perceived as stressful and not very meaningful. Few psychosocial interventions are specifically developed for people with advanced dementia, and actively involve family caregivers or volunteers. Also, interventions usually stop when it becomes difficult for people to participate. The Namaste Care Family programme aims to increase the quality of life of people with advanced dementia, and improve family caregiving experiences through connecting to people and making them comfortable.

Methods and analysis: Our study will evaluate the effects of the Namaste Care Family programme on quality of life of people with advanced dementia living in nursing homes and family caregiving experiences using a cluster-randomised controlled trial. Longitudinal analyses will be performed taking into account clustering at the nursing home level. Both a cost-effectiveness and a cost-utility analysis from a societal perspective will be performed. We will modify the Namaste Care Family programme to increase family and volunteer involvement in ongoing and end-of-life care. Data collection involves assessments by family caregivers, nursing staff and elderly care physicians using questionnaires, and observations by the researchers at baseline and multiple times over 12 months. The last questionnaire will be sent up to month 24 after the death of the person with dementia. During semistructured interviews, the feasibility, accessibility and sustainability of the Namaste Care Family programme will be assessed.

Ethics and dissemination: The study protocol is approved by the Medical Ethics Review Committee of the VU University Medical Center in Amsterdam (protocol no. 2016.399) and registered with the Nederlands Trial Register (NTR5692). The findings will be disseminated via publications in peer-reviewed journals, conference presentations and presentations for healthcare professionals where appropriate.

Trial registration number: NTR5692.

Keywords: cluster randomized control trial; dementia; family caregivers; namaste care; palliative care; quality of life.

PubMed Disclaimer

Conflict of interest statement

Competing interests: JS developed the Namaste Care programme and is the author of The end-of-life Namaste Care programme for people with dementia. LV is married to the developer of Namaste Care.

Figures

Figure 1
Figure 1
Study flow diagram.

References

    1. Prince M, Bryce R, Albanese E, et al. . The global prevalence of dementia: a systematic review and metaanalysis. Alzheimer’s & Dementia 2013;9:63–75. 10.1016/j.jalz.2012.11.007 - DOI - PubMed
    1. Kverno KS, Black BS, Nolan MT, et al. . Research on treating neuropsychiatric symptoms of advanced dementia with non-pharmacological strategies, 1998–2008: a systematic literature review. Int Psychogeriatr 2009;21:825–43. 10.1017/S1041610209990196 - DOI - PMC - PubMed
    1. van der Steen JT, Radbruch L, Hertogh CMPM, et al. . White paper defining optimal palliative care in older people with dementia: a Delphi study and recommendations from the European Association for Palliative Care. Palliat Med 2014;28:197–209. 10.1177/0269216313493685 - DOI - PubMed
    1. Metzelthin SF, Verbakel E, Veenstra MY, et al. . Positive and negative outcomes of informal caregiving at home and in institutionalised long-term care: a cross-sectional study. BMC Geriatr 2017;17:232 10.1186/s12877-017-0620-3 - DOI - PMC - PubMed
    1. Piechniczek-Buczek J, Riordan ME, Volicer L. Family member perception of quality of their visits with relatives with dementia: a pilot study. J Am Med Dir Assoc 2007;8:166–72. 10.1016/j.jamda.2006.09.017 - DOI - PubMed

Publication types

MeSH terms

Associated data