DESKK Study - Development and testing of a dementia-specific respite care concept with a mobility and counselling programme: study protocol

Abstract

Introduction: Specific mobility programmes can delay functional decline in people with dementia (PwD). Family caregivers (FCs) can be relieved from care-related burden by counselling services. Respite care is a short-term inpatient care service (1-8 weeks of stay). Respite care centres (RCCs) can function as support structures for dementia care arrangements through caring-based mobility training of PwD and counselling sessions for their FCs. However, no systematic mobility or counselling programmes exist in this setting in Germany or the rest of the world. The aim of the development and testing of a dementia-specific respite care concept (DESKK) study is the development and testing of an evidence-based mobility and counselling programme for PwD and their FCs that is suitable for the respite care setting.

Methods and analysis: A pilot-based, quasi-experimental evaluation study will be conducted in a specialised RCC for PwD. To evaluate the acceptance and usability of the development and testing of a DESKK concept, qualitative data will be collected from the RCC staff and FCs via semistandardised interviews. Quantitative data will be collected using instruments to assess effect tendencies of the concept related to mobility (PwD) and burden (FCs). Furthermore, a mixed-methods triangulation approach will be conducted.

Ethics and dissemination: The protocol, informed consent and accompanying material given to patients were submitted by the investigator to the Ethical Review Committee of the German Society of Nursing Science. The project was examined and finally approved on 31 January 2017 (Number: 16-27). Prior to obtaining written consent for study participation, information must be given to all of the study participants in verbal and written form. The results of the study will be presented at national and international conferences and published in peer-reviewed journals. After the concept is finalised, a practice-friendly manual will be developed in which implementation components are described for other RCCs.

Trial registration number: NCT03578861.

Keywords: counseling; dementia; exercises; family caregivers; mobility; respite care.

Figure 1

Flow chart of the DESKK literature search (PubMed+Google Scholar). DESKK, development and testing of a dementia-specific respite care concept.

Figure 2

DESKK intervention flow chart. BBT, box and blocks test; DESKK, development and testing of a dementia-specific respite care concept, FC, family caregivers; MMST, Mini Mental Status Test; NHPT, nine-hole peg test; NOSGER, Nurses’ Observation Scale for Geriatric Patients; PwD, people with dementia; RC, respite care; SD, strength-dexterity; SPPB, short physical performance battery.

Figure 3

Mixed-methods triangulation design—convergence model.