Feasibility of a mobility programme for people with dementia in the respite care setting: results of the DESKK study
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RESEARCH ARTICLE
Open Access
Feasibility of a mobility programme for people with dementia in the respite care setting: results of the DESKK study Steffen Heinrich1* , Caren Horstmannshoff2 and Bernhard Holle3
Abstract Background: Caring for people with dementia (PwD) is often challenging for caregiving relatives. Respite care (RC) is a commonly used short-term inpatient service. The provision of RC can serve as a link between home care and institutional care and can help to stabilize the care provided at home. During RC, the everyday functional skills of PwD can be improved or stabilized through systematic mobility training. However, no specific mobility programme exists for this setting. The aim of the DESKK study was to develop and test a mobility training programme for PwD in the RC setting in Germany. Methods: A quasi-experimental pilot study was conducted in a specialized RC centre for PwD. Qualitative and quantitative data were collected and analysed using a mixed methods design. Results: The DESKK mobility programme may be introduced in the RC setting depending on the required time and professional resources. The mobility programme had a high acceptance rate among the staff involved. Ongoing documentation of the mobility exercises were challenging. During their stay (2–4 weeks), the physical function level of the included PwD (n = 20) increased regarding leg strength, gross motor coordination, fine coordination of the fingers and hand strength. Conclusions: The DESKK mobility programme showed a high acceptance rate by the staff and was usable in daily care routine for the most part. These aspects indicate that the programme has the potential to be successfully implemented in the RC setting. The DESKK concept is described in the form of a practice-friendly website to facilitate its use in clinical practice after its successful evaluation. Keywords: Dementia, Respite care, Mobility, Exercise, Preferences
Background Globally, caregiving relatives play the most important role in supporting people with dementia (PwD) at home [40]. Therefore, it is very important to support caregiving relatives in this task. In an optimal situation, the caregiving relative would have time to rest to relieve the burden associated with * Correspondence: [email protected] 1 University of Applied Sciences - St. Gallen, Institute for Applied Nursing Sciences, Rosenbergstrasse 59, 9001 St. Gallen, Switzerland Full list of author information is available at the end of the article
caregiving during a so-called “respite care” (RC) stay of his or her care-dependent relative. Internationally, there are a considerable number of different structured RC facilities, ranging from ambulatory household care support to inpatient facilities and from professional to honourary structured providers. In Germany, RC is a short-term inpatient service for caredependent persons that can be used for a period of time (between four to eight weeks). RC was established to support caregiving relatives in the event of problems related to providing stable
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