Training dementia care professionals to help caregivers improve the management of behavioral and psychological symptoms of dementia using the DICE Approach: A pilot study

Geriatr Nurs. 2022 Nov-Dec:48:74-79. doi: 10.1016/j.gerinurse.2022.08.016. Epub 2022 Sep 22.

Abstract

Most persons living with dementia (PLWD) exhibit behavioral or psychological symptoms of dementia (BPSD) over the course of the illness. The DICE Approach (DICE) is a framework that enables caregivers to identify, evaluate, and manage BPSD. This pilot pre-post test study examined the effects of DICE training on dementia care professionals' self-efficacy, knowledge, and attitudes regarding care of patients with BPSD. Participants underwent either in-person DICE training or, during the pandemic, online training. Case consultations were offered as additional learning opportunities in challenging situations. Of 134 participants in the trainings, 122 (91.0%) provided survey data for one or more instruments before and after training. Participants experienced significant improvement in knowledge and attitudes with respect to BPSD and improvement in self-efficacy with respect to helping caregivers respond to BPSD. Training dementia care professionals in DICE can improve their capacity to support caregivers in the management of BPSD.

Keywords: Alzheimer's disease; Behavioral and psychological symptoms; Dementia; Family caregivers.

MeSH terms

  • Behavioral Symptoms / psychology
  • Caregivers / psychology
  • Dementia* / psychology
  • Dementia* / therapy
  • Humans
  • Pilot Projects
  • Self Efficacy