Promoting empowerment for people living with dementia in nursing homes: Development and feasibility evaluation of an empowerment program

Dementia (London). 2022 Nov;21(8):2517-2535. doi: 10.1177/14713012221124985. Epub 2022 Sep 5.

Abstract

Objectives: This article describes the development and feasibility evaluation of an empowerment program for people living with dementia in nursing homes.

Methods: Development and feasibility evaluation of the empowerment program was guided by the British Medical Research Council's (MRC) framework. In the developmental phase, we used intervention mapping to develop the theory- and evidence-based intervention. During the feasibility phase, two care teams utilised the program from September to December 2020. We evaluated the feasibility in terms of demand, acceptability, implementation, practicality, integration and limited efficacy.

Findings: This study showed that, according to healthcare professionals, the program was feasible for promoting empowerment for people living with dementia in a nursing home. Healthcare professionals mentioned an increased awareness regarding the four themes of empowerment (sense of identity, usefulness, control and self-worth), and greater focus on the small things that matter to residents. Healthcare professionals experienced challenges in involving family caregivers.

Conclusion: An important step is to take into account the implementation prerequisites that follow from our findings, and to further investigate feasibility, as the use of the program and data collection was hindered by the COVID-19 pandemic. Subsequent research could investigate the effects of the empowerment program.

Keywords: Dementia; family caregivers; healthcare professionals; nursing homes; psychosocial support.

MeSH terms

  • Aged
  • COVID-19*
  • Caregivers
  • Dementia*
  • Feasibility Studies
  • Homes for the Aged
  • Humans
  • Nursing Homes
  • Pandemics
  • Quality of Life