Namaste Care in nursing care homes with people with advanced dementia: protocol for a feasibility randomised controlled trial

Katherine Froggatt, Shakil Patel, Guillermo Perez Algorta1, Frances Bunn, Girvan Burnside, Joanna Coast, Lesley Dunleavy, Claire Goodman, Ben Hardwick, Julie Kinley, Nancy Preston, Catherine Walshe

Research output: Contribution to journalArticle (Academic Journal)peer-review

9 Citations (Scopus)
241 Downloads (Pure)

Abstract

Introduction:
Many people living with advanced dementia live and die in nursing care homes. The quality of life, care and dying experienced by these people is variable. Namaste Care is a multi-sensory programme of care developed for people with advanced dementia. Whilst there is emerging evidence that Namaste Care may be beneficial for people with dementia, there is a need to conduct a feasibility study to establish the optimum way of delivering this complex intervention and whether benefits can be demonstrated in end of life care, for individuals and service delivery. The aim of the study is to ascertain the feasibility of conducting a full trial of the Namaste Care intervention.

Methods and analysis:
A feasibility study, comprising a parallel, two-arm, multi-centre cluster controlled randomised trial with embedded process and economic evaluation. Nursing care homes (total of 8) who deliver care to those with advanced dementia will be randomly allocated to intervention (delivered at nursing care home level) or control. Three participant groups will be recruited: residents with advanced dementia; informal carers of a participating resident and nursing care home staff. Data will be collected for 6 months. Feasibility objectives concern the recruitment and sampling of nursing homes, residents, informal carers and staff; the selection and timing of primary (quality of dying and quality of life) and secondary clinical outcome measures (person centeredness, symptom presence, agitation, quality of life, resource use and costs and residents’ activity monitored using actigraphy). Acceptability, fidelity and sustainability of the intervention will be assessed using semi-structured interviews with staff and informal carers

Ethics and dissemination:
This protocol has been approved by NHS Wales Research Ethics Committee 5 (Ref: 17/WA0378). Dissemination plans include working with a public involvement panel, through a website (wwww.namastetrial.org.uk), social media, academic and practice conferences and via peer reviewed publications.
Original languageEnglish
Article numbere026531
Number of pages11
JournalBMJ Open
Volume8
Issue number11
Early online date25 Nov 2018
DOIs
Publication statusPublished - Nov 2018

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