Behavioural management in nursing and residential homes: a randomised controlled trial

R Proctor, A Burns, H S Powell, N Tarrier, B Faragher, G Richardson, L Davies

Research output: Contribution to journalArticlepeer-review


Background As more and more elderly people are being cared for in residential and nursing homes, how best can their psychiatric needs be met? We report on evaluation of a behavioural intervention by an old-age psychiatry hospital outreach team.

Methods This randomised controlled trial of a training and education intervention over 6 months was done in south Manchester, UK. 12 matched nursing and residential homes were randomised to the control or intervention group and within each, the staff selected 10 residents whose behavioural problems made them difficult to care for. Care staff in the intervention homes attended seminars from the hospital outreach team and received measures were cognitive impairment and depression, behavioural disturbance, and functional ability, assessed developing care planning skills. The main outcome measures were cognitive impairment and depression, by the geriatric mental state schedule, Crichton Royal behaviour rating scale, and Barthel index, respectively.

Findings Residents in the intervention group had significantly improved scores for depression (before-and-after change difference -0.5 [95% CI -0.8 to -0.1]) and for cognitive impairment (-0.7 [-1.1 to -0.2]) but not for behaviour rating or Barthel index.

Interpretation Elderly residents can benefit from improved quality of care achieved training from a hospital outreach team.

Original languageEnglish
Pages (from-to)26-29
Number of pages4
Issue number9172
Publication statusPublished - 3 Jul 1999


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