title: Stop Delirium! A complex intervention to prevent delirium in care homes: a mixed-methods feasibility study.
abstract: BACKGROUND
  delirium is likely to be particularly common in care homes, given the clustering of known risk factors in these settings. Preventing delirium should result in significant benefits, including better quality of care and improved outcomes for residents.
  
  
  OBJECTIVE
  to test the feasibility of 'Stop Delirium!', an intervention to prevent delirium in care homes for older people, and to optimise parameters to inform the design of a future trial evaluation.
  
  
  METHODS
  we delivered Stop Delirium! to six care homes over 10 months, in a mixed methods before and after study.
  
  
  RESULTS
  Stop Delirium! was successfully implemented in the study homes. We found evidence supporting positive changes in staff attitudes and practice after the intervention. Although qualitative data suggested it was too early to expect changes in resident outcomes, we also found preliminary evidence suggesting potential improvements in a range of outcomes, including a reduction in the number of falls and prescribed medications.
  
  
  CONCLUSIONS
  a complex intervention for delirium prevention in care homes is feasible and has the potential to improve staff practice and outcomes for residents. This work provides the basis for the next phase of the evaluation to establish its effectiveness and cost-effectiveness.
authors.affiliation: Bradford District NHS Care Trust, New Mill, Saltaire, West Yorkshire BD18 3LD, UK. n.siddiqi@leeds.ac.uk
authors.forename: Najma
authors.initials: N
authors.lastname: Siddiqi
authors.forename: John
authors.initials: J
authors.lastname: Young
authors.forename: Allan O
authors.initials: AO
authors.lastname: House
authors.forename: Imogen
authors.initials: I
authors.lastname: Featherstone
authors.forename: Ann
authors.initials: A
authors.lastname: Hopton
authors.forename: Carol
authors.initials: C
authors.lastname: Martin
authors.forename: Jill
authors.initials: J
authors.lastname: Edwards
authors.forename: Rebecca
authors.initials: R
authors.lastname: Krishnan
authors.forename: Rose
authors.initials: R
authors.lastname: Peacock
authors.forename: Rachel
authors.initials: R
authors.lastname: Holt
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control; D000368:Aged; D000369:Aged, 80 and over; D003693:Delirium / Q000453:epidemiology / Q000517:prevention & control*; D005240:Feasibility Studies; D006707:Homes for the Aged; D006801:Humans; D057970:Inappropriate Prescribing; D009735:Nursing Homes; D017063:Outcome Assessment, Health Care; D011787:Quality of Health Care; D012307:Risk Factors