title: The effects of dementia care mapping on nursing home residents' quality of life and staff attitudes: design of the quasi-experimental study Leben-QD II.
abstract: BACKGROUND
  The main objective of care for people with dementia is the maintenance and promotion of quality of life (Qol). Most of the residents in nursing homes have challenging behaviors that strongly affect their Qol. Person-centered care (PCC) is an approach that aims to achieve the best possible Qol and to reduce challenging behaviors. Dementia Care Mapping (DCM) is a method of implementing PCC that has been used in Germany for several years. However, there are no data on the effectiveness of DCM or the challenges of implementation of DCM in German nursing homes.
  
  
  METHODS
  In this quasi-experimental non-randomized cluster-controlled study, the effects of DCM will be compared to 2 comparison groups. 9 nursing homes will take part: 3 will implement DCM, 3 will implement a comparison intervention using an alternative Qol assessment, and 3 have already implemented DCM. The main effect outcomes are Qol, challenging behaviors, staff attitudes toward dementia, job satisfaction and burnout of caregivers. These outcomes will be measured on 3 data points. Different quantitative and qualitative data sources will be collected through the course of the study to investigate the degree of implementation as well as facilitators of and barriers to the implementation process.
  
  
  CONCLUSIONS
  This study will provide new information about the effectiveness of DCM and the implementation process of DCM in German nursing homes. The study results will provide important information to guide the national discussion about the improvement of dementia-specific Qol, quality of care in nursing homes and allocation of resources. In addition, the study results will provide information for decision-making and implementation of complex psychosocial interventions such as DCM. The findings will also be important for the design of a subsequent randomized controlled trial (e.g. appropriateness of outcomes and measurements, inclusion criteria for participating nursing homes) and the development of a successful implementation strategy.
  
  
  BACKGROUND
  Current Controlled Trials ISRCTN43916381.
authors.affiliation: German Center for Neurodegenerative Diseases (DZNE), Witten, Stockumer Straße 12, 58453, Witten, Germany.
authors.forename: Margareta
authors.initials: M
authors.lastname: Halek
authors.forename: Martin Nikolaus
authors.initials: MN
authors.lastname: Dichter
authors.forename: Tina
authors.initials: T
authors.lastname: Quasdorf
authors.forename: Christine
authors.initials: C
authors.lastname: Riesner
authors.forename: Sabine
authors.initials: S
authors.lastname: Bartholomeyczik
mesh_terms: D001291:Attitude of Health Personnel; D016000:Cluster Analysis; D003704:Dementia / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D005858:Germany / Q000453:epidemiology; D006707:Homes for the Aged / Q000592:standards; D006801:Humans; D009735:Nursing Homes / Q000592:standards; D018802:Patient-Centered Care / Q000379:methods* / Q000592:standards; D011788:Quality of Life