title: Improving Well-being and Health for People with Dementia (WHELD): study protocol for a randomised controlled trial.
abstract: BACKGROUND
  People with dementia living in care homes often have complex mental health problems, disabilities and social needs. Providing more comprehensive training for staff working in care home environments is a high national priority. It is important that this training is evidence based and delivers improvement for people with dementia residing in these environments. Well-being and Health for People with Dementia (WHELD) combines the most effective elements of existing approaches to develop a comprehensive but practical staff training intervention. This optimised intervention is based on a factorial study and qualitative evaluation, to combine: training on person-centred care, promoting person-centred activities and interactions, and providing care home staff and general practitioners with updated knowledge regarding the optimal use of psychotropic medications for persons with dementia in care homes.
  
  
  METHODS
  The trial will be a randomised controlled two-arm cluster single blind trial that will take place for nine months across 80 care homes in the United Kingdom.
  
  
  CONCLUSIONS
  The overarching goal of this trial is to determine whether this optimised WHELD intervention is more effective in improving the quality of life and mental health than the usual care provided to people with dementia living in nursing homes. This study will be the largest and best powered randomised controlled trial (RCT) evaluating the benefits of an augmented person-centred care training intervention in care homes worldwide.
  
  
  BACKGROUND
  Current controlled trials ISRCTN62237498 Date registered: 5 September 2013.
authors.forename: Rhiannon
authors.initials: R
authors.lastname: Whitaker
authors.affiliation: Psychological Services, Oxford Health NHS Foundation Trust, Fulbrook Centre, Oxford OX3 7JU, UK. jane.fossey@oxfordhealth.nhs.uk.
authors.forename: Jane
authors.initials: J
authors.lastname: Fossey
authors.forename: Clive
authors.initials: C
authors.lastname: Ballard
authors.forename: Martin
authors.initials: M
authors.lastname: Orrell
authors.forename: Esme
authors.initials: E
authors.lastname: Moniz-Cook
authors.forename: Robert T
authors.initials: RT
authors.lastname: Woods
authors.forename: Joanna
authors.initials: J
authors.lastname: Murray
authors.forename: Jane
authors.initials: J
authors.lastname: Stafford
authors.forename: Martin
authors.initials: M
authors.lastname: Knapp
authors.forename: Renee
authors.initials: R
authors.lastname: Romeo
authors.forename: Barbara Woodward
authors.initials: BW
authors.lastname: Carlton
authors.forename: Ingelin
authors.initials: I
authors.lastname: Testad
authors.forename: Zunera
authors.initials: Z
authors.lastname: Khan
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use; D002985:Clinical Protocols; D003131:Combined Modality Therapy; D003156:Community Mental Health Services / Q000191:economics; D003299:Cooperative Behavior; D003362:Cost-Benefit Analysis; D003704:Dementia / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D004502:Education, Medical, Continuing; D017048:Health Care Costs; D006299:Health Services for the Aged / Q000191:economics; D006707:Homes for the Aged / Q000191:economics; D006801:Humans; D007318:Inservice Training; D008603:Mental Health; D009735:Nursing Homes / Q000191:economics; D010348:Patient Care Team; D018802:Patient-Centered Care / Q000191:economics / Q000379:methods*; D011788:Quality of Life; D012107:Research Design; D016037:Single-Blind Method; D013997:Time Factors; D016896:Treatment Outcome; D006113:United Kingdom
chemical_list: D014150:Antipsychotic Agents