title: Communication and respect for people with dementia: student learning (CARDS) - the development and evaluation of a pilot of an education intervention for pre-qualifying healthcare students.
abstract: BACKGROUND
  Dementia is an international health priority and healthcare students need to be prepared to work with people living with dementia. There is a paucity of the literature describing appropriate educational interventions for pre-qualifying healthcare students and even fewer that are evaluated.
  
  
  METHODS
  Based on available evidence, an education program was developed aiming to increase students' knowledge and confidence in working with people with dementia (PWD). An introductory program (IP) of classroom sessions and workshops was followed by a volunteer care home experience (CHE) (4 × 3 h). Piloted with physiotherapy (IP n = 55; CHE n = 6) and nursing students (IP n = 20; CHE n = 7), using a survey design, knowledge, and perceived confidence for working with PWD were measured at four time points; baseline, after the IP, after the CHE, and six months later. The data were analyzed using paired t-tests or non-parametric equivalents.
  
  
  RESULTS
  Knowledge scores increased after the IP (Time 1-2, p < 0.001, n = 48) and increases were retained after six months (Time 1-4, p < 0.001, n = 40). Perceived confidence increased at six months follow up (Time 1-4, p < 0.001, n = 40) with peaks after the IP (Time 1-2, p < 0.001, n = 47) and CHE (Time 2-3, p = 0.004, n = 13). Physiotherapy and nursing students did not differ on knowledge, but nursing students were more confident at baseline and after the IP. Prior experience equated with greater confidence but no more knowledge.
  
  
  CONCLUSIONS
  Findings indicate that students' knowledge and confidence to work with PWD improves after this educational intervention, with confidence improving more when supplemented by experience.
authors.affiliation: Faculty of Health,Social Care and Education,Kingston and St George's University of London and Health Innovation Network,South London,UK.
authors.forename: Julia Helen
authors.initials: JH
authors.lastname: Wood
authors.affiliation: St George's Healthcare NHS Trust,St George's Hospital,Cranmer Terrace,Tooting,London SW17 0RE,UK.
authors.forename: Ledia
authors.initials: L
authors.lastname: Alushi
authors.affiliation: Faculty of Health Social Care and Education,Kingston and St George's University of London,London SW17 0RE,UK.
authors.forename: John A
authors.initials: JA
authors.lastname: Hammond
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002983:Clinical Competence; D003142:Communication; D003695:Delivery of Health Care; D003704:Dementia / Q000451:nursing; D004506:Education, Nursing; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009735:Nursing Homes; D010865:Pilot Projects; D013338:Students, Nursing; D011795:Surveys and Questionnaires
keywords: cognitive impairment; dementia; education; nursing homes