Murrill, Judy; (2018) The impact of SettleIN (an adjustment programme for people with dementia) on staff attitudes, competence and knowledge of adjustment. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

Aims: This study aimed to explore the impact of training and delivery of SettleIN, a manualised programme to support healthy adjustment for people with dementia, on care home staff knowledge, competence and attitudes. Method: A single blind, multicentre feasibility randomised design was employed, comparing the SettleIN intervention (n=12) to treatment as usual (n=9). A mixed methods design was used for analysis. Outcomes measuring competence and attitudes were collected at baseline and after seven weeks. Staff interviews were completed for those in the SettleIN intervention condition to explore knowledge change. Results: SettleIN was not shown to have an impact on staff competence or attitudes. Most staff in the intervention condition endorsed learning from the programme, though there was mixed feedback on whether this was recognised as adjustment specific learning by staff. Conclusion: SettleIN can be associated with change in adjustment specific knowledge for care home staff. If any further research is undertaken on the programme, the format of training and supervision must be developed to ensure accessibility and effective communication of the rationale for the intervention to maximise staff benefits.

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