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Dementia rehabilitation training for General Practitioners and Practice Nurses: Does it make a difference?

Tracks
Ballroom 3
Dementia
Education and Training
Rehabilitation
Thursday, November 14, 2024
10:00 AM - 10:15 AM

Speaker

Dr Angel Lee
Research Fellow
Monash University

Dementia rehabilitation training for General Practitioners and Practice Nurses: Does it make a difference?

Abstract

Introduction: This study investigated the impact of a dementia training course and follow-up activity on the knowledge, attitudes, and confidence of general practitioners (GPs) and practice nurses regarding dementia and dementia rehabilitation.

Methods: The training, led by two experienced GPs and an academic physiotherapist, covered topics including diagnosis, the role of allied health professionals, care planning, and referrals. Three longitudinal surveys (Dementia Knowledge Assessment Scale- DKAS, General Practitioners’ Attitudes and Confidence towards Dementia Survey- GPACS-D, Dementia Rehabilitation scale, and Likert-scale statements on dementia rehabilitation referrals) were conducted pre and post-course, and at a 4-month follow-up, alongside a focus group. Questionnaires were analysed descriptively, and focus group data was analysed thematically.

Results: Seventeen participants (14 GPs, 3 nurses) completed the pre-post course survey, with eight (6 GPs, 2 nurses) participating in the follow-up. Results showed increases in DKAS (12.1%), GPACS-D (10.1%), and dementia rehabilitation scale (9.4%) scores post-course, indicating improved knowledge, attitudes, and confidence towards dementia and dementia rehabilitation. The largest increase was in confidence discussing rehabilitation options with patients (78.6%). Despite a slight decline at the four-month follow-up, GPACS-D (3.27%) indicated continued rising attitudes and confidence levels, as did the Likert-statement on discussing rehabilitation options with people with dementia (9.5%). Themes from the focus group included the impact of training, intended practice changes, facilitators, barriers, and future solutions.

Conclusion: The study suggests that dementia training for GPs and nurses can enhance their ability to refer patients to allied health services, but effective time management and clear pathways are crucial.

Biography

Dr Den-Ching Angel Lee [PhD, Grad. Dip. in Occupational and Environmental Health, B App Sc (Physiotherapy)] is a Senior Research Fellow of the National Centre for Healthy Ageing (NCHA) and the Rehabilitation, Ageing and Independent Living (RAIL) Research Centre at Monash University. She is a registered physiotherapist in Australia. Her research interests are prevention of accidental falls in older adults, evidence-based practice by health professionals, mobility care, physical activity participation for people with dementia including CALD populations, rehabilitation for people with dementia and interventions to support informal carers of people with dementia.

Session Chair

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Amber Mills
Policy And Research Manager
AAG

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