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32

Australian Journal of Dementia Care

October/November 2016 Vol 5 No 5

Expanding the frontiers of discovery

I

n 2015, the Dementia Collaborative

Research Centres (DCRCs) became a

member organisation of the newly

established NHMRC National Institute

for Dementia Research (NNIDR).

Marking this evolution in Australian

dementia research, in 2016 the DCRCs

issued their first national open call for

funding applications that addressed

priority areas for the NNIDR. Aunique

element of this national scheme was that

proposals to the DCRCs had to ensure a

focus on knowledge translation.

The DCRCs received 208 proposals

from teams Australia-wide: nearly 10

times more applications than could be

funded. After a comprehensive NHMRC-

style assessment process involving almost

30 expert researchers, the DCRCs

awarded over $2.3 million to 26 new

research projects. They covered a

spectrum of topics from prevention and

assessment to treatment and care. Grant

sizes ranged from $38,000 (to study how

the neighbourhood environment

influences brain and cognitive health in

older adults), up to $200,000 (to determine

social and biomedical risk factors for

dementia inAboriginal Australians).

The full list of grant recipients is

available on the DCRC website at

www.dementiaresearch.org.au

. Below are

just three examples of novel projects that

have received one of the DCRC Dementia

Research Grants and involve DCRC

collaborators.

DCRC SPEC I AL I SSUE : THE B I G P I CTURE I N DEMENT I A RESEARCH

An eLearning resource high-

lighting additional considerations

for those managing behavioural

and psychological symptoms of

dementia (BPSD) in lesbian, gay,

bisexual, transgender and intersex

(LGBTI) people

(award: $50,000)

Lead: Kim Burns

(UNSW)

Team: Prof Henry

Brodaty, UNSW;

Dr Ranmalie Jayasinha,

UNSW

In all care contexts, LGBTI people with

dementia may need more support.

This requires service providers to be

better informed about additional

considerations for managing BPSD in

this group.

This project will develop, implement

and evaluate a web-based eLearning

resource for care staff and health

professionals.

It will develop materials using

evidence- and practice-based

principles in the document

Behaviour

management, a guide to good

practice, managing behavioural and

psychological symptoms of dementia

and associated resources developed

by the BPSD team at DCRC:ABC.

It will complement the existing

eLearning resource

Caring for LGBTI

people with dementia

developed by

the SA/NT Dementia Training Study

Centre. The eLearning resource will be

disseminated via two webinars, a

targeted media launch and an email

campaign.

Evaluations will include online

feedback within the eLearning

resource and follow-up phone

interviews to assess the value of the

resource for care providers.

What is ‘a good day out’? Working towards optimal day centre respite care and

ways to measure it

(award: $75,738)

Lead: Dr Elaine Fielding

Queensland University of Technology (QUT)

Team: Prof Elizabeth Beattie, QUT; Prof Richard Fleming, University of

Wollongong; A/Prof Belinda Goodenough, University of Wollongong; Dr

Margaret MacAndrew, QUT; A/Prof Christine Neville, Queensland University;

Dr Maria O’Reilly, QUT; A/Prof Christine Stirling, University of Tasmania

In Australia, day respite services are government-funded care-package choices for people

with dementia living in the community. Yet these services are largely unregulated. No

dementia-relevant benchmarks exist for staff skills, training, activities, care quality, or physical

environment. This puts responsibility on consumers to locate, assess and compare services.

To date, Australian respite research has focused on consumers’ subjective service

experiences/needs. There has been little attention either to the experiences of providers or

to objective direct investigation of potentially sub optimal care. Our project uses both applied

research and knowledge translation lenses to fill these gaps in two ways:

• Collecting data about what

actually occurs

in day respite services by direct observation

and from four viewpoints: managers, staff, people with dementia and family carers.

• Compiling a toolkit designed to assess day respite care quality and environment for

‘dementia-friendliness’.

The research team believes day respite providers want to deliver best possible care –

but may lack relevant dementia-specific attitudes, knowledge, skills, tools and training.

This project will provide an essential tool for services to move towards optimal care and

provide ‘a good day out’ every day.

Preparing carers of people with dementia living in the community for natural

disasters: developing a guide for carers – The Carer Ready Guide (CaRed Guide)

(award: $69,345)

Lead: Dr Linda Schnitker

Queensland University of Technology (QUT)

Team: Dr Elaine Fielding, QUT; Dr Margaret MacAndrew, QUT; Prof

Vivienne Tippett, QUT; Prof Gerry Fitzgerald, QUT; Dr David Lie, Qld Health;

Prof Lisa Brown, Palo Alto University, US; Prof Elizabeth Beattie, QUT

Australia experiences a range of natural disasters, such as floods, bush

fires, and severe storms. Impaired cognition limits coping ability. To stay safe, people

with dementia living in the community rely heavily on their carers and emergency

services. During these events, people with dementia will have special needs – for

identification (eg photos, identification bracelet if the person gets lost), prevention of

wandering, appropriate communication skills from helpers (eg to help them remain

calm), and accessible medical records if nursing or medical care is required. To meet

these needs, carers should develop suitable emergency plans in advance. To our

knowledge there are no Australian resources to help the carer of a community-dwelling

person with dementia optimally prepare for natural disasters. Our project addresses this

gap by systematically developing an evidence-based guide that supports the disaster

preparedness of this vulnerable population –

The carer ready guide

(

CaRed Guide

).