Application of the European quality indicators for psychosocial dementia care in long-term care facilities in the Asia-Pacific region: a pilot study

Jeon YH 1 , Chien WT 2 , Ha JY 3 , Ibrahim R 4 , Kirley B 5 , Tan LL 6 Show all authors , Thaipisuttikul P 7 , Vasse E 8 , Vernooij-Dassen M 9 , Wang H 10 , Youn JC 11 , Brodaty H 12

Affiliations 

  • 1 a Sydney Nursing School , University of Sydney , Sydney , Australia
  • 2 b School of Nursing , The Hong Kong Polytechnic University , Hong Kong SAR , China
  • 3 c College of Nursing , Pusan National University , Yangsan , Republic of Korea
  • 4 d Malaysian Research Institute of Ageing , Universiti Putra Malaysia , Selangor , Malaysia
  • 5 e Sydney Nursing School , The University of Sydney , Sydney , Australia
  • 6 f Department of Psychological Medicine , Changi General Hospital , Singapore , Singapore
  • 7 g Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital , Mahidol University , Bangkok , Thailand
  • 8 h Radboud Alzheimer Center , Radboud University Medical Center , Nijmegen , Netherlands
  • 9 i Scientific Institute For Quality of Healthcare , Radboud University Medical Center , Nijmegen , Netherlands
  • 10 j Dementia Care & Research Center , Peking University Institute of Mental Health , Beijing Dementia Key Lab , Beijing , China
  • 11 k Neuropsychiatry Department , Seoul National University , Yongin , Republic of Korea
  • 12 l CHeBA (Centre For Healthy Brain Ageing) , School of Psychiatry, UNSW Australia , Sydney , Australia
Aging Ment Health, 2018 10;22(10):1279-1286.
PMID: 28714742 DOI: 10.1080/13607863.2017.1351521

Abstract

OBJECTIVES: An Asia-Pacific regional collaboration group conducted its first multi-country research project to determine whether or not European quality indicators (QIs) for psychosocial care in dementia could be implemented as a valid tool in residential aged care across seven Asia-Pacific sites (Australia, Hong Kong Special Administrative Region, Mainland China, Malaysia, Singapore, South Korea, and Thailand).

METHOD: Following the European QI protocol, auditing and data extraction of medical records of consenting residents with dementia were conducted by trained auditors with relevant health care backgrounds. Detailed field notes by the auditors were also obtained to describe the characteristics of the participating care facilities, as well as key issues and challenges encountered, for each of the 12 QIs.

RESULTS: Sixteen residential care facilities in the seven Asia-Pacific sites participated in this study. Data from 275 residents' records revealed each of the 12 Qis' endorsement varied widely within and between the study sites (0%-100%). Quality of the medical records, family and cultural differences, definitions and scoring of certain indicators, and time-consuming nature of the QI administration were main concerns for implementation.

CONCLUSION: Several items in the European QIs in the current format were deemed problematic when used to measure the quality of psychosocial care in the residential aged care settings in participating Asia-Pacific countries. We propose refinements of the European QIs for the Asian-Pacific context, taking into account multiple factors identified in this study. Our findings provide crucial insights for future research and implementation of psychosocial dementia care QIs in this region.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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