The Cognitive Daisy in care homes - Version 1

  • Research type

    Research Study

  • Full title

    The Cognitive Daisy (COG-D) in care homes to support person-centred care: A feasibility CRT.

  • IRAS ID

    305462

  • Contact name

    Petra Pollux

  • Contact email

    ppollux@lincoln.ac.uk

  • Sponsor organisation

    University of Lincoln

  • ISRCTN Number

    ISRCTN15208844

  • Duration of Study in the UK

    1 years, 11 months, 31 days

  • Research summary

    The Cognitive Daisy (COG-D) is a novel tool for supporting person-centred care of people with cognitive problems. A Cognitive Daisy provides a concise visual depiction of a person’s cognitive strengths and weaknesses in five cognitive domains, which are displayed in the petals of a colourful flower. A ‘Petal-By-Petal’ Guide is also provided, which describes in non-technical terms possible solutions to problems that arise as a result of different types of cognitive difficulty. By viewing the Daisies, carers have an instant overview of a person’s cognitive profile to support in-the-moment care decision and they can use the Petal-By-Petal Guide to explore different approaches and solutions. To create the Daisy, residents will complete 16 tasks (COG-D assessments, tasks are based on standard neuropsychological test) with the researcher and a member of staff. Our pilot work shows that COG-D is perceived as useful.

    In this study we aim to investigate the feasibility of investigating the benefits of COG-D for residents and staff in a future large (RCT) care home study. We will recruit 10 care homes in Lincolnshire, who will be randomly allocated to either receiving the COG-D intervention or will act as control homes.

    The COG-D intervention will include: 1) Staff training on the COG-D tool (Basic training: how to use it; Advanced training: how to complete the tasks with the residents for creating the Daisies), 2) Completion of COG-D assessments of residents; 3) Use of Daisies in daily care (6 months) - Daisies are displayed in residents’ rooms and are included in care plans. 4) COG-D reassessments.

    Potential outcome measures (questionnaires) for residents (by proxy) and staff (self-completed) will be obtained before/during/after the intervention.

    Focus groups/interviews with residents/staff/relatives will include exploration of barriers/facilitators to implementation, the uses of COG-D in care homes and content/ burden/ completion of staff training.

  • REC name

    Wales REC 1

  • REC reference

    22/WA/0034

  • Date of REC Opinion

    21 Feb 2022

  • REC opinion

    Further Information Favourable Opinion