Association for Dementia Studies, University of Worcester, UK.
Aging Ment Health. 2011 Nov;15(8):1008-17. doi: 10.1080/13607863.2011.583628. Epub 2011 Jun 27.
The Enriched Opportunities Programme (EOP) is a multi-level intervention focussing on improved quality of life for people with dementia. This study compared the experience of people living with dementia and other mental health problems in extra care housing schemes that utilised EOP with schemes that employed an active control intervention.
Ten extra care housing schemes were cluster randomised to receive either the EOP intervention or an active control intervention for an 18-month period. Residents with dementia or other significant mental health problems (20-30 per scheme) were assessed on a number of outcome measures at baseline, six months, one year and 18 months. The primary outcome measure was quality of life. Self-reported depression was an important secondary outcome.
The EOP-participating residents rated their quality of life more positively over time (4.0 (SE 0.6) units; 14% p < 0.001) than the active control (1.3 (SE 0.6) units; 4% p = 0.003). There was also a significant group-time interaction for depressive symptoms (p = 0.003). The EOP-participating residents reported a reduction of 25% at both six and 12 months and a 37% reduction at 18 months (all p's < 0.001). EOP residents were less likely than residents in the active control sites to move to a care home or to be admitted to a hospital inpatient bed. They were more likely to be seen by a range of community health professionals.
The EOP had a positive impact on the quality of life of people with dementia in well-staffed extra care housing schemes.
丰富机会计划（EOP）是一项多层次干预措施，专注于提高痴呆症患者的生活质量。本研究比较了在利用 EOP 的额外护理住房计划中生活的痴呆症患者和其他精神健康问题患者的体验，以及在采用积极对照干预的计划中的体验。
10 个额外护理住房计划被整群随机分配接受 EOP 干预或积极对照干预，为期 18 个月。在基线、6 个月、1 年和 18 个月时，对每个计划中 20-30 名患有痴呆症或其他严重精神健康问题的居民进行多项结果评估。主要结果评估是生活质量。自我报告的抑郁是一个重要的次要结果。
EOP 参与的居民随着时间的推移对生活质量的评价更为积极（4.0（SE 0.6）单位；14%p < 0.001），而积极对照（1.3（SE 0.6）单位；4%p = 0.003）。抑郁症状也存在显著的组间时间交互作用（p = 0.003）。EOP 参与的居民在 6 个月和 12 个月时分别报告减少了 25%，在 18 个月时减少了 37%（所有 p 值均 < 0.001）。与积极对照组相比，EOP 组的居民搬到护理院或住院的可能性较小。他们更有可能接受一系列社区卫生专业人员的治疗。
在人员配备充足的额外护理住房计划中，EOP 对痴呆症患者的生活质量产生了积极影响。
