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Dementia Rehabilitation Training for General Practitioners and Practice Nurses: Does It Make a Difference?

Den-Ching A Lee1,2, Grant Russell3, Terry P Haines2,4

  • 1Rehabilitation Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, VIC 3199, Australia.

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A dementia rehabilitation training course improved general practitioners

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attitudesbarriersconfidencedementiageneral practitionerknowledgepractice nursereferralsrehabilitationtraining

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Area of Science:

  • Gerontology
  • Primary Care Medicine
  • Neurorehabilitation

Background:

  • Dementia rehabilitation is crucial for reducing disability and improving quality of life.
  • A gap exists in clear post-diagnosis treatment pathways for dementia care.
  • General Practitioners (GPs) and practice nurses require enhanced training in dementia rehabilitation.

Purpose of the Study:

  • To evaluate the impact of a dementia rehabilitation training course on GPs' and practice nurses' knowledge, attitudes, and confidence.
  • To assess the effectiveness of a one-day training program with a follow-up component.
  • To identify barriers and facilitators for implementing dementia rehabilitation in primary care.

Main Methods:

  • A one-day training course on dementia diagnosis, allied health roles, care planning, and referrals was delivered.
  • Longitudinal surveys (DKAS, GPACS-D, Dementia Rehabilitation Scale) and Likert-scale statements were administered pre-course, post-course, and at four-month follow-up.
  • Focus group discussions were conducted to gather qualitative insights.

Main Results:

  • Significant improvements were observed in knowledge (DKAS +12.1%), attitudes/confidence (GPACS-D +10.1%), and rehabilitation scale scores (+9.4%) post-training.
  • Likert-scale statements showed improvements ranging from 8% to 79%.
  • A slight, non-significant decline in scores was noted at four-month follow-up, with focus groups identifying training impacts and barriers.

Conclusions:

  • Dementia rehabilitation training for GPs and practice nurses effectively boosts knowledge, awareness, and confidence.
  • Sustaining these benefits and overcoming referral barriers are essential for improving access to dementia rehabilitation services.
  • Further strategies are needed to ensure long-term positive impacts on dementia care.