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SOCAV, a nurse-led program promoting self-direction in nursing homes: a longitudinal mixed-methods pilot study
Phébe Das1,2, Gerbrich Douma1,2, Hanneke Donkers2,3
1Radboud University Medical Center, IQ Health, P.O. Box 9101, Nijmegen, 6500 HB, the Netherlands.
BMC Geriatrics
|February 11, 2026
Summary
The SOCAV program improved care staff attitudes and behaviors, enhancing self-direction for individuals with dementia in nursing homes. Peer coaching and team cohesion were key facilitators for these positive changes.
Area of Science:
- Gerontology
- Dementia Care Research
- Healthcare Staff Training
Background:
- The SOCAV program is a longitudinal intervention focused on person-centered care and promoting self-direction for individuals with dementia.
- Nursing home settings present unique challenges in supporting resident autonomy.
Purpose of the Study:
- To evaluate the SOCAV program's impact on self-direction for individuals with dementia.
- To examine behavioral changes in care staff implementing the SOCAV program.
Main Methods:
- A mixed-methods longitudinal pilot study involving individuals with dementia, caregivers, and care staff.
- Data collection included reflective coaching diaries (qualitative) and the Canadian Occupational Performance Measure (COPM) (quantitative).
Main Results:
- Care staff demonstrated positive changes: improved communication, focus on self-direction, and enhanced collaboration.
- Individuals with dementia showed statistically significant improvements in performance and satisfaction (COPM), validated by all stakeholders.
- Initial staff resistance decreased with supportive peer coaching and focus on positive outcomes.
Conclusions:
- The SOCAV program positively influenced care staff attitudes and behaviors, supporting resident self-direction.
- Peer coaching, team cohesion, and staff recognition of their impact facilitated program success.
- Further research is recommended to explore SOCAV's benefits in diverse settings and populations.
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