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<p>Hearing and vision loss is common among people with dementia (PwD) in long-term care (LTC), affecting quality of life and dementia-related outcomes. Up to 90% of PwD in LTC have hearing loss and over 40% vision loss, yet detection and management are often inadequate. Staff often lack training, environments may be ‘sensory unfriendly’, and trial evidence is limited. The SENSE-Cog Residential Care pilot trial evaluated the feasibility of a structured sensory intervention and its potential for a future definitive trial. This cluster-randomised feasibility study was conducted across nine LTC facilities in Ireland, randomised to care as usual or an intervention comprising personalised sensory support, staff training, environmental audit, and mapping sensory care provision. Feasibility outcomes included recruitment, retention, uptake, safety, and data collection. Potential efficacy outcomes included quality of life, cognition, frailty, comorbidity, behavioural symptoms, and sensory health. Of 10 invited facilities, 9 participated, recruiting 27 PwD within 2 months; 26 remained at 3 months. Twelve residents received sensory assessments, leading to 12 glasses, 4 hearing aids, and 6 listening devices. Training was delivered to 42 staff, including sensory champions, and was rated highly acceptable. At follow-up, 67% wore glasses, 75% used hearing aids, and 17% used listening devices. Findings support progression to a full-scale RCT. Trial registration: ISRCTN, ISRCTN14462472. Registered 24 February 2022, <a href="https://doi.org/10.1186/ISRCTN14462472">https://doi.org/10.1186/ISRCTN14462472</a>.</p>

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SENSE-Cog Residential Care: piloting hearing and vision support for dementia in long-term care

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月16日

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  • Iracema Leroi,
  • Mikael Aijala,
  • Erin Boland,
  • Brenda Buckey,
  • JP Connelly,
  • Jayne Conlon,
  • Niall Curley,
  • Amr El Refaie,
  • Miriam Galvin,
  • Matthew Gibb,
  • Liz Graham,
  • Petya Grigorova,
  • Brendan Lennon,
  • Nicole Müller,
  • Rachel Niland,
  • Janice Nolan-Palmer,
  • Cíara O’Reilly,
  • Valeria Raaft Rezk,
  • Helen Rochford-Brennan,
  • Sarah O’Sullivan,
  • Katy Tobin,
  • Amanuel Yigezu,
  • Dominic Trépel

摘要

Hearing and vision loss is common among people with dementia (PwD) in long-term care (LTC), affecting quality of life and dementia-related outcomes. Up to 90% of PwD in LTC have hearing loss and over 40% vision loss, yet detection and management are often inadequate. Staff often lack training, environments may be ‘sensory unfriendly’, and trial evidence is limited. The SENSE-Cog Residential Care pilot trial evaluated the feasibility of a structured sensory intervention and its potential for a future definitive trial. This cluster-randomised feasibility study was conducted across nine LTC facilities in Ireland, randomised to care as usual or an intervention comprising personalised sensory support, staff training, environmental audit, and mapping sensory care provision. Feasibility outcomes included recruitment, retention, uptake, safety, and data collection. Potential efficacy outcomes included quality of life, cognition, frailty, comorbidity, behavioural symptoms, and sensory health. Of 10 invited facilities, 9 participated, recruiting 27 PwD within 2 months; 26 remained at 3 months. Twelve residents received sensory assessments, leading to 12 glasses, 4 hearing aids, and 6 listening devices. Training was delivered to 42 staff, including sensory champions, and was rated highly acceptable. At follow-up, 67% wore glasses, 75% used hearing aids, and 17% used listening devices. Findings support progression to a full-scale RCT. Trial registration: ISRCTN, ISRCTN14462472. Registered 24 February 2022, https://doi.org/10.1186/ISRCTN14462472.