A comparative study of the effect of the Time for Dementia programme on medical students

Sube Banerjee, Christopher Jones, Juliet Wright, Wendy Grosvenor, Molly Hebditch, Leila Hughes, Yvonne Feeney, Nicolas Farina, Sophie Mackrell, Ramin Nilforooshan, Chris Fox, Stephen Bremner, Stephanie Daley

Research output: Contribution to journalArticlepeer-review

4 Downloads (Pure)

Abstract

Background: Traditional healthcare education typically focuses on short block clinical placements based on acute care, investigations and technical aspects of diagnosis and treatment. It may therefore fail to build the understanding, compassion and person-centred empathy needed to help those with long-term conditions, like dementia. Time for Dementia was developed to address this. 

Method: Parallel group comparison of two cohorts of UK medical students from universities, one participating in Time for Dementia (intervention group) and one not (control group). In Time for Dementia students visit a person with dementia and their family in pairs for 2 hours three times a year for 2 years, the control group received their normal curriculum. 

Results: In an adjusted multilevel model (intervention group n = 274, control n = 112), there was strong evidence supporting improvements for Time for Dementia participants in: total Approaches to Dementia Questionnaire score (coefficient: 2.19, p = 0.003) and its person-centredness subscale (1.32, p = 0.006) and weaker evidence in its hopefulness subscale (0.78, p = 0.070). There was also strong evidence of improvement in the Dementia Knowledge Questionnaire (1.63, p < 0.001) and Dementia Attitudes Scale (total score: 6.55, p < 0.001; social comfort subscale: 4.15, p < 0.001; dementia knowledge subscale: 3.38, p = 0.001) scores. No differences were observed on the Alzheimer's Disease Knowledge Scale, the Medical Condition Regard Scale or the Jefferson Scale of Empathy. 

Discussion: Time for Dementia may help improve the attitudes of medical students towards dementia promoting a person-centred approach and increasing social comfort. Such patient-focused programmes may be a useful complement to traditional medical education.

Original languageEnglish
Pages (from-to)1011-1019
Number of pages9
JournalInternational Journal of Geriatric Psychiatry
Volume36
Issue number7
Early online date8 Mar 2021
DOIs
Publication statusPublished - Jul 2021

Keywords

  • Alzheimer's disease
  • Longitudinal Integrated Clerkships
  • dementia
  • healthcare education
  • long-term conditions
  • multimorbidity
  • senior mentorship programs

Cite this