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A trial of the Home Independence Program targeted for people living with dementia (HIP-D): Improving quality of life

Prof Gill Lewin, A/Prof Barbara Horner, Ms Sarah White, Prof Elizabeth Beattie
Research Centre DCRC Carers and Consumers
Partner Institution Curtin University, Alzheimer's Australia
Project Description

About this projectFew home care services have included specific interventions to assist individuals to optimise their functioning and thereby reduce their need for support. An exception is the Home Independence Program (HIP) developed by Silver Chain in Western Australia.

This is a short-term restorative program targeting older home-care clients who do not have a diagnosis of dementia when they are first referred for assistance or when they are referred for additional services because their needs have increased.

HIP is multi-faceted and is consistent with Lorig's program of Self Management of Chronic Disease (Lorig, 1996) as well as the most effective falls prevention strategies. HIP was developed and is delivered by a multi-disciplinary team and comprises:

  • multi-dimensional assessment;
  • goal-oriented care planning in partnership with the client;
  • targeted evidence-based interventions to optimise daily living activities;
  • education about principles of self-management, healthy ageing, use of medications and illness/accident prevention strategies; and
  • encouragement of client and their families to participate in all care decisions to promote autonomy.

This proposal will extend the current HIP model be extended to include strategies that have been demonstrated to be effective in assisting people living with dementia to maximize their functioning and that the effectiveness of this model is then systematically evaluated (HIP-D).It includes strategies related to: retaining as much independence as possible in activities of daily living; increasing physical activity; modifying the environment and using assistive technology to support independence; and managing chronic illnesses but add to these strategies that support the person with dementia, and their carer(s), to slow down and manage cognitive decline and memory loss and associated behaviours.

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HIP-D training resources have been compiled to enable staff to implement the HIP-D service to clients. Resources include training DVDs as well as a Facilitator's Guide and Participant's Workbook.
DCRC-Carers and Consumers worked with the HIP-D team to develop and trial the resources.
For further information about HIP-D, including the training resources, click here to email Ms Sarah White


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