Lesley Collier
University of Southampton
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Publication
Featured researches published by Lesley Collier.
International Journal of Psychiatry in Medicine | 2007
Jason Staal; Amanda Sacks; Robert J. Matheis; Lesley Collier; Tina Calia; Henry Hanif; Eugene S. Kofman
A randomized, controlled, single-blinded, between group study of 24 participants with moderate to severe dementia was conducted on a geriatric psychiatric unit. All participants received pharmacological therapy, occupational therapy, structured hospital environment, and were randomized to receive multi sensory behavior therapy (MSBT) or a structured activity session. Greater independence in activities of daily living (ADLs) was observed for the group treated with MSBT and standard psychiatric inpatient care on the Katz Index of Activities of Daily Living (KI-ADL; P = 0.05) than standard psychiatric inpatient care alone. The combination treatment of MSBT and standard psychiatric care also reduced agitation and apathy greater than standard psychiatric inpatient care alone as measured with the Pittsburgh Agitation Scale and the Scale for the Assessment of Negative Symptoms in Alzheimers Disease (P = 0.05). Multiple regression analysis predicted that within the multi-sensory group, activities of daily living (KI-ADL) increased as apathy and agitation reduced (R2 = 0.42; p = 0.03). These data suggest that utilizing MSBT with standard psychiatric inpatient care may reduce apathy and agitation and additionally improve activities of daily living in hospitalized people with moderate to severe dementia more than standard care alone.
American Journal of Alzheimers Disease and Other Dementias | 2010
Lesley Collier; Kathryn McPherson; Caroline Ellis-Hill; Jason Staal; Romola S. Bucks
Dementia is a growing problem worldwide and interventions to effectively manage and promote function are urgently required. Multisensory environments (MSEs) have been used extensively with people with dementia; however, no studies have been conducted to explore the efficacy of sensory stimulation on functional performance. This study explores to what extent multisensory stimulation influences functional performance in people with moderate-to-severe dementia using an MSE compared with a control activity. Thirty participants with moderate-to-severe dementia were recruited from the South of England. Following baseline assessment and design of a bespoke intervention, each participant attended their allocated intervention (3 x week, for 4 weeks). Assessments were carried out pre and postsession using the Assessment of Motor and Process Skills. Results indicate significant improvement in functional performance in both the MSE and the control activity. Findings support the use of MSEs as a strategy for enhancing functional performance in dementia.
Herd-health Environments Research & Design Journal | 2017
Lesley Collier; Anke Jakob
Background: Multisensory environments (MSEs) for people with dementia have been available over 20 years but are used in an ad hoc manner using an eclectic range of equipment. Care homes have endeavored to utilize this approach but have struggled to find a design and approach that works for this setting. Aims: Study aims were to appraise the evolving concept of MSEs from a user perspective, to study the aesthetic and functional qualities, to identify barriers to staff engagement with a sensory environment approach, and to identify design criteria to improve the potential of MSE for people with dementia. Methods: Data were collected from 16 care homes with experience of MSE using ethnographic methods, incorporating semi-structured interviews, and observations of MSE design. Analysis was undertaken using descriptive statistics and thematic analysis. Results: Observations revealed equipment that predominantly stimulated vision and touch. Thematic analysis of the semi-structured interviews revealed six themes: not knowing what to do in the room, good for people in the later stages of the disease, reduces anxiety, it’s a good activity, design and setting up of the space, and including relatives and care staff. Conclusion: Few MSEs in care homes are designed to meet needs of people with dementia, and staff receive little training in how to facilitate sessions. As such, MSEs are often underused despite perceived benefits. Results of this study have been used to identify the design principles that have been reviewed by relevant stakeholders.
Design for Health | 2017
Anke Jakob; Lesley Collier
ABSTRACT Recent research has investigated the impact of design on providing multisensory experience for people with dementia living in care homes, particularly the quality of multisensory environments (MSEs). This interdisciplinary research evolved from a broad consideration of the role of design in dementia care enhancing the wellbeing of people living with dementia and their carers. Previous research suggests that using MSE in dementia care as a resource for meaningful engagement has beneficial effects and many MSEs have been installed in UK care homes. However, evidence indicates that these spaces often fail to benefit the residents causing staff becoming discouraged and subsequently the room becoming unused. A study investigating the current facilitation of MSE in sixteen UK care homes revealed two key issues: (1) set-up and design of existing MSEs in care environments is, in most cases, not suitable for older people; (2) there is a lack of knowledge and information for care practitioners for facilitating sensory activities and environments. Based on these findings, design criteria improving usability and accessibility for people with dementia were established and user-centred design recommendations developed. As a first step towards closing the knowledge gap amongst healthcare practitioners in providing multisensory experience, initial design guidelines were published as an online resource.
Occupational Therapy in Mental Health | 2017
Anita Bowser; Wendy Link; Mary Dickson; Lesley Collier; Maggie Donovan-Hall
ABSTRACT Boredom is a problem in forensic mental health settings and is believed to increase levels of violence and be detrimental to health and recovery. There were 8 men in a forensic unit, all diagnosed with a psychotic disorder, that were interviewed regarding their experiences of boredom. A thematic analysis was used to identify emergent themes. These included: Mental health and motivation; Restrictive environment; Responsibilities; and Nothing to do. These findings provide a greater understanding of factors which may contribute to boredom within forensic settings and can guide occupational therapy interventions to address them.
British Journal of Occupational Therapy | 2016
Lesley Collier; Jackie Pool
Living well with dementia is often perceived as challenging for individuals and those who support them. Joy Watson, herself living with dementia, defines it as finding peace, contentment and having fun, but says this is hard to achieve when your ‘brain doesn’t work’ (Watson, 2016). Such comments are a challenge to occupational therapists, who have the knowledge and skills to enable individuals to participate in meaningful activity but may be constrained by practice or confidence limitations. The national and international articles in this special issue on ‘dimensions of dementia’ illustrate the potential for occupational therapists to support those living with dementia to achieve well-being. Dudzinski (2016) demonstrates in a single case study how engagement in meaningful activity resulted in an increased sense of well-being. Using the Pool Activity Level (PAL) Instrument she describes how a graded intervention can be structured to the individual’s level of ability and also recognises the importance of involving staff and other care givers in utilising this approach. Mattock and McIntyre (2016) explore how occupations might contribute to the transition from dementia care giving before and after the death of a partner. The importance of sustaining occupations and roles to maintain identity are highlighted as a focus for occupational therapists. This is an exciting emerging role for the profession both at a national and international level. In contrast, Griffiths and Bunrayong (2016) identify the challenges of care givers in Thailand when supporting people with dementia. The activity performance and difficulties experienced by care givers led the authors to develop an educational package for carers to support individuals to engage in activities of daily living. In a scoping survey in the United Kingdom, Swinson et al. (2016) investigate the role of community occupational therapists. Their review provides not only a national picture of practice but also contributes to the development of a community occupational therapy intervention as part of the NIHR-funded research programme, Valuing Active Life in Dementia (VALID) (https://www.ucl.ac.uk/valid and see also Swinson et al. (2016)). The final four papers focus on interventions. Raber et al.’s (2016) phenomenological study of occupational therapy practitioners’ use of the Remotivation Process highlights the need for therapists to be knowledgeable and confident in methods for motivating individuals with dementia to participate in therapy programmes. This is particularly relevant to the article by Unsworth and Chan (2016), who demonstrate the importance of using a reliable and valid tool to determine fitness to drive among drivers with Alzheimer’s disease. Having such a tool reinforces the importance of identifying retained skills rather than relying on diagnosis. Depending only on a diagnosis can be demotivating and become a self-fulfilling prophesy.
Journal of Textile Design Research and Practice | 2017
Anke Jakob; Lesley Collier
Abstract The journal article discusses the role of textiles in facilitating sensory enriched environments and meaningful occupation for people living with dementia. It is based on recent interdisciplinary research, a collaboration between design and healthcare, that investigated the provision of multi-sensory experience for people with dementia living in care-homes, particularly the quality and design of Multi-Sensory Environments (MSEs). Through an ethnographic study this investigation unveiled significant design deficiencies of existing facilities in UK care-homes and profound lack of information amongst care professionals and care givers. The absence of textiles and its appropriate use was noticeable. From this research essential design criteria emerged which informed the development of initial design recommendations for setting up MSEs tailored to the specific needs of people living with dementia and their carers. Further, the article discusses the benefits of employing textiles in dementia care – either for occupation or within the environment. Sensorial qualities and psychological benefits are highlighted as well as the potential of applying advanced textile technologies. Further work is suggested regarding three aspects: proof-of-concept and prototyping implementing the developed design recommendations for sensory enhanced spaces to establish more evidence from end-user feedback as requested by stakeholders; investigating ways of how to achieve sustainable impact through adapting participatory design methods and conveying design skills and knowledge to care practitioners; exploring the potential of textiles and advanced textile technology for design for dementia.
Dementia | 2017
Nina Evans; Lesley Collier
People with dementia and family carers often use calendars to support time orientation to maintain routine. However, little is known about the use of calendars as a compensatory strategy. This study examines the experience and practicalities of using calendar reminders from the perspective of people with dementia and family carers. Six dyads were recruited and interviewed at home. Interpretative Phenomenological Analysis was used to develop a narrative interpreted from an occupational therapy perspective. The themes were reflected on during two subsequent focus groups. Findings suggested that calendars are used either intensively as external memory records or more casually and randomly for reassurance. The familiarity and location of the calendar and its utility to the person with dementia and carer, all contribute to its efficacy. For carers the experience of supporting calendar reminders encompasses practical, cognitive and emotional effort. There was little awareness amongst participants of electronic assistive technology.
Journal of Aerosol Science | 2012
Joy Conway; John S. Fleming; Caroline Majoral; Ira Katz; Diane Perchet; Charles Peebles; Livia Tossici-Bolt; Lesley Collier; Georges Caillibotte; Marine Pichelin; Veronique Sauret-Jackson; Ted B. Martonen; Gabriela Apiou-Sbirlea; Bernhard Muellinger; Philipp Kroneberg; Juliane Gleske; Gerhard Scheuch; Joëlle Texereau; Andrew R. Martin; Spyridon Montesantos; Michael Bennett
NeuroRehabilitation | 2008
Lesley Collier; Juliette Truman