Figure 1: Consort Diagram for Cluster Randomised Trial
DCM training was provided by two Bradford University-accredited trainers to two
nurses/care staff for each of the five DCM sites. The authors (LC and Y-HJ) who
were trained and experienced in the DCM techniques (also called mappers) conducted
DCM mapping alongside the DCM trained nurses/care staff at each site for six
continuous hours on two consecutive days and recorded observations from which a
Well/Ill-being (WIB) score was calculated for each participating resident at each of
the five sites. Using factors that were observed to stimulate well being and/or ill-being
in the residents, care plans based on person-centred principles were developed by the
mappers to provide feedback on the findings to site staff. The DCM trained staff at
each site were then supported by LC and Y-HJ to continue encouraging site staff to
maintain the recommended resident care plan strategies over the following four