J Korean Acad Community Health Nurs.  2019 Sep;30(3):295-306. 10.12799/jkachn.2019.30.3.295.

A Delphi Study for Developing a Person-centered Dementia Care Online Education Program in Long-term Care Facilities

  • 1Visiting Scholar, School of Nursing, University of Wisconsin-Madison, Madison, WI, USA.
  • 2Doctoral Student, College of Nursing, Seoul National University, Seoul, Korea.
  • 3Associate Professor, College of Nursing · Research Institute of Nursing Science, Seoul National University, Seoul, Korea. yoon26@snu.ac.kr


There has been a growing recognition that person-centered care enhances the quality of life of nursing home residents with dementia. This study was conducted to develop a person-centered dementia care online education program for direct care staff in long-term care facilities.
Delphi method with expert group was used to validate contents. We developed 61 draft items based on literature review. Twenty experts participated in consecutive three round surveys including 5-point Likert scale questions and open-ended questions. Based on experts' opinions, the content validity ratio for content validity and the coefficient of variation for stability were calculated.
Three-round Delphi surveys and additional feedback from the expert panel established a consensus of core contents: 1) dementia (7 categories), 2) person-centered care (6 categories), 3) communication (8 categories), and 4) behavioral and psychological symptoms of dementia (6 categories). Specific sub-categories in each category were differentiated according to the job qualifications (65 sub-categories for registered nurses, 64 sub-categories for nursing aids, and 41 sub-categories for personal care workers).
This delphi study identified person-centered dementia education curricula, in which the person-centered approach should be a key policy priority in Korean long-term care system. Now it is urgently needed to develop education programs utilizing online platforms that enable efficient and continuous learning for long-term care staff, which can contribute to behavior changes in the person-centered dementia care approach and improvement of care quality in long-term care facilities.


Dementia; Education; Caregivers; Long-term care; Delphi technique
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