[A Matter of Balance: strategy for implementation in Dutch homecare organizations].

Autor: de Jonge MC; Trimbos-instituut, Utrecht, The Netherlands. mjonge@trimbos.nl, van der Poel A, van Haastregt JC, Du Moulin MF, Zijlstra GA, Voordouw I
Jazyk: Dutch; Flemish
Zdroj: Tijdschrift voor gerontologie en geriatrie [Tijdschr Gerontol Geriatr] 2013 Feb; Vol. 44 (1), pp. 12-21.
DOI: 10.1007/s12439-013-0006-8
Abstrakt: Background: The Dutch version of A Matter of Balance (AMB-NL) is a cognitive behavioral group program to reduce fear of falling and related activity avoidance in community-living older persons. This paper presents the strategy for implementation of AMB-NL in Dutch homecare organizations and the outcomes of this implementation. The aim was to implement AMB-NL in at least 50 % of 64 homecare organizations in The Netherlands in 2009 and 2010.
Methods: The implementation strategy was based on the four phases of the Replicating Effective Interventions: pre-conditions, pre-implementation, implementation, and maintenance and evolution.
Results: After preparing the implementation activities, such as identifying implementation barriers, consulting stakeholders, preparing the materials involved in the implementation, and training the facilitators of the program (n = 53), AMB-NL was implemented in 16 of the 64 homecare organizations (25 %). Another five homecare organizations indicated that they would shortly include AMB-NL in their care program. These organizations conducted the intervention 19 times to a total of 178 participants. After the implementation phase another 16 facilitators were trained, and program materials were successfully disseminated.
Conclusion: The implementation of AMB-NL was well performed. The targeted aim is not fully reached within the two-year timeframe, but the program is well received by participants, trainers and homecare organizations. Further implementation and maintenance of AMB-NL in primary health care is recommended.
Databáze: MEDLINE
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