| Autor: |
Surr CA; 1 Centre for Dementia Research, Leeds Beckett University, Leeds, United Kingdom., Griffiths AW; 1 Centre for Dementia Research, Leeds Beckett University, Leeds, United Kingdom., Kelley R; 1 Centre for Dementia Research, Leeds Beckett University, Leeds, United Kingdom., Holloway I; 2 Clinical Trials Research Unit, University of Leeds, Leeds, United Kingdom., Walwyn REA; 2 Clinical Trials Research Unit, University of Leeds, Leeds, United Kingdom., Martin A; 3 Leeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom., McDermid J; 4 Wolfson Centre for Age Related Diseases, Kings College London, London, United Kingdom., Chenoweth L; 5 Centre for Healthy Brain Ageing, University of New South Wales, Sydney, New South Wales, Australia., Farrin AJ; 2 Clinical Trials Research Unit, University of Leeds, Leeds, United Kingdom. |
| Abstrakt: |
This study explored intervention implementation within a pragmatic, cluster randomized controlled trial of Dementia Care Mapping™ (DCM) in UK care homes. DCM is a practice development tool comprised of a 5 component cycle (staff briefing, mapping observations, data analysis and reporting, staff feedback, and action planning) that supports delivery of person-centered care. Two staff from the 31 intervention care homes were trained in DCM and asked to deliver 3 cycles over a 15-month period, supported by a DCM expert during cycle 1. Implementation data were collected after each mapping cycle. There was considerable variability in DCM implementation fidelity, dose, and reach. Not all homes trained 2 mappers on schedule, and some found it difficult to retain mappers. Only 26% of homes completed more than 1 cycle. Future DCM trials in care home settings should consider additional methods to support intervention completion including intervention delivery being conducted with ongoing external support. |
