The Implementation of Dementia Care Mapping in a Randomized Controlled Trial in Long-Term Care: Results of a Process Evaluation
| Autor: | Adam Martin, Rebecca Walwyn, Claire Surr, Joanne McDermid, Alys W. Griffiths, Lynn Chenoweth, Amanda Farrin, Ivana Holloway, Rachael Kelley |
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| Rok vydání: | 2019 |
| Předmět: |
psychosocial interventions
Care homes Health Personnel Current Topics in Research law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Patient-Centered Care Intervention (counseling) medicine Humans Dementia care homes cardiovascular diseases 030212 general & internal medicine business.industry 030503 health policy & services General Neuroscience Process Assessment Health Care medicine.disease Long-Term Care Quality Improvement process evaluation United Kingdom Nursing Homes Psychiatry and Mental health Clinical Psychology Long-term care Schedule (workplace) Action planning intervention fidelity Medical emergency Geriatrics and Gerontology Process evaluation 0305 other medical science business Follow-Up Studies |
| Zdroj: | American Journal of Alzheimer's Disease and Other Dementias |
| ISSN: | 1938-2731 1533-3175 |
| DOI: | 10.1177/1533317519845725 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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