Dissemination of a successful dementia care program: Lessons from early adopters
| Autor: | Kristin Lees Haggerty, Randi Campetti, Rebecca Jackson Stoeckle, Gary Epstein‐Lubow, Leslie Chang Evertson, Lynn Spragens, Katherine Sy Serrano, Lee A. Jennings, David B. Reuben |
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| Rok vydání: | 2022 |
| Předmět: |
caregiver burden
Aging Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD) 8.1 Organisation and delivery of services Alzheimer's disease Neurodegenerative Medical and Health Sciences United States Brain Disorders Clinical Research Geriatrics Alzheimer Disease advanced practice providers Neurological collaborative care Acquired Cognitive Impairment Humans Dementia Geriatrics and Gerontology Qualitative Research Health and social care services research |
| Zdroj: | Journal of the American Geriatrics Society. 70(9) |
| ISSN: | 1532-5415 |
| Popis: | BackgroundEvidence-based models for providing effective and comprehensive care for Alzheimer's disease and related dementias exist but have yet to be successfully implemented at scale. The Alzheimer's and Dementia Care Program (ADC Program) is an effective comprehensive dementia care model that is being disseminated across the United States. This qualitative study examines barriers and facilitators to implementing the model among early adopting sites.MethodsThis study included semi-structured interviews with a total of 21 clinical site leaders and Dementia Care Specialists from a total of 11 sites across the US. Interviews were audio recorded, transcribed, and coded using Dedoose qualitative analysis software. Coding scheme development and data interpretation were informed by Rogers' Diffusion of Innovations framework.ResultsKey themes are organized in line with Rogers' framework. These include: the innovation-decision process, implementation and characteristics of the innovation, and sustainability.ConclusionsAcross the three overarching themes presented in this manuscript, the importance of engagement from site leaders, the multifaceted nature of the dementia care specialist role, and the value of technical assistance from qualified experts are apparent. However, for this work to continue to be successful, there needs to be more appropriate payment to cover needed services and a mechanism for supporting comprehensive dementia care over time. |
| Databáze: | OpenAIRE |
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