Implementation Science in Thailand: Design and Methods of a Geriatric Mental Health Cluster-Randomized Trial.
Background: Thailand has a rapidly aging population yet lacks evidence for effective and scalable evidence-based psychosocial interventions to support persons living with dementia and their family caregivers. In this study of a culturally adapted and evidence-based clinical program (Reducing Disabil...
| Publicado en: | Psychiatric Services Vol. 73; no. 1; pp. 83 - 92 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
American Psychiatric Publishing, Inc.
Jan2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=154431671&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 154431671 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10752730 0Y1 jtl: Psychiatric Services issn: 10752730 maglogo: N pubinfo: dt: Jan2022 vid: 73 iid: 1 pid: 37323 pub: American Psychiatric Publishing, Inc. place: Arlington, Virginia artinfo: ui: 154431671 154431671 NLM34126778 154431671 10.1176/appi.ps.202000028 NLM34126778 154431671 ppf: 83 ppct: 9 formats: tig: atl: Implementation Science in Thailand: Design and Methods of a Geriatric Mental Health Cluster-Randomized Trial. aug: au: Chen, Hongtu Levkoff, Sue Chuengsatiansup, Komatra Sihapark, Siranee Hinton, Ladson Gallagher-Thompson, Dolores Tongsiri, Sirinart Wisetpholchai, Bussabong Fritz, Stacy Lamont, Andrea Domlyn, Ariel Wandersman, Abraham Marques, Andrea Horvath affil: Department of Psychiatry (Chen) and Department of Global Health and Social Medicine (Chen, Levkoff), Harvard Medical School, Boston sug: subj: Dementia Therapy Dementia Psychosocial Factors Aged Thailand Mental Health Human Caregivers Psychosocial Factors Comparative Studies Multicenter Studies Randomized Controlled Trials Evaluation Research Validation Studies Funding Source Aged: 65+ years ab: Background: Thailand has a rapidly aging population yet lacks evidence for effective and scalable evidence-based psychosocial interventions to support persons living with dementia and their family caregivers. In this study of a culturally adapted and evidence-based clinical program (Reducing Disabilities in Alzheimer's Disease [RDAD]), designed to reduce behavioral and psychological symptoms of dementia in older adults, the authors test the hypothesis that an implementation support strategy, Getting To Outcomes (GTO), would produce better implementation and clinical outcomes compared with usual implementation of RDAD in Thailand.Methods: The study uses a hybrid type III cluster-randomized design to compare eight geographical districts that receive training on both implementing the RDAD clinical intervention and on GTO implementation support strategies (intervention arm) with eight other districts that receive the same RDAD training but without training in GTO implementation support strategies (control arm). GTO is an evidence-based intervention designed to support implementers to better plan, implement, and evaluate innovative intervention programs in a novel setting. Primary outcomes, including implementation and clinical outcomes, will be assessed at baseline, month 3 (posttreatment), and month 6 (3-month follow-up).Results: The research team anticipates that there will be significantly more improvements in the delivery of the RDAD intervention program in the experimental group than in the control group.Next Steps: If clinical trial findings are positive, the authors plan to replicate and scale up the proposed implementation science approach across Thailand to enhance and expand mental health services for older adults with dementia. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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