Implementing the Care of Persons With Dementia in Their Environments (COPE) Intervention in Community-Based Programs: Acceptability and Perceived Benefit From Care Managers' and Interventionists' Perspectives.
Background and Objectives Nonpharmacologic interventions have demonstrated benefits for people living with dementia and their caregivers. Few studies have evaluated their implementation in real-world settings. Using normalization process theory (NPT), an implementation science framework, this study...
| Publicado en: | Gerontologist Vol. 63; no. 1; pp. 28 - 40 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Feb2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=161603084&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 161603084 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Feb2023 vid: 63 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 161603084 10.1093/geront/gnac068 ppf: 28 ppct: 12 formats: tig: atl: Implementing the Care of Persons With Dementia in Their Environments (COPE) Intervention in Community-Based Programs: Acceptability and Perceived Benefit From Care Managers' and Interventionists' Perspectives. aug: au: Kellett, Kathy Robison, Julie McAbee-Sevick, Heather Gitlin, Laura N Piersol, Catherine Verrier Fortinsky, Richard H affil: UConn Center on Aging, University of Connecticut, School of Medicine , Farmington, Connecticut , USA College of Nursing and Health Professions, Drexel University , Philadelphia, Pennsylvania , USA Department of Occupational Therapy, Thomas Jefferson University , Philadelphia, Pennsylvania , USA su: Occupational roles Caregivers Focus groups Cognition Human services programs Family attitudes Organizational change Community-based social services Interprofessional relations Medicaid Government aid Dementia patients Descriptive statistics Reflection (Philosophy) sug: subj: Occupational roles Caregivers Focus groups Cognition Human services programs Family attitudes Organizational change Community-based social services Interprofessional relations Medicaid Government aid Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Other Individual and Family Services Dementia patients Descriptive statistics Reflection (Philosophy) keyword: Care management Dementia care Normalization process theory Care management Dementia care Normalization process theory ab: Background and Objectives Nonpharmacologic interventions have demonstrated benefits for people living with dementia and their caregivers. Few studies have evaluated their implementation in real-world settings. Using normalization process theory (NPT), an implementation science framework, this study evaluated the acceptability of the care of persons with dementia in their environments (COPE) intervention by care managers and interventionists implemented in a Medicaid and state-revenue funded home and community-based services (HCBS) program. Research Design and Methods NPT and data from 9 care manager focus groups (n = 61) and 2 interventionist focus groups (n = 8) were utilized to understand COPE acceptability to program care managers and interventionists. NPT's 4 criteria, coherence , cognitive participation , collective action , and reflexive monitoring , framed the research questions used to evaluate the intervention's implementation. Results Care managers and interventionists demonstrated a shared understanding of COPE aims and the value of practices implemented (coherence). Training by national experts facilitated program buy-in to meet COPE goals and was demonstrated by care managers and interventionists as they used the training to broaden their program involvement (cognitive participation). Operational work done by care managers and interventionists to implement the intervention (collective action) and their shared perceptions of program benefits (reflexive monitoring) contributed to program implementation, families' positive responses to COPE and enhanced sustainability. Discussion and Implications Introducing evidence-based dementia care interventions into HCBS programs strongly depends upon building shared understandings between care managers and interventionists and valuing the contributions of all stakeholders involved in delivering care innovations to people living with dementia and their caregivers. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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