Preliminary Implementation of a Dementia-Focused Risk Negotiation Conversation Tool Into Aged Care Practice.
A key principle of best practice dementia care is providing access to support for making, communicating and participating in decisions affecting a person's life, whether for day-to-day activities or more complex decisions. Implementing a fit-for-purpose tool into routine care has challenges and requ...
| Publicado en: | Dementia (14713012) Vol. 25; no. 5; pp. 999 - 1019 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jul2026
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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=194489443&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194489443 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14713012 P62 jtl: Dementia (14713012) issn: 14713012 maglogo: Y pubinfo: dt: Jul2026 vid: 25 iid: 5 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 194489443 186361644 194489443 194489443 10.1177/14713012251356007 194489443 ppf: 999 ppct: 20 formats: tig: atl: Preliminary Implementation of a Dementia-Focused Risk Negotiation Conversation Tool Into Aged Care Practice. aug: au: Meyer, Claudia Schnitker, Linda Appannah, Arti Laver, Kate O'Keefe, Fleur Lowthian, Judy affil: Research Institute, Bolton Clarke, Melbourne, Victoria, Australia sug: subj: Community Health Services Gerontologic Care Dementia Risk Management Decision Making, Shared Implementation Science Communication Human Multimethod Studies Exploratory Research Seminars and Workshops Behavior Modification Community Health Workers Funding Source Audit Interviews Motivation Dementia Patients Caregivers Thematic Analysis Victoria Conversation Australia ab: A key principle of best practice dementia care is providing access to support for making, communicating and participating in decisions affecting a person's life, whether for day-to-day activities or more complex decisions. Implementing a fit-for-purpose tool into routine care has challenges and requires careful planning to ensure success and sustainability. This project aimed to utilise implementation science principles to embed a dementia-focused risk negotiation conversation tool (Enabling Choices), into an Australian community aged care service. A mixed methods exploratory design was employed. Co-design workshops identified contextual barriers and enablers, and developed behaviour change strategies for implementation support. Following training to build knowledge and skills in Enabling Choices, community aged care workers were expected to use the tool three times over 4-months with people with dementia and care-partners. Two geographic regions received formal implementation support while another two did not. Implementation outcomes of feasibility, acceptability and appropriateness, reach and adoption, were evaluated via interviews and audit of clinical records. Contextual barriers and enablers were identified. Implementation strategies aligned with capability, opportunity and motivation for behaviour change. Training was delivered to 62 care managers who used the tool with people with dementia or care-partners (n = 31). Interview themes for care managers (across all regions) were (1) augmenting care; (2) flexible and supportive training; (3) articulating target audience; and (4) overcoming hesitancy. Interviews with people with dementia/care-partners provided further insights. Synthesised findings highlighted that implementation support was beneficial, and feasibility of Enabling Choices likely impacted reach and adoption. Implementation of Enabling Choices into routine community aged care practice offered valuable insights into the critical role of inner and outer contextual barriers and enablers. Sufficient attention on capability, opportunity and motivational components of behaviour change was important, with the link identified between acceptability, feasibility and appropriateness, for reach and adoption of an innovation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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