Multi‐State Implementation of the Alzheimer's Association Dementia Care Coordination (DCC) Program.
Background: The Alzheimer's Association partnered with health systems in Illinois, Greater Missouri, and Washington to implement and evaluate the Knight Family dementia care coordination (DCC) program, a novel telephone‐based care coordination service that bridged the gap between clinical care and c...
| Publicado en: | Journal of the American Geriatrics Society Vol. 74; no. 8; pp. 2410 - 2420 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
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Wiley-Blackwell
Aug2026
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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=196384518&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 196384518 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00028614 20Q jtl: Journal of the American Geriatrics Society issn: 00028614 maglogo: Y pubinfo: dt: Aug2026 vid: 74 iid: 8 pid: 480 pub: Wiley-Blackwell artinfo: ui: 196384518 10.1111/jgs.70475 ppf: 2410 ppct: 10 formats: tig: atl: Multi‐State Implementation of the Alzheimer's Association Dementia Care Coordination (DCC) Program. aug: au: Hodgson, Nancy A. Latif, Sarra Talwar, Sonia Huang, Liming Finegan, Kerry Stratton, Lauren Fazio, Sam Moreno, Monica affil: University of Pennsylvania School of Nursing, Philadelphia Pennsylvania,, USA Alzheimer's Association, Chicago Illinois,, USA su: Washington (State) Illinois Missouri United States Human services programs Interprofessional relations Interviewing Alzheimer's disease treatment Treatment of dementia Research funding Questionnaires Surveys Research methodology Medical referrals sug: subj: Human services programs Interprofessional relations Interviewing Washington (State) Illinois Missouri United States Alzheimer's disease treatment Treatment of dementia Research funding Questionnaires Surveys Research methodology Medical referrals keyword: dementia care coordination dementia caregiving implementation science program evaluation dementia care coordination dementia caregiving implementation science program evaluation ab: Background: The Alzheimer's Association partnered with health systems in Illinois, Greater Missouri, and Washington to implement and evaluate the Knight Family dementia care coordination (DCC) program, a novel telephone‐based care coordination service that bridged the gap between clinical care and community support. Healthcare providers were trained to systematically identify dementia caregivers and refer them to Alzheimer's Association care consultants who provided personalized education, resources, and support. This innovative model addressed critical care coordination gaps in dementia care delivery. Methods: A mixed‐methods process evaluation assessed DCC implementation and caregiver outcomes. Caregivers completed validated surveys at baseline and follow‐up, including the PROMIS Self‐Efficacy for Managing Emotions scale and the general self‐efficacy scale (GSE). Surveys also captured action plan uptake, resource utilization, and barriers to implementation. Health system employees completed surveys and structured interviews about program satisfaction and workflow integration. The Consolidated Framework for Implementation Research (CFIR) and the RE‐AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance) guided identification of barriers, facilitators, and implementation outcomes. Results: Caregiver self‐efficacy scores were mixed: approximately 44%–45% improved on the self‐efficacy scales at follow‐up, while a nearly equal proportion (42%–44%) worsened. Mean PROMIS scores showed no significant change (all p > 0.4), and mean GSE scores declined slightly but significantly at 3 months. Although improvements in self‐efficacy were not consistently observed, caregivers demonstrated high program engagement: 70% completed action steps, 80% utilized community resources, and 90% demonstrated comprehension of their individualized action plans. Health system employees reported high program satisfaction, though clinician engagement remained a barrier. Conclusions: This multi‐state evaluation demonstrates the feasibility of implementing a telephone‐based dementia care coordination program across diverse health systems and highlighted strong caregiver engagement with program resources. However, self‐efficacy outcomes did not show consistent improvement. Controlled trials are needed to determine which caregivers benefit most and whether more intensive or targeted interventions are required. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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