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The Implementation of Dementia Care Mapping in a Randomized Controlled Trial in Long-Term Care: Results of a Process Evaluation

This study explored intervention implementation within a pragmatic, cluster randomized controlled trial of Dementia Care Mapping™ (DCM) in UK care homes. DCM is a practice development tool comprised of a 5 component cycle (staff briefing, mapping observations, data analysis and reporting, staff feed...

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Autores principales: Surr, Claire A., Griffiths, Alys W., Kelley, Rachael, Holloway, Ivana, Walwyn, Rebecca E. A., Martin, Adam, McDermid, Joanne, Chenoweth, Lynn, Farrin, Amanda J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6676338/
https://www.ncbi.nlm.nih.gov/pubmed/31056923
http://dx.doi.org/10.1177/1533317519845725
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author Surr, Claire A.
Griffiths, Alys W.
Kelley, Rachael
Holloway, Ivana
Walwyn, Rebecca E. A.
Martin, Adam
McDermid, Joanne
Chenoweth, Lynn
Farrin, Amanda J.
author_facet Surr, Claire A.
Griffiths, Alys W.
Kelley, Rachael
Holloway, Ivana
Walwyn, Rebecca E. A.
Martin, Adam
McDermid, Joanne
Chenoweth, Lynn
Farrin, Amanda J.
author_sort Surr, Claire A.
collection PubMed
description This study explored intervention implementation within a pragmatic, cluster randomized controlled trial of Dementia Care Mapping™ (DCM) in UK care homes. DCM is a practice development tool comprised of a 5 component cycle (staff briefing, mapping observations, data analysis and reporting, staff feedback, and action planning) that supports delivery of person-centered care. Two staff from the 31 intervention care homes were trained in DCM and asked to deliver 3 cycles over a 15-month period, supported by a DCM expert during cycle 1. Implementation data were collected after each mapping cycle. There was considerable variability in DCM implementation fidelity, dose, and reach. Not all homes trained 2 mappers on schedule, and some found it difficult to retain mappers. Only 26% of homes completed more than 1 cycle. Future DCM trials in care home settings should consider additional methods to support intervention completion including intervention delivery being conducted with ongoing external support.
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spelling pubmed-66763382019-09-16 The Implementation of Dementia Care Mapping in a Randomized Controlled Trial in Long-Term Care: Results of a Process Evaluation Surr, Claire A. Griffiths, Alys W. Kelley, Rachael Holloway, Ivana Walwyn, Rebecca E. A. Martin, Adam McDermid, Joanne Chenoweth, Lynn Farrin, Amanda J. Am J Alzheimers Dis Other Demen Current Topics in Research This study explored intervention implementation within a pragmatic, cluster randomized controlled trial of Dementia Care Mapping™ (DCM) in UK care homes. DCM is a practice development tool comprised of a 5 component cycle (staff briefing, mapping observations, data analysis and reporting, staff feedback, and action planning) that supports delivery of person-centered care. Two staff from the 31 intervention care homes were trained in DCM and asked to deliver 3 cycles over a 15-month period, supported by a DCM expert during cycle 1. Implementation data were collected after each mapping cycle. There was considerable variability in DCM implementation fidelity, dose, and reach. Not all homes trained 2 mappers on schedule, and some found it difficult to retain mappers. Only 26% of homes completed more than 1 cycle. Future DCM trials in care home settings should consider additional methods to support intervention completion including intervention delivery being conducted with ongoing external support. SAGE Publications 2019-05-05 2019-09 /pmc/articles/PMC6676338/ /pubmed/31056923 http://dx.doi.org/10.1177/1533317519845725 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Current Topics in Research
Surr, Claire A.
Griffiths, Alys W.
Kelley, Rachael
Holloway, Ivana
Walwyn, Rebecca E. A.
Martin, Adam
McDermid, Joanne
Chenoweth, Lynn
Farrin, Amanda J.
The Implementation of Dementia Care Mapping in a Randomized Controlled Trial in Long-Term Care: Results of a Process Evaluation
title The Implementation of Dementia Care Mapping in a Randomized Controlled Trial in Long-Term Care: Results of a Process Evaluation
title_full The Implementation of Dementia Care Mapping in a Randomized Controlled Trial in Long-Term Care: Results of a Process Evaluation
title_fullStr The Implementation of Dementia Care Mapping in a Randomized Controlled Trial in Long-Term Care: Results of a Process Evaluation
title_full_unstemmed The Implementation of Dementia Care Mapping in a Randomized Controlled Trial in Long-Term Care: Results of a Process Evaluation
title_short The Implementation of Dementia Care Mapping in a Randomized Controlled Trial in Long-Term Care: Results of a Process Evaluation
title_sort implementation of dementia care mapping in a randomized controlled trial in long-term care: results of a process evaluation
topic Current Topics in Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6676338/
https://www.ncbi.nlm.nih.gov/pubmed/31056923
http://dx.doi.org/10.1177/1533317519845725
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