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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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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. |
format | Online Article Text |
id | pubmed-6676338 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
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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