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Weaving Evidence into Action for Veterans with dementia (WEAVE): Codesigning the implementation of nonpharmacological interventions for programme fidelity and sustainability.
Meyer, Claudia; Golenko, Xanthe; Cyarto, Elizabeth V; O'Keefe, Fleur; Cooley, Josh; Bonney, Gwen; Min, Mina; Lowthian, Judy.
Afiliación
  • Meyer C; Bolton Clarke Research Institute, Melbourne, Victoria, Australia.
  • Golenko X; Centre for Health Communication and Participation, La Trobe University, Melbourne, Victoria, Australia.
  • Cyarto EV; Rehabilitation, Ageing and Independent Living Research Centre, Monash University, Melbourne, Victoria, Australia.
  • O'Keefe F; College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
  • Cooley J; Bolton Clarke Research Institute, Brisbane, Queensland, Australia.
  • Bonney G; Department of Business Innovation and Strategy, Griffith Business School, Griffith University, Brisbane, Queensland, Australia.
  • Min M; Faculty of Health, University of Technology, Brisbane, Queensland, Australia.
  • Lowthian J; Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia.
J Eval Clin Pract ; 29(6): 915-924, 2023 09.
Article en En | MEDLINE | ID: mdl-37143412
RATIONALE: Challenges associated with translating evidence into practice are well recognised and calls for effective strategies to reduce the time lag and successfully embed evidence-based practices into usual care are loud and clear. While a plethora of nonpharmacological interventions for people with dementia exist; few are based on strong evidence and there is little consideration for programme operationalisation in the complex environment of long-term care. AIMS AND OBJECTIVES: This paper describes the preparation for the implementation of the Weaving Evidence into Action for Veterans with dementia project, incorporating the codesign of delivery of four evidence-based, nonpharmacological interventions. METHOD: Implementation preparation for this type 2 hybrid effectiveness-implementation project was underpinned by the Implementation Framework for Aged Care (IFAC). A sociocultural-political contextual scan was undertaken, and reflection on the IFAC question 'why change?' with key stakeholders. Delivery of the four interventions of music therapy, exercise, reminiscence therapy and sensory modulation was explored using codesign methodology. Preparation of both intervention delivery personnel and recipients was via training, establishment of a change team and promotional/awareness-raising strategies. RESULTS: The contextual scan revealed Australian government reforms and organisational imperatives facing long-term care services, while reflections on 'why change' flagged best practice dementia care at the local care home level. Several codesign sessions involved veterans with dementia, family members, care home staff members and volunteers to ensure programme alignment with needs and preferences, accounting for existing activities. Training was designed and delivered before programme commencement. A change team was established and strategies to support behaviour change instigated. Implementation evaluation is reported elsewhere. CONCLUSION: The extended preparatory period for implementation, afforded by the COVID-19 pandemic on programme commencement, enabled time for widespread understanding of the programme and necessary upskill of staff. Comprehensive codesign with all stakeholders of programme components identified core and flexible elements necessary for fidelity of implementation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Veteranos / Demencia / COVID-19 Tipo de estudio: Guideline / Sysrev_observational_studies Aspecto: Implementation_research Límite: Aged / Humans País/Región como asunto: Oceania Idioma: En Revista: J Eval Clin Pract Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Veteranos / Demencia / COVID-19 Tipo de estudio: Guideline / Sysrev_observational_studies Aspecto: Implementation_research Límite: Aged / Humans País/Región como asunto: Oceania Idioma: En Revista: J Eval Clin Pract Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido