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Dissertation
Barriers and facilitators of completing training and implementing dementia care programs from healthcare professionals' and administrators' perspectives
Doctor of Health Science (D.H.Sc.), Drexel University
12 Jun 2023
DOI:
https://doi.org/10.17918/00001965
Abstract
Background: Non-pharmacologic behavior interventions have positively impacted people with dementia (PLWD) and their caregivers. Evidence-based interventions such as the Tailored Activity Program (TAP) and Care of Older People in their Environment (COPE) have been tested in clinical trials and proven to improve quality of life for the PLWD and their caregiver (s). To date, no studies have qualitatively evaluated TAP and COPE in online settings and sequestered the programs' implementation efficacy for healthcare professionals' and administrators'. Using the Normalization Process Theory (NPT), we aimed to understand the barriers and facilitators of online training and delivery of TAP and COPE by healthcare professionals and administrators in nationally and internationally represented samples integrating these programs in healthcare settings. Methods: Focus groups (N=7) and individual interviews (N=8) were conducted using NPT as a guide for interviewed questions. Using the NPT constructs of coherence, cognitive participation, collective action, and reflective monitoring, we encouraged healthcare professionals and administrators to speak openly about their experiences using TAP and COPE. Healthcare providers and administrators were separated in designated subgroups to avoid any conflicts of commitment between those interviewed and their respective supervisor and/or subordinates. Results: Twenty-nine healthcare professionals (n=15) and administrators (n=14) were interviewed. Fifteen participants implemented TAP/COPE within the United States and 14 participants implemented the programs in Australia, Scotland, Italy, Chile, and/or Poland. Qualitative analyses were performed with directed content analysis. Barriers identified from these analyses identified a lack of time, staff shortages, caregiver readiness and the Coronavirus-19 (COVID-19) pandemic challenges as perceived challenges. Facilitating themes of TAP/COPE included organizational support, interdisciplinary team support, and tailored flexible programming components. Conclusion: Organizations seeking to implement online evidence-based programs supporting healthcare professionals and administrators' care of PLWD and their caregivers may improve the systematic uptake, adoption, and success of evidence-based programs by addressing barriers with time management, ensuring adequate staff training and coverage, and developing caregiver resources that can be used within and beyond the healthcare setting.
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Details
- Title
- Barriers and facilitators of completing training and implementing dementia care programs from healthcare professionals' and administrators' perspectives
- Creators
- Sokha Koeuth - Drexel University, Drexel University (1970-)
- Contributors
- Michael L. Bruneau (Advisor) - Drexel University, Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Health Science (D.H.Sc.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 83 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University; Health Sciences
- Other Identifier
- 991021872712704721