Journal article
Challenges and Opportunities in Implementing a Multicomponent Dementia Caregiver Program in a Complex Healthcare System
Inquiry (Chicago), v 62
Jan 2025
PMID: 40070359
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The Tailored Activity Program (TAP), an intervention for people living with dementia (PLWD) and their caregivers, has been shown to reduce behavioral symptoms for PLWD and caregiver burden. While TAP is proven as an evidence-based practice (EBP), it has yet to be implemented at scale. The Department of Veterans Affairs (VA) has prioritized the Age-Friendly Health System (AFHS) initiative, providing an opportunity to test implementation of TAP in a complex healthcare system. We conducted semi-structured pre-implementation interviews with leaders and clinicians at 6 VA Medical Centers (VAMCs) to engage key implementation partners and understand their unique implementation contexts. We utilized team-based rapid qualitative analysis to identify themes related to implementation determinants. We interviewed 65 unique informants in 58 interviews (5 VAMC leaders, 36 department leaders, and 17 frontline clinical staff). Informants identified 4 key factors critical to consider prior to implementing TAP: (1) alignment with organizational priorities; (2) perceived value and fit with existing clinical workflows; (3) competition with existing organizational and clinical priorities; and (4) considerations about the effect of caregiver burden on participation. We identified key factors to consider for successful implementation of a multicomponent intervention for PLWD and their caregivers within a complex healthcare system. As the AFHS initiative expands, there is a growing need for EBPs focused on the care of PLWD and their caregivers. These factors can guide clinicians, leaders, and implementation scientists in planning for implementation and sustainment of EBPs to bolster AFHS initiatives.Trial RegistrationRegistered 05 May 2021, at ISRCTN #60,657,985.Reporting GuidelinesThe COnsolidated criteria for REporting Qualitative research (COREQ) checklist was used to ensure proper standards for reporting qualitative studies (see attached).
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Details
- Title
- Challenges and Opportunities in Implementing a Multicomponent Dementia Caregiver Program in a Complex Healthcare System
- Creators
- Connor M Warren (Corresponding Author) - Philadelphia VA Medical CenterLaura Ellen Ashcraft - Philadelphia VA Medical CenterAmanda Peeples - Philadelphia VA Medical CenterKirstin Manges Piazza - Philadelphia VA Medical CenterOctavia Goodman - Philadelphia VA Medical CenterLaura N Gitlin - Drexel UniversityJudith A Long - Philadelphia VA Medical CenterRobert E Burke - Philadelphia VA Medical CenterRachel M Werner - Philadelphia VA Medical CenterRebecca T Brown - Philadelphia VA Medical Center
- Publication Details
- Inquiry (Chicago), v 62
- Publisher
- Sage
- Number of pages
- 12
- Grant note
- U.S. Department of Veterans Affairs: QUE 20-014
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: U.S. Department of Veterans Affairs, Grant/Award Number: QUE 20-014. The funding body had no role in the design of the study, the collection, analysis, and interpretation of data, or in writing the manuscript.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions
- Web of Science ID
- WOS:001442127000001
- Scopus ID
- 2-s2.0-105000177189
- Other Identifier
- 991022040178604721
UN Sustainable Development Goals (SDGs)
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services