Dissemination of a successful dementia care program: Lessons from early adopters.
Dissemination of a successful dementia care program: Lessons from early adopters.
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DOI：
10.1111/jgs.17887
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发表时间：
2022-09
影响因子：
6.3
通讯作者：
Reuben, David B.
中科院分区：
文献类型：
--
作者：
Lees Haggerty, Kristin;Campetti, Randi;Stoeckle, Rebecca Jackson;Epstein-Lubow, Gary;Evertson, Leslie Chang;Spragens, Lynn;Serrano, Katherine Sy;Jennings, Lee A.;Reuben, David B.
为阿尔茨海默病和相关痴呆症提供有效和全面护理的循证模式已经存在，但尚未大规模成功实施。阿尔茨海默氏症和痴呆症护理计划（ADC计划）是一个有效的综合性痴呆症护理模式，正在美国各地推广。这一定性研究探讨了在早期采用该模型的网站中实施该模型的障碍和促进因素。这项研究包括对来自美国11个临床试验机构的21名临床试验机构负责人和痴呆症护理专家进行的半结构化访谈。访谈录音，转录，并使用Dedoose定性分析软件编码。编码方案的开发和数据解释是由罗杰斯的创新扩散框架提供信息的。关键主题是按照罗杰斯的框架组织的。这些包括：创新决策过程，创新的实施和特点，以及可持续性。在本手稿中提出的三个首要主题中，现场领导者参与的重要性，痴呆症护理专家角色的多方面性质以及合格专家技术援助的价值是显而易见的。然而，为了使这项工作继续取得成功，需要有更适当的支付来支付所需的服务，并建立一个支持全面痴呆症护理的机制。
Evidence-based models for providing effective and comprehensive care for Alzheimer’s disease and related dementias exist but have yet to be successfully implemented at scale. The Alzheimer’s and Dementia Care Program (ADC Program) is an effective comprehensive dementia care model that is being disseminated across the United States. This qualitative study examines barriers and facilitators to implementing the model among early adopting sites. This study included semi-structured interviews with a total of 21 clinical site leaders and Dementia Care Specialists from a total of 11 sites across the US. Interviews were audio recorded, transcribed, and coded using Dedoose qualitative analysis software. Coding scheme development and data interpretation were informed by Rogers’ Diffusion of Innovations framework. Key themes are organized in line with Rogers’ framework. These include: the innovation-decision process, implementation and characteristics of the innovation, and sustainability. Across the three overarching themes presented in this manuscript, the importance of engagement from site leaders, the multifaceted nature of the dementia care specialist role, and the value of technical assistance from qualified experts are apparent. However, for this work to continue to be successful, there needs to be more appropriate payment to cover needed services and a mechanism for supporting comprehensive dementia care over time.
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影响因子：
6.3
作者：
Jennings, Lee A.;Turner, Maurice;Keebler, Chandra;Burton, Carl H.;Romero, Tahmineh;Wenger, Neil S.;Reuben, David B.
通讯作者：
Reuben, David B.
影响因子：
6.3
作者：
Reuben DB;Evertson LC;Wenger NS;Serrano K;Chodosh J;Ercoli L;Tan ZS
通讯作者：
Tan ZS
影响因子：
6.3
作者：
Jennings, Lee A.;Hollands, Simon;Reuben, David B.
通讯作者：
Reuben, David B.
影响因子：
6.3
作者：
Reuben DB;Gill TM;Stevens A;Williamson J;Volpi E;Lichtenstein M;Jennings LA;Tan Z;Evertson L;Bass D;Weitzman L;Carnie M;Wilson N;Araujo K;Charpentier P;Meng C;Greene EJ;Dziura J;Liu J;Unger E;Yang M;Currie K;Lenoir KM;Green AS;Abraham S;Vernon A;Samper-Ternent R;Raji M;Hirst RM;Galloway R;Finney GR;Ladd I;Rahm AK;Borek P;Peduzzi P
通讯作者：
Peduzzi P
影响因子：
6.3
作者：
Jennings, Lee A.;Tan, Zaldy;Reuben, David B.
通讯作者：
Reuben, David B.