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Adapting a Dementia Care Management Intervention for Regional Implementation: A Theory-Based Participatory Barrier Analysis

Author

Listed:
  • Katja Seidel

    (Psychological Ageing Research, Department of Psychology, Faculty V: School of Life Sciences, University of Siegen, Adolf-Reichwein-Str. 2a, 57068 Siegen, Germany)

  • Tina Quasdorf

    (German Center for Neurodegenerative Diseases (DZNE), Site Witten, Stockumer Str. 12, 58453 Witten, Germany
    Faculty of Health, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58455 Witten, Germany)

  • Julia Haberstroh

    (Psychological Ageing Research, Department of Psychology, Faculty V: School of Life Sciences, University of Siegen, Adolf-Reichwein-Str. 2a, 57068 Siegen, Germany)

  • Jochen René Thyrian

    (German Center for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Ellernholzstr. 1/2, 17489 Greifswald, Germany
    Institute for Community Medicine, University Medicine Greifswald, Ellernholzstr. 1-2, 17489 Greifswald, Germany)

Abstract

Dementia is a leading cause of disability and dependency in older people worldwide. As the number of people affected increases, so does the need for innovative care models. Dementia care management (DCM) is an empirically validated approach for improving the care and quality of life for people with dementia (PwD) and caregivers. The aim of this study is to investigate the influencing factors and critical pathways for the implementation of a regionally adapted DCM standard in the existing primary care structures in the German region of Siegen-Wittgenstein (SW). Utilizing participatory research methods, five local health care experts as co-researchers conducted N = 13 semi-structured interviews with 22 local professionals and one caregiver as peer reviewers. Data collection and analysis were based on the Consolidated Framework for Implementation Research (CFIR). Our results show that among the most mentioned influencing factors, three CFIR constructs can be identified as both barriers and facilitators: Patients’ needs and resources, Relative advantage, and Cosmopolitanism. The insufficient involvement of relevant stakeholders is the major barrier and the comprehensive consideration of patient needs through dementia care managers is the strongest facilitating factor. The study underlines the vital role of barrier analysis in site-specific DCM implementation.

Suggested Citation

  • Katja Seidel & Tina Quasdorf & Julia Haberstroh & Jochen René Thyrian, 2022. "Adapting a Dementia Care Management Intervention for Regional Implementation: A Theory-Based Participatory Barrier Analysis," IJERPH, MDPI, vol. 19(9), pages 1-19, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5478-:d:806745
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    References listed on IDEAS

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    1. Clarissa Giebel & Sarah Robertson & Audrey Beaulen & Sandra Zwakhalen & Dawn Allen & Hilde Verbeek, 2021. "“Nobody Seems to Know Where to Even Turn To”: Barriers in Accessing and Utilising Dementia Care Services in England and The Netherlands," IJERPH, MDPI, vol. 18(22), pages 1-16, November.
    2. Isabel Socias & Alfonso Leiva & Haizea Pombo-Ramos & Ferran Bejarano & Ermengol Sempere-Verdú & Raquel María Rodríguez-Rincón & Francisca Fiol & Marta Mengual & Asunción Ajenjo-Navarro & Fernando Do P, 2021. "Evaluating the Implementation of a Multicomponent Intervention Consisting of Education and Feedback on Reducing Benzodiazepine Prescriptions by General Practitioners: BENZORED Hybrid Type I Cluster Ra," IJERPH, MDPI, vol. 18(15), pages 1-13, July.
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