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The development of quality indicators to improve psychosocial care in dementia

Published online by Cambridge University Press:  17 January 2012

Emmelyne Vasse ,
Esme Moniz-Cook ,
Marcel Olde Rikkert ,
Inge Cantegreil ,
Kevin Charras ,
Pascale Dorenlot ,
Georgina Fumero ,
Manuel Franco ,
Bob Woods  and
Myrra Vernooij-Dassen
Emmelyne Vasse*
Affiliation:
Scientific Institute for Quality of Healthcare and Nijmegen Alzheimer Centre, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
Esme Moniz-Cook
Affiliation:
Institute of Rehabilitation, University of Hull & Humber Mental Health Teaching NHS Trust, Hull, UK
Marcel Olde Rikkert
Affiliation:
Department of Geriatrics and Nijmegen Alzheimer Centre, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
Inge Cantegreil
Affiliation:
Broca Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
Kevin Charras
Affiliation:
Fondation Médéric Alzheimer, Paris, France
Pascale Dorenlot
Affiliation:
Scientific Director, FOCSS Foundation, Paris, France
Georgina Fumero
Affiliation:
Luso-Castellano Research Institute, Zamora, Spain Intras Foundation, Valladolid, Spain
Manuel Franco
Affiliation:
Intras Foundation, Valladolid, Spain
Bob Woods
Affiliation:
Dementia Services Development Centre, Bangor University, BangorUK
Myrra Vernooij-Dassen
Affiliation:
Scientific Institute for Quality of Healthcare and Nijmegen Alzheimer Centre, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands Department of Primary and Community Care, Kalorama Foundation, NijmegenThe Netherlands
*
Correspondence should be addressed to: Emmelyne Vasse, Scientific Institute for Quality of Healthcare and Nijmegen Alzheimer Centre, Radboud University Nijmegen Medical Centre, 114 IQ Healthcare, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. Phone: +31-243-666-265; Fax: +31-243-540-166. Email: [email protected].
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Abstract

Background: The evidence for the effectiveness of psychosocial interventions in dementia care is growing but the implementation of available evidence is not automatic. Our objective was to develop valid quality indicators (QIs) for psychosocial dementia care that facilitate the implementation process in various countries and settings.

Methods: A RAND-modified Delphi technique was used to develop a potential set of QIs. Two multidisciplinary, international expert panels were involved in achieving content and face validity. Consensus on the final set was reached after a conference meeting where a third panel of dementia experts discussed measurability and applicability of the potential set. A retrospective cohort study was conducted to study the feasibility of using the final set in day care centers, hospitals, and nursing homes in Spain and The Netherlands.

Results: A total of 104 recommendations were selected from guidelines and systematic reviews and appraised for their contribution to improving the quality of dementia care by 49 dementia experts. Twenty-five experts attended the conference meeting and reached consensus on a set of 12 QIs representing the key elements of effective psychosocial care, such as shared decision-making and interventions tailored to needs and preferences. Data from 153 patient records showed that all but one QI subitem were applicable to all three settings in both countries.

Conclusion: Our multidisciplinary and multinational strategy resulted in a set of unique QIs that aims exclusively at assessing the quality of psychosocial dementia care. Following implementation, these QIs will assist dementia care professionals to individualize and tailor psychosocial interventions.

Keywords

psychosocial interventionsguidelinesEurope
Type
Research Article
Information
International Psychogeriatrics , Volume 24 , Issue 6 , June 2012 , pp. 921 - 930
Copyright
Copyright © International Psychogeriatric Association 2012

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