Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-26T15:57:11.470Z Has data issue: false hasContentIssue false
  • English
  • Français

Linking DemenTalent to Meeting Centers for people with dementia and their caregivers: a process analysis into facilitators and barriers in 12 Dutch Meeting Centers

Published online by Cambridge University Press:  28 August 2019

Annelies van Rijn ,
Franka Meiland  and
Rose-Marie Dröes
Annelies van Rijn
Affiliation:
Department of Psychiatry, Amsterdam University Medical Centers, location VUmc, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
Franka Meiland
Affiliation:
Department of Psychiatry, Amsterdam University Medical Centers, location VUmc, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands Gerion, Department of General Practice and Elderly Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, the Netherlands
Rose-Marie Dröes*
Affiliation:
Department of Psychiatry, Amsterdam University Medical Centers, location VUmc, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands Department of Research and Innovation, Amsterdam, Regional mental health organization GGZinGeest, the Netherlands
*
Correspondence should be addressed to: Rose-Marie Dröes, Department of Psychiatry, Amsterdam UMC, location VUmc, GGZ-inGeest dienst onderzoek en innovatie, Oldenaller 1, Postbus, 74077, 1070 BB Amsterdam, the Netherlands. Telephone: +31-20-7885454; E-mail: [email protected].
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

There have been relatively few interventions on an individual level to support community-dwelling people with dementia to continue to fulfill their potential in society. This study investigated the implementation of DemenTalent, an intervention in which people with dementia become active as volunteers in society based on their talents. The intervention was linked to existing Meeting Centers for people with dementia and their informal caregivers.

Method:

We conducted a qualitative multiple case study. Semi-structured interviews regarding experienced facilitators and barriers were conducted with 22 key figures/stakeholders in 12 Meeting Centers during the preparation, starting and continuation phases of the implementation of DemenTalent.

Results:

Several influencing factors were found on a micro level (e.g. Public Relations, training, management involvement), meso level (e.g. finances, collaborating with others) and macro level (e.g. laws and regulations, national and regional policy) during the different phases of the implementation process. Factors mentioned by most stakeholders were human and financial resources. Another important factor appeared to be the culture of the region.

Conclusion:

The insight into facilitating and impeding factors in the implementation of DemenTalent provided by this study will inform and enable other Meeting Centers to adopt a fitting strategy to implement DemenTalent in their own center. This is expected to help disseminate the intervention further, giving more people with dementia the chance to fulfill their potential, find a meaningful and pleasant way of spending their time, and actively participate in society. This will contribute to a more inclusive society and less stigmatization of people with dementia.

Keywords

dementiapsychosocial interventionqualitative researchday programs
Type
Original Research Article
Information
International Psychogeriatrics , Volume 31 , Issue 10: Issue Theme: Dementia and the Society , October 2019 , pp. 1433 - 1445
Copyright
© International Psychogeriatric Association 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alzheimer Nederland. (2014). Handreiking (dag)activiteiten bij dementie. 1st ed. [pdf]. Amersfoort, Nederland. Available at https://www.alzheimer-nederland.nl/sites/default/files/directupload/activiteiten-bij-dementie.pdf.Google Scholar
Barbour, R.S. (1999). The case for combining qualitative and quantitative approaches in health services research. Journal of Health Services Research & Policy, 4, 39–43.CrossRefGoogle ScholarPubMed
Boots, L.M.M., Vugt, M.E., Knippenberg, R.J.M., Kempen, G.I.J.M. and Verhey, F.R.J. (2014). A systematic review of Internet-based supportive interventions for caregivers of patients with dementia. International Journal of Geriatric Psychiatry, 29, 331–344.CrossRefGoogle ScholarPubMed
Buist, Y., Verbeek, H., De Boer, B., and De Bruin, S. (2018). Innovating dementia care; implementing characteristics of green care farms in other long-term care settings. International Psychogeriatrics, 30, 1057–1068. doi:10.1017/S1041610217002848.CrossRefGoogle ScholarPubMed
Cantley, C. and Bowes, A. (2004). Dementia and social inclusion: the way forward. In: Innes, A., Archibald, C. and Murphy, C. (Eds.), Dementia And Social Inclusion: Marginalized Groups And Marginalized Areas Of Dementia Research, Care And Practice, 1st ed. London: Jessica Kingsley Publishers, pp. 255–271.Google Scholar
ciz.nl. (2013). CIZ Basisrapportage AWBZ. [online] Available at: https://ciz.databank.nl/report/awbz.html.Google Scholar
Clare, L. et al. (2014). Improving the experience of dementia and enhancing active life–living well with dementia: study protocol for the IDEAL study. Health and Quality of Life Outcomes, 12, 164.CrossRefGoogle ScholarPubMed
Clare, L.P., Evans, S.M., Parkinson, C.B., Woods, R.M. and Linden, D.D. (2011). Goal-setting in cognitive rehabilitation for people with early-stage Alzheimer’s Disease. Clinical Gerontologist, 34, 220–236.CrossRefGoogle Scholar
De Boer, B. et al. (2018). The physical environment of nursing homes for people with dementia: traditional nursing homes, small-scale living facilities, and green care farms. Healthcare (Basel, Switzerland), 6, 137. doi:10.3390/healthcare6040137.Google Scholar
Dröes, R.M., Breebaart, E., Ettema, T.P., van Tilburg, W. and Mellenbergh, G.J. (2000). Effect of integrated family support versus day care only on behavior and mood of patients with dementia. International Psychogeriatrics, 12, 99–115.CrossRefGoogle ScholarPubMed
Droes, R.M., Breebaart, E., Meiland, F.J.M., van Tilburg, W. and Mellenbergh, G.J. (2004). Effect of Meeting Centres Support Program on feelings of competence of family carers and delay of institutionalization of people with dementia. Aging & Mental Health, 8, 201–211.CrossRefGoogle ScholarPubMed
Dröes, R.M., Meiland, F.J.M., Schmitz, M. and Van Tilburg, W. (2011). An evaluation of the Meeting Centers Support Programme among persons with dementia and their carers. Nonpharmacological Therapies in Dementia, 2, 19–39.Google Scholar
Droes, R.M. et al. (2017). Social health and dementia: a European consensus on the operationalization of the concept and directions for research and practice. Aging and Mental Health, 21, 4–17.CrossRefGoogle ScholarPubMed
Graff, M.J.L., Vernooij-Dassen, M.J.F.J., Thijssen, M., Dekker, J., Hoefnagels, W.H.L. and Olde Rikkert, M.G.M. (2007). Effects of community occupational therapy on quality of life, mood, and health status in dementia patients and their caregivers: a randomized controlled trial. Journals of Gerontology Series A-Biological Sciences and Medical Sciences, 62, 1002–1009.CrossRefGoogle ScholarPubMed
Harris, P.B. (2008). Another wrinkle in the debate about successful aging: the undervalued concept of resilience and the lived experience of dementia. International Journal of Aging and Human Development, 67, 43–61.CrossRefGoogle Scholar
Hattink, B.J. et al. (2016). The electronic, personalizable Rosetta system for dementia care: exploring the user-friendliness, usefulness and impact. Disabil Rehabil Assist Technol, 11, 61–71.CrossRefGoogle ScholarPubMed
Hsieh, H. and Shannon, S.E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277–1288. doi:10.1177/1049732305276687.CrossRefGoogle ScholarPubMed
Huber, M. et al. (2011). How should we define health? BMJ, 343, 235–237.CrossRefGoogle ScholarPubMed
Lauriks, S., et al. (2007). Review of ICT-based services for identified unmet needs in people with dementia. Ageing Research Reviews, 6, 223–246.CrossRefGoogle ScholarPubMed
Logsdon, R. G., McCurry, S. M. and Teri, L. (2008). Evidence-based interventions to improve quality of life for individuals with dementia. Alzheimers Care Today, 8, 309–320.Google Scholar
Mangiaracina, F. et al. (2017). Not re-inventing the wheel: the adaptive implementation of the meeting centres support programme in four European countries. Aging & Mental Health, 21, 40–48.CrossRefGoogle ScholarPubMed
Meiland, F. et al. (2017). Technologies to support community-dwelling persons with dementia: a position paper on issues regarding development, usability, effectiveness and cost-effectiveness, deployment, and ethics. JMIR Rehabilitation and Assistive Technologies, 4, e1.CrossRefGoogle Scholar
Meiland, F.J., Dröes, R.M., de Lange, J. and Vernooij-Dassen, M.J. (2005). Facilitators and barriers in the implementation of the meeting centres model for people with dementia and their carers. Health Policy (Amsterdam, Netherlands), 71, 243–53.CrossRefGoogle ScholarPubMed
Meiland, F.J.M., Droes, R.M., de Lange, J. and Vernooij-Dassen, M.J.F.J. (2004). Development of a theoretical model for tracing facilitators and barriers in adaptive implementation of innovative practices in dementia care. Archives of Gerontology and Geriatrics, 9(Supp), 279.CrossRefGoogle Scholar
Mensink, D. (2014). EFID AWARD 2014 ‘Living well with Dementia in the community’. [online] DemenTalent. Available: https://www.dementalent.nl/nieuws/efid-award-2014.Google Scholar
Potter, R., Ellard, D., Rees, K. and Thorogood, M. (2011). A systematic review of the effects of physical activity on physical functioning, quality of life and depression in older people with dementia. International Journal of Geriatric Psychiatry, 26, 1000–1011.CrossRefGoogle ScholarPubMed
Resnick, B., Gwyther, L.P. and Roberto, K.A. (2011). Resilience in Aging: Concepts, Research, and Outcomes. New York: Springer.CrossRefGoogle Scholar
Span, M. et al. (2014). Towards an interactive web tool that supports shared decision making in dementia: Identifying user requirements. International Journal on Advances in Life Sciences, 6, 338–349.Google Scholar
van der Roest, H.G. et al. (2009). What do community-dwelling people with dementia need? A survey of those who are known to care and welfare services. International Psychogeriatrics, 21, 949–65.CrossRefGoogle Scholar
Van Mierlo, L.D. et al. (2018). Facilitators and barriers to adaptive implementation of the Meeting Centers Support Program (MCSP) in three European countries; the process evaluation within the MEETINGDEM study. International Psychogeriatrics, 30, 527–537.CrossRefGoogle ScholarPubMed
Van Mierlo, L.D., Meiland, F.J., Van Hout, H.P. and Droes, R.M. (2016). Toward an evidence-based implementation model and checklist for personalized dementia care in the community. International Psychogeriatrics, 28, 801–813.CrossRefGoogle Scholar
Windle, G. (2012). The contribution of resilience to healthy ageing. Perspect Public Health, 132, 159–60.Google ScholarPubMed
Woods, B., Aguirre, E., Spector, A.E. and Orrell, M. (2012). Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database Systematic Reviews, Cd005562.CrossRefGoogle Scholar
Woods, B., Thorgrimsen, L., Spector, A., Royan, L. and Orrell, M. (2006). Improved quality of life and cognitive stimulation therapy in dementia. Aging and Mental Health, 10, 219–26.CrossRefGoogle ScholarPubMed
Supplementary material: File

van Rijn et al. supplementary material

Appendix A

Download van Rijn et al. supplementary material(File)
File 19.5 KB