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The art of successful implementation of psychosocial interventions in residential dementia care: a systematic review of the literature based on the RE-AIM framework

Published online by Cambridge University Press:  05 August 2014

Petra Boersma ,
Julia C.M. van Weert ,
Jeroen Lakerveld  and
Rose-Marie Dröes
Petra Boersma*
Affiliation:
Research Group Mental Health Nursing, Inholland University of Applied Sciences, Amsterdam, the Netherlands
Julia C.M. van Weert
Affiliation:
Amsterdam School of Communication Research/ASCoR, University of Amsterdam, Amsterdam, the Netherlands
Jeroen Lakerveld
Affiliation:
VU University Medical Centre, Department of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research, Amsterdam, the Netherlands
Rose-Marie Dröes
Affiliation:
VU University Medical Centre, Department of Psychiatry, Department of General Practice and Elderly Care Medicine, Alzheimer Centre, EMGO Institute for Health and Care Research, Amsterdam, the Netherlands
*
Correspondence should be addressed to: P. Boersma, VU University Medical Center, Department of Psychiatry and Elderly Care Medicine, Van der Boechorststraat 7, 1081 BT Amsterdam, the Netherlands. Phone: +31-06-31006715; Fax +31-20-4448234. Email: [email protected].
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Abstract

Background:

In the past decades many psychosocial interventions for elderly people with dementia have been developed and implemented. Relatively little research has been done on the extent to which these interventions were implemented in the daily care. The aim of this study was to obtain insight into strategies for successful implementation of psychosocial interventions in the daily residential dementia care. Using a modified RE-AIM framework, the indicators that are considered important for effective and sustainable implementation were defined.

Methods:

A systematic literature search was undertaken in PubMed, PsycINFO, and Cinahl, followed by a hand search for key papers. The included publications were mapped based on the dimensions of the RE-AIM framework: Reach, Effectiveness, Adoption, Implementation, and Maintenance.

Results:

Fifty-four papers met the inclusion criteria and described various psychosocial interventions. A distinction was made between studies that used one and studies that used multiple implementation strategies. This review shows that to improve their knowledge, caregivers needed at least multiple implementation strategies, only education is not enough. For increasing a more person-centered attitude, different types of knowledge transfer can be effective. Little consideration is given to the adoption of the method by caregivers and to the long-term sustainability (maintenance).

Conclusions:

This review shows that in order to successfully implement a psychosocial method the use of multiple implementation strategies is recommended. To ensure sustainability of a psychosocial care method in daily nursing home care, innovators as well as researchers should specifically pay attention to the dimensions Adoption, Implementation, and Maintenance of the RE-AIM implementation framework.

Keywords

dementiapsychosocial interventionsimplementationRE-AIM frameworkquality of carecaregivers
Type
Review Article
Information
International Psychogeriatrics , Volume 27 , Issue 1 , January 2015 , pp. 19 - 35
Copyright
Copyright © International Psychogeriatric Association 2014 

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References

Aylward, S., Stolee, P., Keat, N. and Johncox, V. (2003). Effectiveness of continuing education in long-term care: a literature review. The Gerontologist, 43, 259–271.Google Scholar
Bliss, M. J. and Emshoff, J. G. (2002). Workbook for Designing a Process Evaluation. Georgia: Georgia State University.Google Scholar
Brooker, D. (2004). What is person-centred care in dementia? Reviews in Clinical Gerontology, 13, 215–222.Google Scholar
Burgio, L. et al. (2001). Judging outcomes in psychosocial interventions for dementia caregivers: the problem of treatment implementation. The Gerontologist, 41, 481–489.Google Scholar
Burgio, L. D. et al. (2001). Come talk with me: improving communication between nursing assistants and nursing home residents during care routines. The Gerontologist, 41, 449–460.CrossRefGoogle ScholarPubMed
Chalmers, I. and Altman, D. G. (1995). Systematic Review. London: BMJ Publishing Group.Google Scholar
Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I. and Petticrew, M. (2008). Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ, 337, a1655.Google Scholar
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A. and Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Science, 4. doi:10.1186/1748-5908-4-50.Google Scholar
De Lange, J. (2004). Dealing with dementia. Effects of integrated emotion-oriented care on adaptation and coping of people with dementia in nursing homes: a qualitative study as part of a randomised clinical trial. Thesis. Utrecht, the Netherlands: Trimbos-instituut.Google Scholar
Dröes, R. M. (1997a). Psychomotor group therapy for demented patients in the nursing home. In Miesen, B. and Jones, G. (eds.), Care-giving in Dementia II (pp. 95–118). London: Routledge.Google Scholar
Dröes, R. M. (1997b). Psychosocial treatment for demented patients: methods and effects. In Miesen, B. and Jones, G. (eds.), Care-giving in Dementia II (pp. 127–148). London: Routledge.Google Scholar
Dröes, R. M. (2007). Insight in coping with dementia: listening to the voice of those who suffer from it. Aging and Mental Health, 11, 115–118.Google Scholar
Dröes, R. M., Van Mierlo, L. D., Van der Roest, H. G. and Meiland, F. J. M. (2011). Focus and Effectiveness of psychosocial interventions for people with dementia in institutional care settings from the perspective of coping with the disease. Non-pharmacological Therapies in Dementia, 1, 139–159.Google Scholar
Dzewaltowski, D. A., Glasgow, R. E., Klesges, L. M., Estabrooks, P. A. and Brock, E. (2004). RE-AIM: evidence-based standards and a web resource to improve translation of research into practice. Annals of Behavioral Medicine, 28, 75–80.Google Scholar
Edvardsson, D., Fetherstonhaugh, D. and Nay, R. (2010). Promoting a continuation of self and normality: person-centred care as described by people with dementia, their family members and aged care staff. Journal of Clinical Nursing, 19, 2611–2618.Google Scholar
Eggenberger, E., Heimerl, K. and Bennett, M. I. (2013). Communication skills training in dementia care: a systematic review of effectiveness, training content, and didactic methods in different care settings. International Psychogeriatrics, 25, 345–358.CrossRefGoogle Scholar
Finnema, E., Dröes, R. M., Ribbe, M. and Van Tilburg, W. (2000). A review of psychosocial models in psychogeriatrics: implications for care and research. Alzheimer Disease and Associated Disorders Alzheimer, 14, 68–80.Google Scholar
Finnema, E., Dröes, R. M., Ribbe, M. and Van Tilburg, W. (2000). The effects of emotion-oriented approaches in the care for persons suffering from dementia: a review of the literature. International Journal of Geriatric Psychiatry, 15, 141–161.Google Scholar
Glasgow, R. E., Vogt, T. M. and Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: the RE-AIM framework. American Journal of Public Health, 89, 1322–1327.Google Scholar
Gould, E. and Reed, P. (2009). Alzheimer's Association Quality Care Campaign and professional training initiatives: improving hands-on care for people with dementia in the U.S.A. International Psychogeriatrics, 21 (Suppl. 1), S25–S33.Google Scholar
Grol, R. and Grimshaw, J. (2003). From best evidence to best practice: effective implementation of change in patients’ care. Lancet, 362, 1225–30.Google Scholar
Grol, R. P., Bosch, M. C., Hulscher, M. E., Eccles, M. P. and Wensing, M. (2007). Planning and studying improvement in patient care: the use of theoretical perspectives. Milbank Q, 85, 93–138.Google Scholar
Kitson, A. L. (2009). The need for systems change: reflections on knowledge translation and organizational change. Journal of Advanced Nursing, 65, 217–228.Google Scholar
Kitson, A. L., Rycroft-Malone, J., Harvey, G., McCormack, B., Seers, K. and Titchen, A. (2008). Evaluating the successful implementation of evidence into practice using the PARiSH framework: theoretical and practical challenges. Implementation Science, 3. doi:10.1186/1748-5908-3-1.Google Scholar
Kitwood, T. (1997). Dementia Considered: The Person Comes First. Buckingham: Open University Press.Google Scholar
Kuske, B., Hanns, S., Luck, T., Angermeyer, M. C., Behrens, J. and Riedel-Heller, S. G. (2007). Nursing home staff training in dementia care: a systematic review of evaluated programs. International Psychogeriatrics, 19, 818–841.Google Scholar
Lakerveld, J., Bot, S., Chinapaw, M., Van, T. M., Kingo, L. and Nijpels, G. (2012). Process evaluation of a lifestyle intervention to prevent diabetes and cardiovascular diseases in primary care. Health Promotion Practice, 13, 696–706.Google Scholar
Lawrence, V., Fossey, J., Ballard, C., Moniz-Cook, E. and Murray, J. (2012). Improving quality of life for people with dementia in care homes: making psychosocial interventions work. British Journal of Psychiatry, 201, 344–351.Google Scholar
Moyle, W., Chi Hsu, M., Lieff, S. and Vernooij-Dassen, M. (2010). Recommendations for staff education and training for older people with mental illness in long-term aged care. International Psychogeriatrics, 22, 1097–1106.Google Scholar
Olazaran, J. et al. (2010). Nonpharmacological therapies in Alzheimer's disease: a systematic review of efficacy. Dementia and Other Geriatric Cognitive Disorders, 30, 161–178.Google Scholar
Prince, M., Prina, M. and Guerchet, M. (2013). Journey of Caring, An Analysis of Long-term Care for Dementia. World Alzheimer Report 2013. London: Alzheimer's Disease International.Google Scholar
Rycroft-Malone, J. (2004). The PARIHS Framework – A framework for guiding the implementation of evidence-based practice. Journal of Nursing Care Quality, 19, 297–304.Google Scholar
Schrijnemaekers, V. J., Van, R. E., Van Heusden, M. J. and Widdershoven, G. A. (2002). Compliance in a randomized controlled trial: the implementation of emotion-orientated care in psycho-geriatric facilities. Journal of Advanced Nursing, 39, 182–189.Google Scholar
Shadish, W. R., Cook, T. D. and Campbell, D. T. (2002). Experimental and Quasi-Experimental Designs for Generalized Causal Interference. Boston, NY: Houghton Mifflin Harcourt.Google Scholar
Stevens, A. B. et al. (1998). Teaching and maintaining behaviour management skills with nursing assistants in a nursing home. The Gerontologist, 38, 379–384.Google Scholar
Terada, S. et al. (2013). Person-centered care and quality of life of patients with dementia in long-term care facilities. Psychiatry Research, 205, 103–108.Google Scholar
Van de Mortel, T. F. (2008). Faking it: social desirability response bias in self-report research. Australian Journal of Advanced Nursing, 25, 40–48.Google Scholar
Van der Kooij, C. H. (2003). Just Being Nice? The Maieutic Concept of Care and Applying Integrated Perception Based Care in Psycho Geriatric Nursing Environments. Utrecht: Lemma.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, 949–965.Google Scholar
Van Mierlo, L. D., Meiland, F. J., Van der Roest, H.G. and Dröes, R. M. (2012). Personalised caregiver support: effectiveness of psychosocial interventions in subgroups of caregivers of people with dementia. International Journal of Geriatric Psychiatry, 27, 1–14.Google Scholar
Van Mierlo, L. D., Van der Roest, H.G., Meiland, F.J. and Dröes, R. M. (2010). Personalized dementia care: proven effectiveness of psychosocial interventions in subgroups. Ageing Research Reviews, 9, 163–183.Google Scholar
Van Weert, J. C., Kerkstra, A., Van Dulmen, A. M., Bensing, J. M., Peter, J. G. and Ribbe, M. W. (2004). The implementation of snoezelen in psychogeriatric care: an evaluation through the eyes of caregivers. International Journal of Nursing Studies, 41, 397–409.Google Scholar
Van Weert, J.C., Van Dulmen, A. M., Spreeuwenberg, P. M., Bensing, J. M. and Ribbe, M. W. (2005a). The effects of the implementation of snoezelen on the quality of working life in psychogeriatric care. International Psychogeriatrics, 17, 407–427.Google Scholar
Van Weert, J.C., Van Dulmen, A. M., Spreeuwenberg, P. M., Ribbe, M. W. and Bensing, J. M. (2005a). Effects of snoezelen, integrated in 24 h dementia care, on nurse-patient communication during morning care. Patient Education and Counseling, 58, 312–326.Google Scholar
Vernooij-Dassen, M. and Moniz-Cook, E. (2014). Raising the standard of applied dementia care research: addressing the implementation error. Aging and Mental Health, doi:10:1080/13607863.2014.899977.Google Scholar
Vernooij-Dassen, M., Vasse, E., Zuidema, S., Cohen-Mansfield, J. and Moyle, W. (2010). Psychosocial interventions for dementia patients in long-term care. (Review). International Pscyhogeriatrics, 22, 1121–1128.Google Scholar
Visser, S. M., McCabe, M. P., Hudgson, C., Buchanan, G., Davison, T. E. and George, K. (2008). Managing behavioural symptoms of dementia: effectiveness of staff education and peer support. Aging and Mental Health, 12, 47–55.Google Scholar
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