A New Approach for Developing “Implementation Plans” for Cognitive Stimulation Therapy (CST) in Low and Middle-Income Countries: Results From the CST-International Study
Background: Even with a strong evidence base, many healthcare interventions fail to be translated to clinical practice due to the absence of robust implementation strategies. For disorders such as Alzheimer's disease and other dementias, access to evidence-based interventions beyond research se...
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| Format: | Article |
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Frontiers Media S.A.
2020-07-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fpubh.2020.00342/full |
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| author | Charlotte R. Stoner Mina Chandra Elodie Bertrand Bharath DU Helen Durgante Joanna Klaptocz Murali Krishna Monisha Lakshminarayanan Sarah Mkenda Daniel C. Mograbi Daniel C. Mograbi Martin Orrell Stella-Maria Paddick Sridhar Vaitheswaran Aimee Spector |
| author_facet | Charlotte R. Stoner Mina Chandra Elodie Bertrand Bharath DU Helen Durgante Joanna Klaptocz Murali Krishna Monisha Lakshminarayanan Sarah Mkenda Daniel C. Mograbi Daniel C. Mograbi Martin Orrell Stella-Maria Paddick Sridhar Vaitheswaran Aimee Spector |
| author_sort | Charlotte R. Stoner |
| collection | DOAJ |
| description | Background: Even with a strong evidence base, many healthcare interventions fail to be translated to clinical practice due to the absence of robust implementation strategies. For disorders such as Alzheimer's disease and other dementias, access to evidence-based interventions beyond research settings is of great importance. Cognitive Stimulation Therapy (CST) is a brief, group-based intervention, with consistent evidence of effectiveness.Methods: An implementation focused, three-phase methodology was developed using extensive stakeholder engagement. The methods resulted in a standardized Implementation Plan for the successful translation of CST from research to practice. The methodology was developed using the Consolidated Framework for Implementation Research (CFIR) and refined in three countries that vary in levels of economic development and healthcare systems (Brazil, India and Tanzania).Results: Five Implemention Plans for CST were produced. Each plan contained implementation strategies and action plans devised in conjunction with policy professionals, healthcare professionals, people with dementia and family carers, and an international team of researchers and clinicians.Conclusion: This novel methodology can act as a template for implementation studies in diverse healthcare systems across the world. It is an effective means of devising socio-culturally informed Implementation Plans that account for economic realities, health equity and healthcare access. |
| first_indexed | 2024-12-11T20:11:55Z |
| format | Article |
| id | doaj.art-a52b63142ed04beb8553fa7c569a6c1c |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-11T20:11:55Z |
| publishDate | 2020-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-a52b63142ed04beb8553fa7c569a6c1c2022-12-22T00:52:18ZengFrontiers Media S.A.Frontiers in Public Health2296-25652020-07-01810.3389/fpubh.2020.00342545243A New Approach for Developing “Implementation Plans” for Cognitive Stimulation Therapy (CST) in Low and Middle-Income Countries: Results From the CST-International StudyCharlotte R. Stoner0Mina Chandra1Elodie Bertrand2Bharath DU3Helen Durgante4Joanna Klaptocz5Murali Krishna6Monisha Lakshminarayanan7Sarah Mkenda8Daniel C. Mograbi9Daniel C. Mograbi10Martin Orrell11Stella-Maria Paddick12Sridhar Vaitheswaran13Aimee Spector14Centre for Chronic Illness and Ageing, Centre for Mental Health, Institute for Lifecourse Development, School of Human Sciences, University of Greenwich, London, United KingdomAtal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, Bangabandhu Sheikh Mujeeb Marg, New Delhi, IndiaDepartment of Psychology, Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, BrazilViveka Hospital, Mysore, IndiaDepartment of Psychology, Federal University of Rio Grande do Sul (UFRGS), Rio Grande do Sul, BrazilNewcastle University Hospitals NHS Foundation Trust, Royal Vic Infirmary, Newcastle upon Tyne, United KingdomViveka Hospital, Mysore, IndiaDementia Care in Schizophrenia Research Foundation (DEMCARES in SCARF), Chennai, IndiaOccupational Therapy Department, Kilimanjaro Christian Medical University College, Moshi, TanzaniaDepartment of Psychology, Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, BrazilInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom0Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom1Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, United KingdomDementia Care in Schizophrenia Research Foundation (DEMCARES in SCARF), Chennai, India2Research Department of Clinical, Educational and Health Psychology, University College London (UCL), London, United KingdomBackground: Even with a strong evidence base, many healthcare interventions fail to be translated to clinical practice due to the absence of robust implementation strategies. For disorders such as Alzheimer's disease and other dementias, access to evidence-based interventions beyond research settings is of great importance. Cognitive Stimulation Therapy (CST) is a brief, group-based intervention, with consistent evidence of effectiveness.Methods: An implementation focused, three-phase methodology was developed using extensive stakeholder engagement. The methods resulted in a standardized Implementation Plan for the successful translation of CST from research to practice. The methodology was developed using the Consolidated Framework for Implementation Research (CFIR) and refined in three countries that vary in levels of economic development and healthcare systems (Brazil, India and Tanzania).Results: Five Implemention Plans for CST were produced. Each plan contained implementation strategies and action plans devised in conjunction with policy professionals, healthcare professionals, people with dementia and family carers, and an international team of researchers and clinicians.Conclusion: This novel methodology can act as a template for implementation studies in diverse healthcare systems across the world. It is an effective means of devising socio-culturally informed Implementation Plans that account for economic realities, health equity and healthcare access.https://www.frontiersin.org/article/10.3389/fpubh.2020.00342/fulltranslational researchimplementationcognitiondeveloping countriesmethodologypsychosocial |
| spellingShingle | Charlotte R. Stoner Mina Chandra Elodie Bertrand Bharath DU Helen Durgante Joanna Klaptocz Murali Krishna Monisha Lakshminarayanan Sarah Mkenda Daniel C. Mograbi Daniel C. Mograbi Martin Orrell Stella-Maria Paddick Sridhar Vaitheswaran Aimee Spector A New Approach for Developing “Implementation Plans” for Cognitive Stimulation Therapy (CST) in Low and Middle-Income Countries: Results From the CST-International Study Frontiers in Public Health translational research implementation cognition developing countries methodology psychosocial |
| title | A New Approach for Developing “Implementation Plans” for Cognitive Stimulation Therapy (CST) in Low and Middle-Income Countries: Results From the CST-International Study |
| title_full | A New Approach for Developing “Implementation Plans” for Cognitive Stimulation Therapy (CST) in Low and Middle-Income Countries: Results From the CST-International Study |
| title_fullStr | A New Approach for Developing “Implementation Plans” for Cognitive Stimulation Therapy (CST) in Low and Middle-Income Countries: Results From the CST-International Study |
| title_full_unstemmed | A New Approach for Developing “Implementation Plans” for Cognitive Stimulation Therapy (CST) in Low and Middle-Income Countries: Results From the CST-International Study |
| title_short | A New Approach for Developing “Implementation Plans” for Cognitive Stimulation Therapy (CST) in Low and Middle-Income Countries: Results From the CST-International Study |
| title_sort | new approach for developing implementation plans for cognitive stimulation therapy cst in low and middle income countries results from the cst international study |
| topic | translational research implementation cognition developing countries methodology psychosocial |
| url | https://www.frontiersin.org/article/10.3389/fpubh.2020.00342/full |
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