Evaluating a young-onset dementia service from two sides of the coin: staff and service user perspectives

Abstract Background People with young-onset dementia (YOD) can often struggle getting the right treatment. This is because of their frequently different characteristics and needs compared to people with late-onset dementia. The aim of this project was to assess a memory service for its adaptation to...

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Main Authors: Clarissa Giebel, Cassie Eastham, Jacqueline Cannon, John Wilson, Janet Wilson, Anna Pearson
Format: Article
Language:English
Published: BMC 2020-03-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-020-5027-8
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author Clarissa Giebel
Cassie Eastham
Jacqueline Cannon
John Wilson
Janet Wilson
Anna Pearson
author_facet Clarissa Giebel
Cassie Eastham
Jacqueline Cannon
John Wilson
Janet Wilson
Anna Pearson
author_sort Clarissa Giebel
collection DOAJ
description Abstract Background People with young-onset dementia (YOD) can often struggle getting the right treatment. This is because of their frequently different characteristics and needs compared to people with late-onset dementia. The aim of this project was to assess a memory service for its adaptation to the needs and wishes of people with YOD and their carers. Methods This project evaluated a memory service in the North West of England by performing two focus groups with clinical staff and six semi-structured interviews with people with YOD and carers. The focus groups took place on site and lasted one hour each. People with YOD and their carers were identified via the memory clinics caseload and via the local Alzheimer’s Society charity organisation. Both focus groups and interviews were audio-recorded and transcribed, and data were analysed using thematic analysis. The public (a person living with YOD and his carer) were involved from the design stages of the project through to the analysis and dissemination. Results Eleven members of staff with different clinical backgrounds participated in the focus groups and six interviews were held with people with YOD and their carers. Both indicated that whilst the diagnostic process is relatively well conducted at the service, the post-diagnostic service has many gaps. These include limited post-diagnostic support by the service, better enabling peer support, as well as providing meaningful activities, as some activities provided might be more suitable to older adults with dementia. Conclusions Post-diagnostic services and support for people with YOD and their carers need to be improved. The next step will be to implement the findings from this service evaluation in practice and improve service satisfaction and relevance to people with YOD.
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spelling doaj.art-a67d258d6f7e4637b8d260ad1fa819c22022-12-21T21:02:04ZengBMCBMC Health Services Research1472-69632020-03-012011710.1186/s12913-020-5027-8Evaluating a young-onset dementia service from two sides of the coin: staff and service user perspectivesClarissa Giebel0Cassie Eastham1Jacqueline Cannon2John Wilson3Janet Wilson4Anna Pearson5Institute of Population Health Sciences, University of LiverpoolNIHR ARC NWCThe Lewy Body SocietyNIHR ARC NWCNIHR ARC NWCNorth West Boroughs NHS Foundation TrustAbstract Background People with young-onset dementia (YOD) can often struggle getting the right treatment. This is because of their frequently different characteristics and needs compared to people with late-onset dementia. The aim of this project was to assess a memory service for its adaptation to the needs and wishes of people with YOD and their carers. Methods This project evaluated a memory service in the North West of England by performing two focus groups with clinical staff and six semi-structured interviews with people with YOD and carers. The focus groups took place on site and lasted one hour each. People with YOD and their carers were identified via the memory clinics caseload and via the local Alzheimer’s Society charity organisation. Both focus groups and interviews were audio-recorded and transcribed, and data were analysed using thematic analysis. The public (a person living with YOD and his carer) were involved from the design stages of the project through to the analysis and dissemination. Results Eleven members of staff with different clinical backgrounds participated in the focus groups and six interviews were held with people with YOD and their carers. Both indicated that whilst the diagnostic process is relatively well conducted at the service, the post-diagnostic service has many gaps. These include limited post-diagnostic support by the service, better enabling peer support, as well as providing meaningful activities, as some activities provided might be more suitable to older adults with dementia. Conclusions Post-diagnostic services and support for people with YOD and their carers need to be improved. The next step will be to implement the findings from this service evaluation in practice and improve service satisfaction and relevance to people with YOD.http://link.springer.com/article/10.1186/s12913-020-5027-8Young onset dementiaService evaluationService accessFocus groupsPost-diagnostic support
spellingShingle Clarissa Giebel
Cassie Eastham
Jacqueline Cannon
John Wilson
Janet Wilson
Anna Pearson
Evaluating a young-onset dementia service from two sides of the coin: staff and service user perspectives
BMC Health Services Research
Young onset dementia
Service evaluation
Service access
Focus groups
Post-diagnostic support
title Evaluating a young-onset dementia service from two sides of the coin: staff and service user perspectives
title_full Evaluating a young-onset dementia service from two sides of the coin: staff and service user perspectives
title_fullStr Evaluating a young-onset dementia service from two sides of the coin: staff and service user perspectives
title_full_unstemmed Evaluating a young-onset dementia service from two sides of the coin: staff and service user perspectives
title_short Evaluating a young-onset dementia service from two sides of the coin: staff and service user perspectives
title_sort evaluating a young onset dementia service from two sides of the coin staff and service user perspectives
topic Young onset dementia
Service evaluation
Service access
Focus groups
Post-diagnostic support
url http://link.springer.com/article/10.1186/s12913-020-5027-8
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