Barriers and facilitators to implementing dementia care mapping in care homes: results from the DCM™ EPIC trial process evaluation
Abstract Background Psychosocial person-centred interventions are considered best practice for addressing complex behaviours and care needs such as agitation and anxiety, and for improving the quality of life of people with dementia in care homes. Dementia Care Mapping (DCM™) is an established pract...
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| Format: | Article |
| Language: | English |
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BMC
2019-02-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12877-019-1045-y |
| _version_ | 1818338672696623104 |
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| author | Alys W. Griffiths Rachael Kelley Lucy Garrod Devon Perfect Olivia Robinson Emily Shoesmith Joanne McDermid Natasha Burnley Claire A. Surr |
| author_facet | Alys W. Griffiths Rachael Kelley Lucy Garrod Devon Perfect Olivia Robinson Emily Shoesmith Joanne McDermid Natasha Burnley Claire A. Surr |
| author_sort | Alys W. Griffiths |
| collection | DOAJ |
| description | Abstract Background Psychosocial person-centred interventions are considered best practice for addressing complex behaviours and care needs such as agitation and anxiety, and for improving the quality of life of people with dementia in care homes. Dementia Care Mapping (DCM™) is an established practice development tool and process aimed to help care home staff deliver more person-centred care. To date, few studies have evaluated the efficacy of DCM™ and have found mixed results. These results are suggested to be the outcome of intervention implementation, which may be impacted by a range of factors. This study reports the barriers and facilitators to DCM™ implementation in care homes found during the process evaluation conducted as part of a randomized controlled trial. Methods Eighteen of the 31 DCM™ intervention care homes were recruited to participate in the embedded process evaluation. Semi-structured interviews were conducted with 83 participants, comprising care home managers, trained DCM™ users (mappers), expert external mappers, staff members, relatives, and residents. Results Barriers and facilitators to DCM™ implementation were found at the mapper level (e.g. motivation and confidence), the DCM™ intervention level (e.g. understanding of DCM™) and the care home level (e.g. staffing issues, manager support). Further barriers caused by the burden of trial participation were also identified (e.g. additional paperwork). Conclusions Implementing DCM™ is complex and a greater consideration of potential barriers and facilitators in planning future studies and in practice could help improve implementation. Trial registration Current Controlled Trials ISRCTN82288852, registered 16/01/2014. |
| first_indexed | 2024-12-13T15:14:50Z |
| format | Article |
| id | doaj.art-b403c0abfff94781b1e02479294b5347 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-13T15:14:50Z |
| publishDate | 2019-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-b403c0abfff94781b1e02479294b53472022-12-21T23:40:45ZengBMCBMC Geriatrics1471-23182019-02-0119111610.1186/s12877-019-1045-yBarriers and facilitators to implementing dementia care mapping in care homes: results from the DCM™ EPIC trial process evaluationAlys W. Griffiths0Rachael Kelley1Lucy Garrod2Devon Perfect3Olivia Robinson4Emily Shoesmith5Joanne McDermid6Natasha Burnley7Claire A. Surr8Centre for Dementia Research, School of Health and Community Studies, Leeds Beckett UniversityCentre for Dementia Research, School of Health and Community Studies, Leeds Beckett UniversityOxford Health NHS Foundation TrustOxford Health NHS Foundation TrustCentre for Dementia Research, School of Health and Community Studies, Leeds Beckett UniversityCentre for Dementia Research, School of Health and Community Studies, Leeds Beckett UniversityWolfson Centre for Aged Related Diseases, King’s College LondonCentre for Dementia Research, School of Health and Community Studies, Leeds Beckett UniversityCentre for Dementia Research, School of Health and Community Studies, Leeds Beckett UniversityAbstract Background Psychosocial person-centred interventions are considered best practice for addressing complex behaviours and care needs such as agitation and anxiety, and for improving the quality of life of people with dementia in care homes. Dementia Care Mapping (DCM™) is an established practice development tool and process aimed to help care home staff deliver more person-centred care. To date, few studies have evaluated the efficacy of DCM™ and have found mixed results. These results are suggested to be the outcome of intervention implementation, which may be impacted by a range of factors. This study reports the barriers and facilitators to DCM™ implementation in care homes found during the process evaluation conducted as part of a randomized controlled trial. Methods Eighteen of the 31 DCM™ intervention care homes were recruited to participate in the embedded process evaluation. Semi-structured interviews were conducted with 83 participants, comprising care home managers, trained DCM™ users (mappers), expert external mappers, staff members, relatives, and residents. Results Barriers and facilitators to DCM™ implementation were found at the mapper level (e.g. motivation and confidence), the DCM™ intervention level (e.g. understanding of DCM™) and the care home level (e.g. staffing issues, manager support). Further barriers caused by the burden of trial participation were also identified (e.g. additional paperwork). Conclusions Implementing DCM™ is complex and a greater consideration of potential barriers and facilitators in planning future studies and in practice could help improve implementation. Trial registration Current Controlled Trials ISRCTN82288852, registered 16/01/2014.http://link.springer.com/article/10.1186/s12877-019-1045-yPerson-centred careTraining implementationPsychosocial interventionDementia care mappingCare homesProcess evaluation |
| spellingShingle | Alys W. Griffiths Rachael Kelley Lucy Garrod Devon Perfect Olivia Robinson Emily Shoesmith Joanne McDermid Natasha Burnley Claire A. Surr Barriers and facilitators to implementing dementia care mapping in care homes: results from the DCM™ EPIC trial process evaluation BMC Geriatrics Person-centred care Training implementation Psychosocial intervention Dementia care mapping Care homes Process evaluation |
| title | Barriers and facilitators to implementing dementia care mapping in care homes: results from the DCM™ EPIC trial process evaluation |
| title_full | Barriers and facilitators to implementing dementia care mapping in care homes: results from the DCM™ EPIC trial process evaluation |
| title_fullStr | Barriers and facilitators to implementing dementia care mapping in care homes: results from the DCM™ EPIC trial process evaluation |
| title_full_unstemmed | Barriers and facilitators to implementing dementia care mapping in care homes: results from the DCM™ EPIC trial process evaluation |
| title_short | Barriers and facilitators to implementing dementia care mapping in care homes: results from the DCM™ EPIC trial process evaluation |
| title_sort | barriers and facilitators to implementing dementia care mapping in care homes results from the dcm™ epic trial process evaluation |
| topic | Person-centred care Training implementation Psychosocial intervention Dementia care mapping Care homes Process evaluation |
| url | http://link.springer.com/article/10.1186/s12877-019-1045-y |
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