Grip on challenging behavior: process evaluation of the implementation of a care program

详细信息    查看全文

• 作者：Sandra A Zwijsen (5)
  Martin Smalbrugge (5)
  Jan A Eefsting (6)
  Debby L Gerritsen (7)
  Cees MPM Hertogh (5)
  Anne Margriet Pot (8) (9)
  
  5. Department of General Practice and Elderly Care Medicine/EMGO鈥?鈥塈nstitute for Health and Care Research ; VU Medical Center ; Amsterdam ; the Netherlands
  6. Zonnehuisgroep IJssel-Vecht ; Zwolle ; the Netherlands
  7. Department of Primary and Community Care ; Centre for Family Medicine ; Geriatric Care and Public Health ; Radboud University Nijmegen Medical Centre ; Nijmegen ; the Netherlands
  8. Department of Clinical Psychology ; Faculty of Psychological and Educational Sciences ; EMGO鈥?鈥塈nstitute for Health and Care Research ; VU University ; Amsterdam ; the Netherlands
  9. Netherlands Institute of Mental Health and Addiction ; Utrecht ; the Netherlands
  
• 关键词：Nursing home ; Dementia ; Behavior ; Process evaluation ; Implementation ; Intervention
• 刊名：Trials
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：15
• 期：1
• 全文大小：747 KB
• 参考文献：1. Zuidema, S, Koopmans, R, Verhey, F (2007) Prevalence and predictors of neuropsychiatric symptoms in cognitively impaired nursing home patients. J Geriatr Psychiatry Neurol 20: pp. 41-49 CrossRef
  2. Van de Ven- Vakhteeva, J, Bor, H, Wetzels, RB, Koopmans, RT, Zuidema, SU (2013) The impact of antipsychotics and neuropsychiatric symptoms on the quality of life of people with dementia living in nursing homes. Int J Geriatr Psychiatry 28: pp. 530-538 58" target="_blank" title="It opens in new window">CrossRef
  3. Schmidt, SG, Dichter, MN, Palm, R, Hasselhorn, HM (2012) Distress experienced by nurses in response to the challenging behaviour of residents - evidence from German nursing homes. J Clin Nurs 21: pp. 3134-3142 CrossRef
  4. Dorland, LM, Pot, AM, Verbeek, MA, Depla, M (2007) [Psychological assistance for older people in care homes and nursing homes; substudy 7] [in Dutch]. Trimbos, Utrecht
  5. Zwijsen, SA, Smalbrugge, M, Zuidema, SU, Koopmans, RT, Bosmans, JE, van Tulder, MW, Eefsting, JA, Gerritsen, DL, Pot, AM (2011) Grip on challenging behaviour: a multidisciplinary care programme for managing behavioural problems in nursing home residents with dementia. Study protocol. BMC Health Serv Res 11: pp. 41 CrossRef
  6. Leontjevas, R, Gerritsen, DL, Koopmans, RT, Smalbrugge, M, Vernooij-Dassen, MJ (2012) Process evaluation to explore internal and external validity of the "Act in Case of Depression" care program in nursing homes. J Am Med Dir Assoc 13: pp. 488
  7. Stuijt, CC, Klopotowska, JE, Kluft-van, DC, Le, N, Binnekade, J, van der Kleij, B, van der Schors, T, van den Bemt, P, Lie-A-Huen, L (2013) Improving medication administration in nursing home residents with swallowing difficulties: sustainability of the effect of a multifaceted medication safety programme. Pharmacoepidemiol Drug Saf 22: pp. 423-429 CrossRef
  8. Plooij, B (2012) (Under)treatment of pain in dementia [PhD Thesis]. VU University, Amsterdam
  9. Sharkey, S, Hudak, S, Horn, SD, Barrett, R, Spector, W, Limcangco, R (2013) Exploratory study of nursing home factors associated with successful implementation of clinical decision support tools for pressure ulcer prevention. Adv Skin Wound Care 26: pp. 83-92 59326.bb" target="_blank" title="It opens in new window">CrossRef
  10. Saunders, RP, Evans, MH, Joshi, P (2005) Developing a process-evaluation plan for assessing health promotion program implementation: a how-to guide. Health Promot Pract 6: pp. 134-147 524839904273387" target="_blank" title="It opens in new window">CrossRef
  11. Steckler, A, Linnan, L (2002) Process Evaluation for Public Health Interventions and Research. Jossey-Bass, San Francisco CA
  12. Glasgow, RE, Vogt, TM, Boles, SM (1999) Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health 89: pp. 1322-1327 5/AJPH.89.9.1322" target="_blank" title="It opens in new window">CrossRef
  13. Baranowski, T, Stables, G (2000) Process evaluations of the 5-a-day projects. Health Educ Behav 27: pp. 157-166 CrossRef
  14. Eldridge, S, Ashby, D, Bennett, C, Wakelin, M, Feder, G (2008) Internal and external validity of cluster randomised trials: systematic review of recent trials. BMJ 336: pp. 876-880 517.495764.25" target="_blank" title="It opens in new window">CrossRef
  15. Rothwell, PM (2005) External validity of randomised controlled trials: "to whom do the results of this trial apply?". Lancet 365: pp. 82-93 CrossRef
  16. Willemse, BM, de Jonge, J, Smit, D, Depla, MF, Pot, AM (2012) The moderating role of decision authority and coworker and supervisor support on the impact of job demands in nursing homes: a cross-sectional study. Int J Nurs Stud 49: pp. 822-833 CrossRef
  17. Willemse, BM, Smit, D, de Lange, J, Pot, AM (2011) Nursing home care for people with dementia and residents' quality of life, quality of care and staff well-being: design of the Living Arrangements for people with Dementia (LAD)-study. BMC Geriatr 11: pp. 11 CrossRef
  18. Koopmans, RT, Lavrijsen, JC, Hoek, JF, Went, PB, Schols, JM (2010) Dutch elderly care physician: a new generation of nursing home physician specialists. J Am Geriatr Soc 58: pp. 1807-1809 532-5415.2010.03043.x" target="_blank" title="It opens in new window">CrossRef
  19. Zwijsen, SA, Gerritsen, DL, Eefsting, JA, Hertogh, CM, Pot, AM, Smalbrugge, M (2014) The development of the Grip on Challenging Behaviour dementia care programme. Int J Palliat Nurs 20: pp. 15-21 5" target="_blank" title="It opens in new window">CrossRef
  20. Kaufer, DI, Cummings, JL, Ketchel, P, Smith, V, MacMillan, A, Shelley, T, Lopez, OL, DeKosky, ST (2000) Validation of the NPI-Q, a brief clinical form of the Neuropsychiatric Inventory. J Neuropsychiatry Clin Neurosci 12: pp. 233-239
  IBM SPSS Statistics for Windows, Version 20.0. IBM Corp, Armonk, NY
  21. Hsieh, HF, Shannon, SE (2005) Three approaches to qualitative content analysis. Qual Health Res 15: pp. 1277-1288 5276687" target="_blank" title="It opens in new window">CrossRef
  22. Sagheei, M (2006) Random Allocation Software. Department of Anesthesia, University of Medical Science, Isfahan, Iran
  23. Hawkins, RP, Kreuter, M, Resnicow, K, Fishbein, M, Dijkstra, A (2008) Understanding tailoring in communicating about health. Health Educ Res 23: pp. 454-466 CrossRef
  24. Shortell, SM, Marsteller, JA, Lin, M, Pearson, ML, Wu, SY, Mendel, P, Cretin, S, Rosen, M (2004) The role of perceived team effectiveness in improving chronic illness care. Med Care 42: pp. 1040-1048 5650-200411000-00002" target="_blank" title="It opens in new window">CrossRef
  25. Pot, AM, De Lange, J (2010) [Dementia housing monitor. A study into nursing home care for people with dementia.] [in Dutch]. Trimbos, Utrecht
  26. Grol, R, Wensing, M, Boscg, M, Hulscher, M, Eccles, M Theories on implementation. In: Grol, R, Wensing, M eds. (2011) [Implementation. Effective improvements in patient care.] [in Dutch]. Reed Business, Amsterdam, pp. 42-73
  27. Quinn, R, Rohrbaugh, I (1981) A competing values approach to organizational effectiveness. Publ Prod Rev 5: pp. 122-140 CrossRef
  28. Stock, GN, McDermott, CM (2001) Organizational and strategic predictors of manufacturing technology implementation success: an exploratory study. Technovation 21: pp. 625-636 51-7" target="_blank" title="It opens in new window">CrossRef
  
• 刊物主题：Medicine/Public Health, general; Biomedicine general; Statistics for Life Sciences, Medicine, Health Sciences;
• 出版者：BioMed Central
• ISSN：1745-6215

文摘

Background The Grip on Challenging Behavior care program for managing challenging behavior was implemented in the dementia special care units of 17 Dutch nursing homes. A process evaluation of the implementation of the care program was performed to determine the quality of the implementation and the lessons to be learned for future implementation. Methods The care program was implemented according to a stepped wedge design. First-order data (data on recruitment, reach, relevance and feasibility) were used to determine the validity of the study, and second-order data (intervention quality and the barriers and facilitators for implementing the care program) were used to describe the implementation process. Two structured questionnaires were administered to care staff and key stakeholders and semi-structured interviews were held in the units. Results University affiliated and non-affiliated nursing homes from different parts of the Netherlands participated. The resident participation rate was over 95% and the participation rate for the training sessions was 82%. Respondents considered the care program relevant and feasible. The degree of implementation was not optimal. The barriers and facilitators in implementing the care program could be divided into three categories: organizational aspects, culture on the unit and aspects of the care program itself. Conclusions The recruitment, reach, relevance and feasibility are sufficient to allow for analysis and generalization of the effects of the care program, but the degree of implementation should be taken into account in further analysis. Future projects that involve implementation should consider the specific features of the organization and the cultural orientation of the unit to better adapt to specific needs. Trial registration The Netherlands National Trial register under number NTR2141 registered on 11 December 2009. Randomization took place in November 2010, and the first intervention group started using the intervention in February 2011.