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Open Access 01-12-2024 | Dementia | Research

Factors influencing the commissioning and implementation of health and social care interventions for people with dementia: commissioner and stakeholder perspectives

Authors: Rachael Tucker, Robert Vickers, Emma J. Adams, Clare Burgon, Juliette Lock, Sarah E. Goldberg, John Gladman, Tahir Masud, Elizabeth Orton, Stephen Timmons, Rowan H. Harwood

Published in: Archives of Public Health | Issue 1/2024

Abstract

Background

Despite several interventions demonstrating benefit to people living with dementia and their caregivers, few have been translated and implemented in routine clinical practice. There is limited evidence of the barriers and facilitators for commissioning and implementing health and social care interventions for people living with dementia. The aim of the current study was to explore the barriers and facilitators to commissioning and implementing health and social care interventions for people with dementia, using a dementia friendly exercise and physical activity-based intervention (PrAISED [Promoting Activity, Stability and Independence in Early Dementia and Mild Cognitive Impairment]) as a case study.

Methods

Qualitative semi-structured interviews were conducted with stakeholders from a range of backgrounds including individuals from health and social care, local government, the voluntary and community sector, universities, and research centres in England. The Consolidated Framework for Intervention Research (CFIR) was used to guide the design and analysis.

Results

Fourteen participants took part, including commissioning managers, service managers, partnership managers, charity representatives, commercial research specialists, academics/researchers, and healthcare professionals. Data were represented in 33 constructs across the five CFIR domains. Participants identified a need for greater support for people diagnosed with dementia and their caregivers immediately post dementia diagnosis. Key barriers included cost/financing, the culture of commissioning, and available resources. Key facilitators included the adaptability of the intervention, cosmopolitanism/partnerships and connections, external policy and incentives, and the use of already existing (and untapped) workforces.

Conclusion

Several barriers and facilitators for commissioning and implementing health and social care interventions for people with dementia were identified which need to be addressed. Recommended actions to facilitate the commissioning and implementation of dementia friendly services are: 1) map out local needs, 2) evidence the intervention including effectiveness and cost-effectiveness, 3) create/utilise networks with stakeholders, and 4) plan required resources.

Available only for authorised users

One participant identified television actress Vicky McClure who had worked extensively with a dementia choir, increasing awareness of the condition (see https://www.ourdementiachoir.com/about-the-choir).

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Title: Factors influencing the commissioning and implementation of health and social care interventions for people with dementia: commissioner and stakeholder perspectives
Authors: Rachael Tucker
Robert Vickers
Emma J. Adams
Clare Burgon
Juliette Lock
Sarah E. Goldberg
John Gladman
Tahir Masud
Elizabeth Orton
Stephen Timmons
Rowan H. Harwood
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Dementia
Dementia
Published in: Archives of Public Health / Issue 1/2024
Electronic ISSN: 2049-3258
DOI: https://doi.org/10.1186/s13690-024-01283-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Factors influencing the commissioning and implementation of health and social care interventions for people with dementia: commissioner and stakeholder perspectives

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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