| Barriers to and facilitators for the use of an evidence-based occupational therapy guideline for older people with dementia and their carers. | |
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MedLine Citation:
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PMID: 21953765 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: Implementing evidence-based guidelines is not a simple task. This study aimed to define barriers to and facilitators for implementing the proven and effective Community Occupational Therapy in Dementia (COTiD) guideline for older people with dementia and their carers. METHODS: The qualitative method we used was the grounded theory. We collected data from focus group interviews with 17 occupational therapists (OTs) and telephone interviews with 10 physicians and 4 managers. We analysed the data with the constant comparative method by identifying codes, categories, and main themes. RESULTS: The main themes in barriers that OTs encountered were that they did not feel competent in treating older people with dementia at home according to the guideline; they had difficulties prioritising in this complex treatment, both for the client and themselves; and they were unsure about the minimal criteria for guideline adherence. The intensity of this programme was the main barrier. The barriers that confronted physicians and managers were lack of knowledge about occupational therapy and its reimbursement and lack of available trained OTs. For the OTs, the guideline's content and focus, evidence, and external support facilitated the use of the guideline. For physicians and managers, the guideline's evidence base and its benefits for clients and carers were the main facilitators. CONCLUSIONS: This study generates knowledge for applying innovations in health care settings. Improvement of the OTs' knowledge and self-confidence is needed for using the guideline. We expect that more competent OTs will motivate their physicians and managers to use this successful COTiD intervention. Copyright © 2011 John Wiley & Sons, Ltd. |
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Authors:
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Netta Van't Leven; Maud J L Graff; Marleen Kaijen; Bert J M de Swart; Marcel G M Olde Rikkert; Myrra J M Vernooij-Dassen |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-9-27 |
Journal Detail:
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Title: International journal of geriatric psychiatry Volume: - ISSN: 1099-1166 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-9-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8710629 Medline TA: Int J Geriatr Psychiatry Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 John Wiley & Sons, Ltd. |
Affiliation:
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Radboud University Nijmegen Medical Centre (RUNMC), Department IQ Healthcare, Nijmegen Centre for Evidence-Based Practice (NCEBP), Nijmegen, the Netherlands; Rotterdam University, Institute for Health Care, Rotterdam, the Netherlands. m.a.van.t.leven@hr.nl. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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