Real-world occupational therapy interventions for early-stage dementia: Characteristics and contextual barriers

Author:

Edwards Bethan M1ORCID,Busse Monica2ORCID,Clouston Teena J3ORCID,Hannigan Ben3ORCID

Affiliation:

1. Service User Research Enterprise (SURE), Institute of Psychiatry, Psychology and Neuroscience, King’s College London, UK School of Healthcare Sciences, Cardiff University, UK Research and Development Department, Cwm Taf Morgannwg University Health Board, UK

2. Centre for Trials Research, Cardiff University, UK

3. School of Healthcare Sciences, Cardiff University, UK

Abstract

Aim There is an absence of evidence generated in a UK context to support interventions based on occupational therapists’ core skills for people living with early-stage dementia. To inform the development of a programme theory and a future evaluation, this paper aimed to describe real-world (routine) community-based occupational therapy interventions for this population and contextual barriers. Method Occupational therapy practitioners ( n = 21) from five Health Boards in Wales, UK participated in semi-structured interviews ( n = 17) which were audio recorded, transcribed, and analysed thematically. Findings The availability of, and access to, real-world community-based interventions was variable, and associated with multilevel contextual barriers (resources, understanding of dementia specialist occupational therapy, professional influence, and evidence base). Where available and accessible, contents comprised a pre-intervention component (relational work, assessment, and goal setting) and intervention component (personalised problem-solving and coping strategies, emotional support, and advice and signposting), to meet needs associated with everyday activities and poor wellbeing. Variation in mode, duration, contents, and who received interventions, was associated with contextual barriers. Conclusion Findings indicate that the development of an intervention programme theory and future evaluation design, will need to account for the impact context may have on the variability of real-world intervention characteristics, and how this in turn may influence outcomes.

Funder

Royal College of Occupational Therapists Research Foundation

Health and Care Research Wales

Publisher

SAGE Publications

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3