KIRSTY SPRANGE KIRSTY.SPRANGE@NOTTINGHAM.AC.UK
Assistant Professor
Journeying through Dementia Randomised Controlled Trial of a Psychosocial Intervention for People Living with Early Dementia: Embedded Qualitative Study with Participants, Carers and Interventionists
Sprange, Kirsty; Beresford-Dent, Jules; Mountain, Gail; Thomas, Ben; Wright, Jessica; Mason, Clare; Cooper, Cindy L
Authors
Jules Beresford-Dent
Gail Mountain
Ben Thomas
Jessica Wright
Clare Mason
Cindy L Cooper
Abstract
Objectives: To identify the barriers and facilitators to the implementation of a complex psychosocial intervention though a study exploring the experiences of participants, carers and interventionists during a trial
Methods: Individual semi-structured interviews were conducted with participants, their carers, and interventionists from a sample of recruiting sites that took part in the Journeying through Dementia randomized controlled trial (RCT). Interview data were transcribed and analysed using Framework analysis. Co-researcher data analysis workshops were also conducted to explore researcher interpretations of the data through the lens of those with lived experience of dementia. Triangulation enabled comparison of findings from the interviews with findings from the co-researcher workshops.
Results: Three main themes emerged from the interview data: being prepared; intervention engagement; and participation and outcomes from engagement. From these themes a number of factors that can moderate delivery and receipt of the intervention as intended were identified. These were: context and environment; readiness, training, skills and competencies of the workforce; identifying meaningful participation and relationships.
Conclusion: This study highlighted that the observed benefit of the intervention was was nuanced for each individual. Mechanisms of change were influenced by a range of individual, social and contextual factors. Future research should therefore consider how best to identify and measure the multifaceted interplay of mechanisms of change in complex interventions.
Trial registration: ISRCTN17993825
Journal Article Type | Article |
---|---|
Acceptance Date | Jan 12, 2021 |
Online Publication Date | Feb 4, 2021 |
Publication Date | Feb 4, 2021 |
Deposit Date | Feb 4, 2021 |
Publicly Available Date | Feb 8, 2021 |
Journal | Clinical Interventions in Aging |
Publisher | Dove Medical Press |
Peer Reviewed | Peer Reviewed |
Volume | 16 |
Pages | 231-244 |
DOI | https://doi.org/10.2147/cia.s293921 |
Keywords | Psychosocial, self-management, dementia, wellbeing, occupational therapy, qualitative |
Public URL | https://nottingham-repository.worktribe.com/output/5248829 |
Publisher URL | https://www.dovepress.com/journeying-through-dementia-randomised-controlled-trial-of-a-psychosoc-peer-reviewed-article-CIA |
Files
Cia-293921-journeying-through-dementia-randomised-controlled-trial-of-a
(460 Kb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/
You might also like
Downloadable Citations
About Repository@Nottingham
Administrator e-mail: discovery-access-systems@nottingham.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search