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Lookup NU author(s): Dr Claire Dickinson, Dr Grant Gibson, Dr Zoe Gotts, Dr Lynne Stobbart, Professor Dame Louise Robinson
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).
Copyright © International Psychogeriatric Association 2017 Background:: Cognitive stimulation therapy (CST) is an evidence-based, cost-effective psychosocial intervention for people with dementia but is currently not a standard part of post-diagnostic care. This qualitative study explored the views and experiences of dementia care providers on the barriers and facilitators to its implementation in usual care. Method:: Thirty four semi-structured interviews (24 participants) were conducted across four dementia care sites in the North of England; ten were follow-up interviews. Data were analyzed using thematic analysis and then mapped to the Normalization Process Theory framework. Results:: Participants considered CST a “good fit” with their “preferred” ways of working and goals of dementia care namely the provision of person-centered services. For facilitators delivering the intervention, compared to other behavioral interventions, CST was seen to offer benefits to their work and was easy to understand as an intervention. Training in CST and seeing benefits for clients were important motivators. Time and resources were crucial for the successful implementation of CST. Participants were keen to objectively measure benefits to participants but unsure how to do this. Conclusions:: CST is a cost-effective psychosocial intervention for people with dementia, recommended by national guidance. Despite our findings which show that, using the NPT framework, there are more facilitators than barriers to the implementation of CST, it is still not a standard part of post-diagnostic dementia care. Further research is needed to explore the reasons for this implementation gap in ensuring evidence-based care in translated into practice.
Author(s): Dickinson C, Gibson G, Gotts Z, Stobbart L, Robinson L
Publication type: Article
Publication status: Published
Journal: International Psychogeriatrics
Year: 2017
Volume: 29
Issue: 11
Pages: 1869-1878
Print publication date: 01/11/2017
Online publication date: 13/07/2017
Acceptance date: 10/06/2017
Date deposited: 12/10/2017
ISSN (print): 1041-6102
ISSN (electronic): 1741-203X
Publisher: Cambridge University Press
URL: https://doi.org/10.1017/S1041610217001272
DOI: 10.1017/S1041610217001272
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