Kristin Lees Haggerty1, Randi Campetti1, Rebecca Jackson Stoeckle1, Gary Epstein-Lubow1,2, Leslie Chang Evertson3, Lynn Spragens4, Katherine Sy Serrano3, Lee A Jennings5, David B Reuben3. 1. Education Development Center, Inc, Waltham, Massachusetts, USA. 2. Department of Pscyhiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA. 3. Multicampus Program in Geriatric Medicine and Gerontology, David Geffen School of Medicine, University of California, Los Angeles, California, USA. 4. Spragens & Associates, LLC, Durham, North California, USA. 5. Section of Geriatric Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Abstract
BACKGROUND: Evidence-based models for providing effective and comprehensive care for Alzheimer's disease and related dementias exist but have yet to be successfully implemented at scale. The Alzheimer's and Dementia Care Program (ADC Program) is an effective comprehensive dementia care model that is being disseminated across the United States. This qualitative study examines barriers and facilitators to implementing the model among early adopting sites. METHODS: This study included semi-structured interviews with a total of 21 clinical site leaders and Dementia Care Specialists from a total of 11 sites across the US. Interviews were audio recorded, transcribed, and coded using Dedoose qualitative analysis software. Coding scheme development and data interpretation were informed by Rogers' Diffusion of Innovations framework. RESULTS: Key themes are organized in line with Rogers' framework. These include: the innovation-decision process, implementation and characteristics of the innovation, and sustainability. CONCLUSIONS: Across the three overarching themes presented in this manuscript, the importance of engagement from site leaders, the multifaceted nature of the dementia care specialist role, and the value of technical assistance from qualified experts are apparent. However, for this work to continue to be successful, there needs to be more appropriate payment to cover needed services and a mechanism for supporting comprehensive dementia care over time.
BACKGROUND: Evidence-based models for providing effective and comprehensive care for Alzheimer's disease and related dementias exist but have yet to be successfully implemented at scale. The Alzheimer's and Dementia Care Program (ADC Program) is an effective comprehensive dementia care model that is being disseminated across the United States. This qualitative study examines barriers and facilitators to implementing the model among early adopting sites. METHODS: This study included semi-structured interviews with a total of 21 clinical site leaders and Dementia Care Specialists from a total of 11 sites across the US. Interviews were audio recorded, transcribed, and coded using Dedoose qualitative analysis software. Coding scheme development and data interpretation were informed by Rogers' Diffusion of Innovations framework. RESULTS: Key themes are organized in line with Rogers' framework. These include: the innovation-decision process, implementation and characteristics of the innovation, and sustainability. CONCLUSIONS: Across the three overarching themes presented in this manuscript, the importance of engagement from site leaders, the multifaceted nature of the dementia care specialist role, and the value of technical assistance from qualified experts are apparent. However, for this work to continue to be successful, there needs to be more appropriate payment to cover needed services and a mechanism for supporting comprehensive dementia care over time.
Authors: Lee A Jennings; Zaldy Tan; Neil S Wenger; Erin A Cook; Weijuan Han; Heather E McCreath; Katherine S Serrano; Carol P Roth; David B Reuben Journal: J Am Geriatr Soc Date: 2016-06-29 Impact factor: 5.562
Authors: Lee A Jennings; Alison M Laffan; Anna C Schlissel; Erin Colligan; Zaldy Tan; Neil S Wenger; David B Reuben Journal: JAMA Intern Med Date: 2019-02-01 Impact factor: 21.873
Authors: David B Reuben; Thomas M Gill; Alan Stevens; Jeff Williamson; Elena Volpi; Maya Lichtenstein; Lee A Jennings; Zaldy Tan; Leslie Evertson; David Bass; Lisa Weitzman; Martie Carnie; Nancy Wilson; Katy Araujo; Peter Charpentier; Can Meng; Erich J Greene; James Dziura; Jodi Liu; Erin Unger; Mia Yang; Katherine Currie; Kristin M Lenoir; Aval-NaʼRee S Green; Sitara Abraham; Ashley Vernon; Rafael Samper-Ternent; Mukaila Raji; Roxana M Hirst; Rebecca Galloway; Glen R Finney; Ilene Ladd; Alanna Kulchak Rahm; Pamela Borek; Peter Peduzzi Journal: J Am Geriatr Soc Date: 2020-10-06 Impact factor: 5.562
Authors: David B Reuben; Leslie Chang Evertson; Rebecca Jackson-Stoeckle; Gary Epstein-Lubow; Lynn Hill Spragens; Kristin Lees Haggerty; Katherine Sy Serrano; Lee A Jennings Journal: J Am Geriatr Soc Date: 2022-06-09 Impact factor: 7.538
Authors: David B Reuben; Leslie C Evertson; Neil S Wenger; Katherine Serrano; Joshua Chodosh; Linda Ercoli; Zaldy S Tan Journal: J Am Geriatr Soc Date: 2013-12-03 Impact factor: 5.562
Authors: Kristin Lees Haggerty; Gary Epstein-Lubow; Lynn H Spragens; Rebecca J Stoeckle; Leslie C Evertson; Lee A Jennings; David B Reuben Journal: J Am Geriatr Soc Date: 2020-09-25 Impact factor: 5.562
Authors: Lee A Jennings; Maurice Turner; Chandra Keebler; Carl H Burton; Tahmineh Romero; Neil S Wenger; David B Reuben Journal: J Am Geriatr Soc Date: 2019-01-24 Impact factor: 7.538