Alessandro Lanzoni1,2, Christian Pozzi3,4, Elena Lucchi5, Andrea Fabbo6,7, Maud J L Graff8, Carola M E Döpp9. 1. Cognitive Disorders and Dementia Unit, Department of Primary Care, AUSL Modena, Modena, Italy. a.lanzoni@ausl.mo.it. 2. Bachelor of Occupational Therapy, University of Modena and Reggio Emilia, Modena, Italy. a.lanzoni@ausl.mo.it. 3. University of Applied Sciences and Arts of Southern Switzerland, Centre of Competence On Ageing, Manno, Ticino, Switzerland. 4. PhD Student Public, Health University Milano Bicocca, Milano, Italy. 5. Elisabetta Germani Foundation, Cingia de Botti (CR), Italy. 6. Cognitive Disorders and Dementia Unit, Department of Primary Care, AUSL Modena, Modena, Italy. 7. Bachelor of Occupational Therapy, University of Modena and Reggio Emilia, Modena, Italy. 8. Scientific Institute for Quality of Healthcare and Department of Rehabilitation, Radboud University Medical Center, Radboud Institute for Health Sciences, Radboud Alzheimer Center, Nijmegen, The Netherlands. 9. Department of Rehabilitation, Radboud University Medical Center, Radboud Institute for Health Sciences, Radboud Alzheimer Center, Nijmegen, The Netherlands.
Abstract
BACKGROUND: Community Occupational Therapy in Dementia in Italy (COTID-IT) is a feasible and effective treatment that aims improving the quality of life and well-being of people with dementia and caregivers. The implementation of the program in the national context has not been studied yet. AIM: The objective of this study is to identify barriers and facilitators in the Italian implementation of the program. METHODS: We designed a quantitative cross-sectional survey. A questionnaire was developed to collect descriptive data regarding the respondents, the perceived barriers and facilitators regarding the application of COTiD and possible actions to promote the implementation process. RESULTS: The questionnaire was sent to all 90 Italian OTs trained in the use of COTiD-IT from 2013 to 2020. 50 people responded (61%). Barriers to the implementation of the COTID-IT included lack of knowledge about Occupational Therapy and the COTID-IT program by other health professionals. In addition, the scarcity of economic funds invested in home rehabilitation is experienced as another significant barrier. Facilitators were found to be the presence of an interprofessional team interested in the COTID-IT program and occupational therapy and the fact that COTID-IT is supported by scientific evidence. The creation of national and regional inter professional education and support groups, the availability of online resources are seen as opportunities to better implement the COTID-IT program. CONCLUSIONS: Implementation of psychosocial interventions is complex. OTs in Italy should be increasingly included within health policies and care programs of people with dementia to promote the use of COTID-IT. Further studies are needed to detail the policy and methodological actions that OTs should take in the future to disseminate and consolidate this intervention.
BACKGROUND: Community Occupational Therapy in Dementia in Italy (COTID-IT) is a feasible and effective treatment that aims improving the quality of life and well-being of people with dementia and caregivers. The implementation of the program in the national context has not been studied yet. AIM: The objective of this study is to identify barriers and facilitators in the Italian implementation of the program. METHODS: We designed a quantitative cross-sectional survey. A questionnaire was developed to collect descriptive data regarding the respondents, the perceived barriers and facilitators regarding the application of COTiD and possible actions to promote the implementation process. RESULTS: The questionnaire was sent to all 90 Italian OTs trained in the use of COTiD-IT from 2013 to 2020. 50 people responded (61%). Barriers to the implementation of the COTID-IT included lack of knowledge about Occupational Therapy and the COTID-IT program by other health professionals. In addition, the scarcity of economic funds invested in home rehabilitation is experienced as another significant barrier. Facilitators were found to be the presence of an interprofessional team interested in the COTID-IT program and occupational therapy and the fact that COTID-IT is supported by scientific evidence. The creation of national and regional inter professional education and support groups, the availability of online resources are seen as opportunities to better implement the COTID-IT program. CONCLUSIONS: Implementation of psychosocial interventions is complex. OTs in Italy should be increasingly included within health policies and care programs of people with dementia to promote the use of COTID-IT. Further studies are needed to detail the policy and methodological actions that OTs should take in the future to disseminate and consolidate this intervention.
Authors: Maud J L Graff; Myrra J M Vernooij-Dassen; Marjolein Thijssen; Joost Dekker; Willibrord H L Hoefnagels; Marcel G M Olde Rikkert Journal: BMJ Date: 2006-11-17
Authors: Christian Pozzi; Alessandro Lanzoni; Elena Lucchi; Lucia Bergamini; Petra Bevilacqua; Barbara Manni; Glenda Garzetta; Sara Barbieri; Sana Khazri; Rabih Chattat; Maud Graff; Andrea Fabbo; Alessandro Morandi Journal: Aging Clin Exp Res Date: 2018-11-28 Impact factor: 3.636
Authors: Maud J L Graff; Myrra J M Vernooij-Dassen; Marjolein Thijssen; Joost Dekker; Willibrord H L Hoefnagels; Marcel G M Olderikkert Journal: J Gerontol A Biol Sci Med Sci Date: 2007-09 Impact factor: 6.053
Authors: Maud J L Graff; Eddy M M Adang; Myrra J M Vernooij-Dassen; Joost Dekker; L Jönsson; Marjolein Thijssen; Willibrord H L Hoefnagels; Marcel G M Olde Rikkert Journal: BMJ Date: 2008-01-02
Authors: Carola M E Döpp; Maud J L Graff; Marcel G M Olde Rikkert; Maria W G Nijhuis van der Sanden; Myrra J F J Vernooij-Dassen Journal: Implement Sci Date: 2013-11-07 Impact factor: 7.327
Authors: Sally Bennett; Kate Laver; Sebastian Voigt-Radloff; Lori Letts; Lindy Clemson; Maud Graff; Jodie Wiseman; Laura Gitlin Journal: BMJ Open Date: 2019-11-11 Impact factor: 2.692