Evidence map›Paper›PMID 29739358›Full record

Trial reportBMC geriatrics2018

Implementation of an evidence-based intervention to improve the wellbeing of people with dementia and their carers: study protocol for 'Care of People with dementia in their Environments (COPE)' in the Australian context.

Lindy Clemson, Kate Laver, Yun-Hee Jeon, Tracy A Comans, Justin Scanlan, Miia Rahja, Jennifer Culph, Lee-Fay Low, Sally Day, Monica Cations and 4 more

Open access · goldAbstract readClinical TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
6.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

Lindy ClemsonFaculty of Health Sciences, The University of Sydney, Centre of Excellence in Population Ageing Research, Sydney, 2006, Australia. lindy.clemson@sydney.edu.au.ORCID 0000-0003-2687-1114
Kate LaverFlinders University, Adelaide, Australia.
Yun-Hee JeonFaculty of Health Sciences, The University of Sydney, Centre of Excellence in Population Ageing Research, Sydney, 2006, Australia.
Tracy A ComansThe University of Queensland, Brisbane, Australia.
Justin ScanlanFaculty of Health Sciences, The University of Sydney, Centre of Excellence in Population Ageing Research, Sydney, 2006, Australia.
Miia RahjaFlinders University, Adelaide, Australia.
Jennifer CulphFaculty of Health Sciences, The University of Sydney, Centre of Excellence in Population Ageing Research, Sydney, 2006, Australia.
Lee-Fay LowFaculty of Health Sciences, The University of Sydney, Centre of Excellence in Population Ageing Research, Sydney, 2006, Australia.
Sally DayFaculty of Health Sciences, The University of Sydney, Centre of Excellence in Population Ageing Research, Sydney, 2006, Australia.
Monica CationsFlinders University, Adelaide, Australia.
Maria CrottyFlinders University, Adelaide, Australia.
Susan KurrleFaculty of Health Sciences, The University of Sydney, Centre of Excellence in Population Ageing Research, Sydney, 2006, Australia.
Catherine PiersolThomas Jefferson University, Philadelphia, USA.
Laura N GitlinDexel University, Philadelphia, USA.
The University of Sydney · AUFlinders University · AUThe University of Queensland · AUThomas Jefferson University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are effective non-pharmacological treatment programs that reduce functional disability and changed behaviours in people with dementia. However, these programs (such as the Care of People with dementia in their Environments (COPE) program) are not widely available. The primary aim of this study is to determine the strategies and processes that enable the COPE program to be implemented into existing dementia care services in Australia.

methodsThis study uses a mixed methods approach to test an implementation strategy. The COPE intervention (up to ten consultations with an occupational therapist and up to two consultations with a nurse) will be implemented using a number of strategies including planning (such as developing and building relationships with dementia care community service providers), educating (training nurses and occupational therapists in how to apply the intervention), restructuring (organisations establishing referral systems; therapist commitment to provide COPE to five clients following training) and quality management (coaching, support, reminders and fidelity checks). Qualitative and quantitative data will contribute to understanding how COPE is adopted and implemented. Feasibility, fidelity, acceptability, uptake and service delivery contexts will be explored and a cost/benefit evaluation conducted. Client outcomes of activity engagement and caregiver wellbeing will be assessed in a pragmatic pre-post evaluation. DISCUSSION: While interventions that promote independence and wellbeing are effective and highly valued by people with dementia and their carers, access to such programs is limited. Barriers to translation that have been previously identified are addressed in this study, including limited training opportunities and a lack of confidence in clinicians working with complex symptoms of dementia. A strength of the study is that it involves implementation within different types of existing services, such as government and private providers, so the study will provide useful guidance for further future rollout.

trial registration16 February 2017; ACTRN12617000238370 .

Indexed as

AustraliaCaregiversCommunicationCost-Benefit AnalysisDelivery of Health CareDementiaEvidence-Based MedicineFemaleHealth PersonnelHumansIndependent LivingMaleCaregiverDementiaFunctional declineImplementation scienceNonpharmacological interventionsNursingOccupational therapy

Identifiers

PMID29739358
PMCPMC5941473
OpenAlexW2805285798

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.