Evidence map›Paper›PMID 38654372›Full record

ArticleArchives of public health = Archives belges de sante publique2024

Factors influencing the commissioning and implementation of health and social care interventions for people with dementia: commissioner and stakeholder perspectives.

Rachael Tucker, Robert Vickers, Emma J Adams, Clare Burgon, Juliette Lock, Sarah E Goldberg, John Gladman, Tahir Masud, Elizabeth Orton, Stephen Timmons and 1 more

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Is the 10-Year Trajectory of Physical Activity Associated With the Incidence of Mild Cognitive Impairment in Older Adults?Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2026
    Article
  3. Article
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

11 authors.

Rachael TuckerSchool of Health Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, UK.ORCID http://orcid.org/0000-0001-8133-1909
Robert VickersSchool of Medicine, University of Nottingham, Queen's Medical Centre, Nottingham, UK.ORCID http://orcid.org/0000-0002-3031-2940
Emma J AdamsSchool of Health Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, UK. emma.adams@nottingham.ac.uk.ORCID http://orcid.org/0000-0002-5444-6951
Clare BurgonSchool of Medicine, University of Nottingham, Queen's Medical Centre, Nottingham, UK.ORCID http://orcid.org/0000-0002-4910-9969
Juliette LockSchool of Medicine, University of Nottingham, Queen's Medical Centre, Nottingham, UK.ORCID http://orcid.org/0000-0003-2028-6889
Sarah E GoldbergSchool of Health Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, UK.ORCID http://orcid.org/0000-0001-5109-798X
John GladmanSchool of Medicine, University of Nottingham, Queen's Medical Centre, Nottingham, UK.ORCID http://orcid.org/0000-0002-8506-7786
Tahir MasudNottingham University Hospitals NHS Trust, Nottingham, UK.ORCID http://orcid.org/0000-0003-1061-2898
Elizabeth OrtonSchool of Medicine, University of Nottingham, Queen's Medical Centre, Nottingham, UK.ORCID http://orcid.org/0000-0002-2531-8846
Stephen TimmonsNottingham University Business School, Nottingham, UK.ORCID http://orcid.org/0000-0002-3731-1350
Rowan H HarwoodSchool of Health Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, UK.ORCID http://orcid.org/0000-0002-4920-6718

Funding

National Institute for Health and Care Research RP-PG-0614-20007
6 · The paper itself

Abstract

backgroundDespite several interventions demonstrating benefit to people living with dementia and their caregivers, few have been translated and implemented in routine clinical practice. There is limited evidence of the barriers and facilitators for commissioning and implementing health and social care interventions for people living with dementia. The aim of the current study was to explore the barriers and facilitators to commissioning and implementing health and social care interventions for people with dementia, using a dementia friendly exercise and physical activity-based intervention (PrAISED [Promoting Activity, Stability and Independence in Early Dementia and Mild Cognitive Impairment]) as a case study.

methodsQualitative semi-structured interviews were conducted with stakeholders from a range of backgrounds including individuals from health and social care, local government, the voluntary and community sector, universities, and research centres in England. The Consolidated Framework for Intervention Research (CFIR) was used to guide the design and analysis.

resultsFourteen participants took part, including commissioning managers, service managers, partnership managers, charity representatives, commercial research specialists, academics/researchers, and healthcare professionals. Data were represented in 33 constructs across the five CFIR domains. Participants identified a need for greater support for people diagnosed with dementia and their caregivers immediately post dementia diagnosis. Key barriers included cost/financing, the culture of commissioning, and available resources. Key facilitators included the adaptability of the intervention, cosmopolitanism/partnerships and connections, external policy and incentives, and the use of already existing (and untapped) workforces.

conclusionSeveral barriers and facilitators for commissioning and implementing health and social care interventions for people with dementia were identified which need to be addressed. Recommended actions to facilitate the commissioning and implementation of dementia friendly services are: 1) map out local needs, 2) evidence the intervention including effectiveness and cost-effectiveness, 3) create/utilise networks with stakeholders, and 4) plan required resources.

Indexed as

BarriersCognitive impairmentCommissioningDementiaFacilitatorsImplementationPhysical activity

Identifiers

PMID38654372
PMCPMC11036601

What OpenQuestion holds

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LicenceCC BY
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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.