Evidence map›Paper›PMID 42464705›Full record

ArticleInternational journal of geriatric psychiatry2026

Bridging the Gap in Dementia Rehabilitation: Evaluating the Impact of the INCLUDE Package on Allied Health Professionals' Knowledge, Attitudes and Practice Change.

Den-Ching A Lee, Catherine Devanny, Grant Russell, Claire M C O'Connor, Keith D Hill, Kate Swaffer, Monica Cations, Kate Laver, Lee-Fay Low, Barbara Barbosa Neves and 2 more

Abstract read
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In one paragraph

Article in International journal of geriatric psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Den-Ching A LeeRehabilitation Ageing and Independent Living (RAIL) Research Centre, Monash University, Frankston, Victoria, Australia.ORCID https://orcid.org/0000-0003-2693-8606
Catherine DevannyNational Centre for Healthy Ageing, Monash University and Peninsula Health, Frankston, Victoria, Australia.ORCID https://orcid.org/0009-0003-2183-8574
Grant RussellSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-3773-2355
Claire M C O'ConnorSchool of Psychology, University of New South Wales, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-3541-708X
Keith D HillRehabilitation Ageing and Independent Living (RAIL) Research Centre, Monash University, Frankston, Victoria, Australia.ORCID https://orcid.org/0000-0002-2191-0308
Kate SwafferSchool of Social Work and Social Care, Adelaide University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0001-8963-2431
Monica CationsCollege of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-9262-0463
Kate LaverCaring Futures Institute, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-0259-2209
Lee-Fay LowFaculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0001-9283-3525
Barbara Barbosa NevesSchool of Social and Political Sciences, The Sydney Centre for Healthy Societies, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4490-4322
Helen SkouterisSchool of Public Health and Preventive Medicine, Health and Social Care Unit, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-9959-5750
Michele L CallisayaNational Centre for Healthy Ageing, Monash University and Peninsula Health, Frankston, Victoria, Australia.ORCID https://orcid.org/0000-0003-2122-1622

Funding

Medical Research Future Fund 2015947
6 · The paper itself

Abstract

objectivesDespite evidence and guidelines supporting rehabilitation, people with dementia experience limited access due to health professionals' attitudes, knowledge gaps, and systemic barriers. The INCLUDE package is an interdisciplinary online training programme and Community of Practice (CoP) designed to address these barriers. The aim of this study was to evaluate the impact of the INCLUDE package on health professionals' knowledge, attitudes, confidence, advocacy, and practice change in dementia rehabilitation.

methodsA pre-post longitudinal study involved two groups of health professionals across Australia. Group 1 (n = 103) completed the online training and an 8-month CoP; Group 2 (n = 373) completed training only. Surveys administered at pre-training (T1), post-training (T2), and 10-month follow-up (T3; Group 1 only) assessed knowledge, attitudes and confidence towards dementia and dementia rehabilitation. Multilevel mixed-effects regression models were used to examine changes over time. Content analysis was used to explore advocacy, practice changes, barriers, and sustainability.

results476 health professionals participated. The largest groups were physiotherapists (n = 121, 26.7%), occupational therapists (n = 120, 26.5%) and nurses (n = 37,13.6%). The Dementia Attitudes Scale (coefficient 10.4, 95% CI 9.4-11.4), Dementia Rehabilitation Questionnaire (3.8, 95% CI 3.0-4.5), and Confidence in Delivering Dementia Rehabilitation Scale (3.2, 95% CI 2.8-3.5) improved from T1 to T2. In Group 1, improvements in attitudes towards dementia and confidence in rehabilitation were sustained at T3, but knowledge and attitudes towards dementia rehabilitation declined from T2 to T3. Participants advocated for dementia rehabilitation and made changes in their workplace including revising rehabilitation access criteria, advertising dementia rehabilitation to referrers, and developing interdisciplinary programs.

conclusionsThe INCLUDE package improved health professionals' attitudes, knowledge and confidence in dementia rehabilitation. Although participants made changes in their workplace, barriers still existed. Organisational and system-level changes are also required to improve access to dementia rehabilitation.

trial registrationThis study is registered with the Australian New Zealand Clinical Trials Registry: ACTRN12623001029684.

Indexed as

Allied Health PersonnelAttitude of Health PersonnelDementiaHealth Knowledge, Attitudes, PracticeAdultAustraliaCommunity of PracticeFemaleHumansLongitudinal StudiesMaleMiddle Agedadvocacyallied healthattitudecommunity of practiceconfidencedementiaknowledgeonline trainingpractice changerehabilitation

Identifiers

PMID42464705
PMCPMC13376995

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.