dc.contributor.author | Kelleher, D | en_US |
dc.contributor.author | Windle, K | en_US |
dc.contributor.author | Randell, R | en_US |
dc.contributor.author | Lord, K | en_US |
dc.contributor.author | Duffy, L | en_US |
dc.contributor.author | Akhtar, A | en_US |
dc.contributor.author | Budgett, J | en_US |
dc.contributor.author | Zabihi, S | en_US |
dc.contributor.author | Banks, S | en_US |
dc.contributor.author | Rapaport, P | en_US |
dc.contributor.author | Lee, T | en_US |
dc.contributor.author | Barber, J | en_US |
dc.contributor.author | Orgeta, V | en_US |
dc.contributor.author | Manthorpe, J | en_US |
dc.contributor.author | Walters, K | en_US |
dc.contributor.author | Rockwood, K | en_US |
dc.contributor.author | Dow, B | en_US |
dc.contributor.author | Hoe, J | en_US |
dc.contributor.author | Banerjee, S | en_US |
dc.contributor.author | Cooper, C | en_US |
dc.date.accessioned | 2024-06-20T13:19:25Z | |
dc.date.issued | 2024-05-01 | en_US |
dc.identifier.uri | https://qmro.qmul.ac.uk/xmlui/handle/123456789/97558 | |
dc.description.abstract | INTRODUCTION: This process evaluation was conducted in parallel to the randomised controlled feasibility trial of NIDUS-Professional, a manualised remote dementia training intervention for homecare workers (HCWs), delivered alongside an individualised intervention for clients living with dementia and their family carers (NIDUS-Family). The process evaluation reports on: (i) intervention reach, dose and fidelity; (ii) contexts influencing agency engagement and (iii) alignment of findings with theoretical assumptions about how the intervention might produce change. METHODS: We report proportions of eligible HCWs receiving any intervention (reach), number of sessions attended (dose; attending ≥4/6 main sessions was predefined as adhering), intervention fidelity and adherence of clients and carers to NIDUS-Family (attending all 6-8 planned sessions). We interviewed HCWs, managers, family carers and facilitators. We integrated and thematically analysed, at the homecare agency level, qualitative interview and intervention recording data. RESULTS: 32/141 (23%) of eligible HCWs and 7/42 (17%) of family carers received any intervention; most who did adhered to the intervention (89% and 71%). Intervention fidelity was high. We analysed interviews with 20/44 HCWs, 3/4 managers and 3/7 family carers, as well as intervention recordings involving 32/44 HCWs. All agencies reported structural challenges in supporting intervention delivery. Agencies with greater management buy-in had higher dose and reach. HCWs valued NIDUS-Professional for enabling group reflection and peer support, providing practical, actionable care strategies and increasing their confidence as practitioners. CONCLUSION: NIDUS-Professional was valued by HCWs. Agency management, culture and priorities were key barriers to implementation; we discuss how to address these in a future trial. | en_US |
dc.language | eng | en_US |
dc.relation.ispartof | Age Ageing | en_US |
dc.rights | This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. | |
dc.subject | carers | en_US |
dc.subject | dementia | en_US |
dc.subject | homecare | en_US |
dc.subject | implementation | en_US |
dc.subject | older people | en_US |
dc.subject | process evaluation | en_US |
dc.subject | training | en_US |
dc.subject | Humans | en_US |
dc.subject | Dementia | en_US |
dc.subject | Caregivers | en_US |
dc.subject | Home Health Aides | en_US |
dc.subject | Home Care Services | en_US |
dc.subject | Male | en_US |
dc.subject | Female | en_US |
dc.subject | Health Knowledge, Attitudes, Practice | en_US |
dc.subject | United Kingdom | en_US |
dc.subject | Process Assessment, Health Care | en_US |
dc.subject | Middle Aged | en_US |
dc.subject | Attitude of Health Personnel | en_US |
dc.subject | Interviews as Topic | en_US |
dc.title | A process evaluation of the NIDUS-Professional dementia training intervention for UK homecare workers. | en_US |
dc.type | Article | |
dc.rights.holder | © The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. | |
dc.identifier.doi | 10.1093/ageing/afae109 | en_US |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/38796316 | en_US |
pubs.issue | 5 | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published | en_US |
pubs.volume | 53 | en_US |
rioxxterms.funder | Default funder | en_US |
rioxxterms.identifier.project | Default project | en_US |