Piloting a patient navigation programme for individuals living with dementia, their care partners and members of the care team: protocol for a mixed-methods evaluation

被引:0
作者
Doucet, Shelley [1 ,2 ]
MacNeill, Lillian [1 ]
Jarrett, Pam [2 ,3 ]
Faig, Karla [3 ]
Luke, Alison [1 ]
机构
[1] Univ New Brunswick, St John, NB, Canada
[2] Dalhousie Med New Brunswick, St John, NB, Canada
[3] Horizon Hlth Network, St John, NB, Canada
来源
BMJ OPEN | 2024年 / 14卷 / 10期
关键词
Patient Navigation; Dementia; Health Services for the Aged; BARRIERS;
D O I
10.1136/bmjopen-2023-080906
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction Internationally, the number of individuals living with dementia continues to rise. Individuals living with dementia, their care partners and their care team face many barriers and challenges to accessing dementia care resources and supports. One solution to address the multifaceted care needs of this population is patient navigation (PN).Methods and analysis This protocol describes the implementation and evaluation plan for a pilot PN programme in New Brunswick (NB) Canada for individuals living with dementia, their care partners and care providers. This project will include two components: (1) an in-person PN programme called Navigating Dementia NB/ Naviguer la d & eacute;mence NB and (2) two virtual peer-to-peer navigational support groups. The PN programme will be codesigned with stakeholders including researchers, patient partners, clinicians and health system managers. Patient navigators will be housed at six primary care sites across the province and the services will be offered in English and French. We will conduct a mixed-methods evaluation to explore the characteristics and experiences of participants who enrol in the PN programme and the navigational support groups, as well as the facilitators and barriers to implementation. Data collection will include navigation charts, Facebook analytics, as well as postintervention surveys, semistructured interviews and focus groups. All participants will provide written informed consent to take part in the intervention and have their data collected for research and evaluation purposes. Demographic data will be analysed using frequency and central tendency measures, while qualitative data from interviews and focus groups will undergo thematic analysis. Content analysis will be used to analyse posts published to the Facebook groups. The evaluation will assess the programme's effectiveness in the short and medium terms, evaluating its ability to achieve the intended outcomes.Ethics and dissemination This study has been approved by the research ethics boards at the University of New Brunswick, Universit & eacute; de Moncton, Horizon Health Network and Vitalit & eacute; Health Network. Knowledge translation activities (eg, presentations at local, national and international conferences; publications for open-access journals; reports and lay summaries) will be undertaken to share the findings from this pilot project with diverse stakeholders, such as decision-makers, health system managers, clinicians and the general public.
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