A New Approach for Developing "Implementation Plans" for Cognitive Stimulation Therapy (CST) in Low and Middle-Income Countries: Results From the CST-International Study

被引:6
作者
Stoner, Charlotte R. [1 ]
Chandra, Mina [2 ,3 ]
Bertrand, Elodie [4 ]
Bharath, D. U. [5 ]
Durgante, Helen [6 ]
Klaptocz, Joanna [7 ]
Krishna, Murali [5 ]
Lakshminarayanan, Monisha [8 ]
Mkenda, Sarah [9 ]
Mograbi, Daniel C. [4 ,10 ]
Orrell, Martin [11 ]
Paddick, Stella-Maria [12 ]
Vaitheswaran, Sridhar [8 ]
Spector, Aimee [13 ]
机构
[1] Univ Greenwich, Ctr Chron Illness & Ageing, Ctr Mental Hlth, Sch Human Sci,Inst Lifecourse Dev, London, England
[2] Atal Bihari Vajpayee Inst Med Sci, Bangabandhu Sheikh Mujeeb Marg, New Delhi, India
[3] Dr Ram Manohar Lohia Hosp, Bangabandhu Sheikh Mujeeb Marg, New Delhi, India
[4] Pontifical Catholic Univ Rio de Janeiro, Dept Psychol, Rio De Janeiro, Brazil
[5] Viveka Hosp, Mysore, Karnataka, India
[6] Fed Univ Rio Grande do Sul UFRGS, Dept Psychol, Porto Alegre, RS, Brazil
[7] Newcastle Univ Hosp NHS Fdn Trust, Royal Vic Infirm, Newcastle Upon Tyne, Tyne & Wear, England
[8] Dementia Care Schizophrenia Res Fdn DEMCARES SCAR, Chennai, Tamil Nadu, India
[9] Kilimanjaro Christian Med Univ Coll, Occupat Therapy Dept, Moshi, Tanzania
[10] Kings Coll London, Inst Psychiat Psychol & Neurosci, London, England
[11] Univ Nottingham, Inst Mental Hlth, Nottingham, England
[12] Newcastle Univ, Inst Neurosci, Newcastle Upon Tyne, Tyne & Wear, England
[13] Univ Coll London UCL, Res Dept Clin Educ & Hlth Psychol, London, England
基金
英国医学研究理事会;
关键词
translational research; implementation; cognition; developing countries; methodology; psychosocial; dementia; HEALTH-CARE; DEMENTIA; PROGRAM; QUALITY; EQUITY; PEOPLE;
D O I
10.3389/fpubh.2020.00342
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background:Even with a strong evidence base, many healthcare interventions fail to be translated to clinical practice due to the absence of robust implementation strategies. For disorders such as Alzheimer's disease and other dementias, access to evidence-based interventions beyond research settings is of great importance. Cognitive Stimulation Therapy (CST) is a brief, group-based intervention, with consistent evidence of effectiveness. Methods:An implementation focused, three-phase methodology was developed using extensive stakeholder engagement. The methods resulted in a standardized Implementation Plan for the successful translation of CST from research to practice. The methodology was developed using the Consolidated Framework for Implementation Research (CFIR) and refined in three countries that vary in levels of economic development and healthcare systems (Brazil, India and Tanzania). Results:Five Implemention Plans for CST were produced. Each plan contained implementation strategies and action plans devised in conjunction with policy professionals, healthcare professionals, people with dementia and family carers, and an international team of researchers and clinicians. Conclusion:This novel methodology can act as a template for implementation studies in diverse healthcare systems across the world. It is an effective means of devising socio-culturally informed Implementation Plans that account for economic realities, health equity and healthcare access.
引用
收藏
页数:11
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