Application of the European quality indicators for psychosocial dementia care in long-term care facilities in the Asia-Pacific region: a pilot study

Jeon, Yun‐Hee; Chien, Wai Tong; Ha, Ju-Young; Ibrahim, Rahimah; Kirley, Belinda; Tan, Lay Ling; Thaipisuttikul, Papan; Vasse, Emmelyne; Vernooij‐Dassen, Myrra; Wang, Huali; Youn, Jung-Ho; Brodaty, Henry

doi:10.1080/13607863.2017.1351521

Cited by 4 publications

(8 citation statements)

References 19 publications

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“…The search yielded 7704 articles plus 687 records retrieved from the additional search and grey literatures, of which 56 articles were identified eligible for full-text screening after the removal of duplicates and review of titles and abstracts. Of these, 10 articles [ 16 , 18 – 21 , 30 – 34 ] were included in this study for data extraction and synthesis, 6 of which were identified manually by authors ( Fig 1 ). For 90% of included studies, the primary aim was to assess acceptability of QIs transferred from one country to another with an intermediate or direct-adoption process, and one study [ 32 ] was conducted to assess quality of care by operationalizing QIs locally (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…Several studies adapted ACOVE QIs for local use in the UK and Netherlands with an approval rate (# of original QIs to # of proposed QIs in the adaptation) varying from 56–86% [ 16 , 18 , 19 ]. Further, there also have been examples in which QIs developed in one jurisdiction were used in another region without adaptation under a direct-adoption process [ 20 , 21 ]. An expert panel from England rated 79 of 93 chosen ACOVE QIs as valid for local use without any amendment [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

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What is the value and impact of the adaptation process on quality indicators for local use? A scoping review

Zhu

Leese

et al. 2022

PLoS ONE

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Background Quality indicators (QIs) are designed for improving quality of care, but the development of QIs is resource intensive and time consuming. Objective To describe and identify the impact and potential attributes of the adaptation process for the local use of existing QIs. Data sources EMBASE, MEDLINE, CINAHL and grey literature were searched. Study selection Literatures operationalizing or implementing QIs that were developed in a different jurisdiction from the place where the QIs were included. Results Of 7704 citations identified, 10 out of 33 articles were included. Our results revealed a lack of definition and conceptualization for an adaptation process in which an existing set of QIs was applied. Four out of ten studies involved a consensus process (e.g., Delphi or RAND process) to determine the suitability of QIs for local use. QIs for chronic conditions in primary and secondary settings were mostly used for adaptation. Of the ones that underwent a consensus process, 56.3 to 85.7% of original QIs were considered valid for local use, and 2 to 21.8% of proposed QIs were newly added. Four attributes should be considered in the adaptation: 1) identifying areas/conditions; 2) a consensus process; 3) proposing adapted QIs; 4) operationalization and evaluation. Conclusion The existing QIs, although serving as a good starting point, were not adequately adapted before for use in a different jurisdiction from their origin. Adaptation of QIs under a systematic approach is critical for informing future research planning for QIs adaptation and potentially establishing a new pathway for healthcare improvement.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

What is the value and impact of the adaptation process on quality indicators for local use? A scoping review

Zhu

Leese

et al. 2022

PLoS ONE

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“…Alzheimer's Disease (AD) is a neuro-degenerative disorder that causes a loss of connections between neurons mainly due to early deterioration of cerebral circuitry in the form of the most common situation of dementia that affects the older [18,19]. According to Jeon et al, [20], AD and dementia is ultimately fatal and is an increasingly significant health problem affecting older adults across the globe. Memory disorder-related disorders have broadly different effects between the individual, increasingly persistent and neuro-degenerative brain that can destroy the mental capacity to recall, such as difficulties contributing to cognitive functional disability [12,20].…”

Section: Elderly and Memory Disorder Issuesmentioning

confidence: 99%

“…According to Jeon et al, [20], AD and dementia is ultimately fatal and is an increasingly significant health problem affecting older adults across the globe. Memory disorder-related disorders have broadly different effects between the individual, increasingly persistent and neuro-degenerative brain that can destroy the mental capacity to recall, such as difficulties contributing to cognitive functional disability [12,20]. For starters, patients will experience difficulties with their everyday lives and routine having difficulty saying what is in their heads, challenging to solve a basic problem and quickly lose disposition rather than the most common symptom of memory loss [17].…”

Section: Elderly and Memory Disorder Issuesmentioning

confidence: 99%

Game-based Technology for Elderly with Memory Disorder: Criteria and Guideline of Mobile Psychotherapy Games

ChePa

Sie-Yi²,

Adetunmbi³

2022

ARASET

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The advancement of technology in healthcare has promoted changes in traditional intervention or treatment of diseases. The utilization of technology via digital games has become one of the alternative interventions for memory disorder which can be considered as supplementary tool to traditional therapeutic methods compared to pharmacological treatments which are not only expensive but also associated with significant adverse effects. Using psychotherapy games as non-pharmacological interventions is more human-centred and have been considered as the best alternative. Although games have been widely used in many domains including entertainment, education and psychotherapy, criteria and guidelines of psychotherapy games particularly for memory-disorder are not clearly defined. This could consequently result in developing ineffective game-based therapy for patients. This article proposes a guideline and criteria that can help in designing and developing psychotherapy games to be utilized in treating memory disorder patients. Combination of systematic literature reviews and interview were employed to acquire the list of criteria needed for psychotherapy games. A total of 25 criteria are identified and have been classified into four main categories are proposed as a guideline. To evaluate the proposed guideline, a Neuro-therapy game is designed and developed using prototyping approach. A significant contribution of this study is the criteria and guidelines for psychotherapy game which will benefit game developers and practitioners who directly involved with psychotherapy programs with memory disorder patients. The proposed criteria and guidelines can be adapted to other psychotherapy domain, such as special needs education therapy, jobs screening, and occupational therapy. Furthermore, this could possibly improve the existing intervention practices by having more accurate measurement through game-based approach.

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“…However, there may be specific barriers to the implementation of psychosocial interventions in daily practice (21,22). The programme implementation in Japan also requires cultural adaptation and appropriateness because of possible differences between European and Asian contexts in dementia care (23,24). It is therefore highly important to understand both the barriers and facilitators associated with implementing the adapted programme.…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers associated with the implementation of a Swedish psychosocial dementia care programme in Japan: a secondary analysis of qualitative and quantitative data

Nakanishi

Ziylan

Bakker

et al. 2020

Scandinavian Caring Sciences

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Background A psychosocial dementia care programme for challenging behaviour (DEMBASE®) was developed in collaboration with a Swedish BPSD‐registry team for in‐home care services use in Japan. The programme consisted of a web‐based tool for the continued assessment of challenging behaviours and interdisciplinary discussion meetings. Effectiveness of the adapted programme was verified through a cluster‐randomised controlled trial. The Tokyo Metropolitan Government provided municipal funding to introduce the programme into daily practice beginning in April 2018. Objectives To investigate both facilitators and barriers associated with programme implementation. Design A secondary analysis of qualitative and quantitative data. Settings Data were collected in naturalistic long‐term care settings from April 2018 to March 2019. Participants A total of 138 professionals and 157 people with dementia participated in the programme. Methods Challenging behaviour in persons with dementia was assessed by professionals using a total Neuropsychiatric Inventory score. Data on expected facilitators and barriers were extracted for qualitative analysis from a debriefing meeting between professionals. Results Of the 157 persons with dementia, 81 (51.6%) received follow‐up behavioural evaluations by March 2019. The average level of challenging behaviour was significantly reduced for 81 persons from baseline to their most recent follow‐up evaluations. Facilitators included ‘programme available for care managers’, ‘visualised feedback on professionals’ work’, ‘affordable for providers and professionals’ and ‘media coverage’. Barriers included ‘professionals from different organisations’, ‘unpaid work’, ‘operation requirement for municipalities’ and ‘conflict with daily benefit‐oriented framework’. Conclusions A follow‐up evaluation was not fully achieved. Further strategies to address barriers may include the development of a benefit‐rewarding scheme for interdisciplinary discussion meetings, an e‐learning system capable of substituting training course portions and a cross‐municipality training course.

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Application of the European quality indicators for psychosocial dementia care in long-term care facilities in the Asia-Pacific region: a pilot study

Cited by 4 publications

References 19 publications

What is the value and impact of the adaptation process on quality indicators for local use? A scoping review

What is the value and impact of the adaptation process on quality indicators for local use? A scoping review

Game-based Technology for Elderly with Memory Disorder: Criteria and Guideline of Mobile Psychotherapy Games

Facilitators and barriers associated with the implementation of a Swedish psychosocial dementia care programme in Japan: a secondary analysis of qualitative and quantitative data

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