Improving Dementia Care Through Community Linkages: A Multi-Site Demonstration Project

Venohr, Ingrid; Fine, Robin; Saunders, Valisa; Tenney, Elex; Vahan, Vicki; Williams, Marilyn

doi:10.1300/j027v19n04_03

Cited by 11 publications

(15 citation statements)

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“…Our results showed that the reception of information, advice, and emotional support services increased the odds of being in the highly satisfied group. This is consistent with studies of i-18 caregiver satisfaction with medical care which have obtained lower satisfaction scores mainly in areas related to information exchange between health care professionals and caregivers (Haley et al, 1992;Jones & Lester, 1994;van Hout et al, 2001;Venohr et al, 2001;Wellwood et al, 1995). As well, having received services other than those usually listed as caregiver support services decreased the odds of being in the lower satisfaction group.…”

Section: Discussionsupporting

confidence: 90%

“…Areas that generally receive lower satisfaction scores in these studies are often related to information they received on diagnosis, course of illness or community services (Haley, Clair, & Saulsberry, 1992;van Hout, Vernooij-Dassen, Hoefnagels, & Grol, 2001;Venohr et al, 2001), or communication between hospital staff and the caregiver (Jones & Lester, 1994;Wellwood et al, 1995). Other variables that have demonstrated association with satisfaction with medical care in general are also identified as important control variables to include in any studies of satisfaction.…”

Section: Introductionmentioning

confidence: 99%

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L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

et al. 2007

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Objectives: The purpose of this study was to document the use of ADCs by seniors with functional limitations. There were three main objectives: 1) To identify the characteristics of ADC users versus non-users and to identify the determinants of use.2) To explore how well ADC program activities matched the different needs of participants with various health and functional characteristics profile.3) To examine the factors related to regularity of ADC attendance.Methods: This study was based on a secondary analysis of data collected from 723 seniors participating in the Services intégrés pour personnes âgées (SIPA) demonstration project implemented in two CLSCs in Montreal. ADC use data were obtained for a six month period, from the five ADCs serving the same catchment area. To better understand the ADC program characteristics, individual interviews and focus groups were carried out with ADC coordinators. Data were analysed with descriptive statistics, cluster analysis, and logistic and multiple regression analysis. Results:The results are presented in three articles, one for each main objective. Article 1:The proportion of ADC users was 18.8 % (CI 0.95: 16.0 -21.7%). The following factors increased the probability of ADC use: being younger (OR: 1.12; CI 0.95: 1.06 -1.19); not having a university degree (OR: 1.92; CI 0.95: 1.04 -3.57); receiving help from the CLSC for daily living activities more than once a week (OR: 1.73 and 2.48 for help two to five times per week and six to seven times per week respectively; CI 0.95: 1.06 -2.80 and 1.22 -5.06); being in the catchment population of an ADC with a lower daily fee (OR: 1.054; CI 0.95: vii 1.001 -1.108 for each 1$ fee increase); and for men only, having had a stroke or presenting with more functional incapacities (interaction between gender and presence of a stroke: OR: 0.298; CI 0.95: 0.108 -0.825; interaction between gender and functional capacity as measured by OARS: OR: 1.096; CI 0.95: 1.019 -1.178). In addition, the probability of ADC use was higher among individuals who live with the person identified as their caregiver.However, this association was found only among persons born in Canada (interaction between whether they lived with caregiver and country of birth: OR: 0.417; CI 0.95: 0.185 -0.938). Article 2: Four different participant profile groups were identified using cluster analysis: 1) frail seniors of advanced age who had a large number of health problems;2) individuals who were younger and more independent than the average participants who appeared early users of ADC; 3) individuals with functional impairment related to cognitive problems; and 4) those with movement disorders which affected their independence.Classification of program activities by a panel of experts distinguished eight categories of activities: physical exercise; groups for those with common diagnoses or functional problems; functional activities; cognitive stimulation; music or reminiscence activities; sports and physical games; social skills and interaction; disease prevention and ...

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

et al. 2007

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“…Our cross-group analysis, however, indicates that poor information transfer contributes to poor service coordination. These findings are relevant to those of Powell Davies et al (2006) within the Australian context and others in wider contexts who have emphasised for over a decade the importance of having a coordinated, multidisciplinary system of dementia care (Jurkowski 1998, Venohr et al 2001, Fortinsky et al 2002, Cherry et al 2004, Coon et al 2004, Dröes et al 2005, Lemieux-Charles et al 2005, McCrystle & Menscer 2005Abendstern et al 2006, Vickrey et al 2006.…”

Section: Information Transferabilitysupporting

confidence: 56%

“…These findings are relevant to those of Powell Davies et al . (2006) within the Australian context and others in wider contexts who have emphasised for over a decade the importance of having a coordinated, multidisciplinary system of dementia care (Jurkowski 1998, Venohr et al . 2001, Fortinsky et al .…”

Section: Discussionmentioning

confidence: 99%

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Information issues for providers of services to people with dementia living in the community in Australia: breaking the cycle of frustration

Robinson

Emden

Lea

et al. 2009

Health &Amp; Social Care in the Community

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The rising prevalence of dementia and concomitant demands upon dementia services are global issues. In Australia, dementia has attained national health priority status and governments at all levels have implemented service strategies to help manage the complex lives of people with dementia. Despite recognition that information is pivotal to effective dementia service delivery, little is known about the information needs of individual providers and the processes used to transfer information between providers. This qualitative study scoped information issues for key service providers for people with dementia living in the community in southern Tasmania, Australia, including information needs, availability, and transfer. Eleven focus groups were held with general practitioners, residential aged care facility staff, home carers, community health nurses, and aged care-assessment team members. Findings revealed that provider groups shared common, albeit unbeknown to them, information needs (e.g. diagnosis, behaviours, and services) and information concerns (e.g. untrustworthy information and poor information transfer) leading to poor service coordination. General practitioners emerged as a stand-out group with markedly fewer needs and concerns than other providers, a finding of special interest given their pivotal role in dementia diagnosis and referral. Participants were adamant in their view that electronic data bases and single points of entry to dementia services would improve service provision and should be developed. The research highlights complexities and associated frustrations of information transferability, accessibility, and trustworthiness for dementia service providers in the community. Increased understanding of providers' diverse yet interdependent roles could, we believe, play an important part in breaking the cycle of frustration experienced by all participants and thus contribute to system reform.

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Multispecialty Interprofessional Team Memory Clinics: Enhancing Collaborative Practice and Health Care Providers’ Experience of Dementia Care

Lee

Molnar

Hillier³

et al. 2021

Can. J. Aging

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This study explored whether working within Multispecialty INterprofessional Team (MINT) memory clinics has an impact on health care professionals’ perceptions of the challenges, attitudes, and level of collaboration associated with providing dementia care. Surveys were completed by MINT memory clinic members pre- and 6-months post-clinic launch. A total of 228 pre-and-post-training surveys were matched for analysis. After working in the MINT memory clinics for 6 months, there were significant reductions in mean ratings of the level of challenge associated with various aspects of dementia care, and significant increases in the frequency with which respondents experienced enthusiasm, inspiration, and pride in their work in dementia care and in ratings of the extent of collaboration for dementia care. This study provides some insights into the effect of collaborative, interprofessional approaches on health care professionals’ perceptions of the challenges and attitudes associated with providing dementia care and level of collaboration with other health professionals.

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Improving Dementia Care Through Community Linkages: A Multi-Site Demonstration Project

Cited by 11 publications

References 0 publications

L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

Information issues for providers of services to people with dementia living in the community in Australia: breaking the cycle of frustration

Multispecialty Interprofessional Team Memory Clinics: Enhancing Collaborative Practice and Health Care Providers’ Experience of Dementia Care

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