Partners in Dementia Care: A Care Coordination Intervention for Individuals with Dementia and Their Family Caregivers

Autor/inn/en	Judge, Katherine S.; Bass, David M.; Snow, A. Lynn; Wilson, Nancy L.; Morgan, Robert; Looman, Wendy J.; McCarthy, Catherine; Kunik, Mark E.
Titel	Partners in Dementia Care: A Care Coordination Intervention for Individuals with Dementia and Their Family Caregivers
Quelle	In: Gerontologist, 51 (2011) 2, S.261-272 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0016-9013
DOI	10.1093/geront/gnq097
Schlagwörter	Medical Services; Intervention; Dementia; Caregivers; Information Systems; Program Effectiveness; Veterans; Community Resources; Family Relationship; Telecommunications; Agency Cooperation; Delivery Systems; Program Implementation; Questionnaires; Access to Health Care; Access to Information; Barriers; Older Adults + Suchen Sie Ihr Suchwort? Arzt; Demenz; Caregiver; Carer; Betreuungsperson; Pfleger; Kriegsteilnehmer; Veteran; Telekommunikationstechnik; Auslieferung; Fragebogen; Älterer Erwachsener
Abstract	Purpose: This article provides a detailed description of a telephone-based care coordination intervention, Partners in Dementia Care (PDC), for veterans with dementia and their family caregivers. Essential features of PDC included (a) formal partnerships between Veterans Affairs (VA) medical centers and Alzheimer's Association Chapters; (b) a multidimensional assessment and treatment approach, (c) ongoing monitoring and long-term relationships with families, and (d) a computerized information system to guide service delivery and fidelity monitoring. Design and Methods: Data illustrating the use of the intervention were displayed for 93 veterans and their caregivers after 12 months in PDC. Descriptive data were provided for each major component of the intervention protocol, including: initial assessment, goals, action steps, and on-going monitoring. Care coordinators completed a 12-item questionnaire ascertaining the acceptability and feasibility of implementing PDC. Results: Data from the assessments and goals indicated areas of need were not limited to any one issue or subset of issues, but were widely distributed across a variety of domains. Findings for action steps suggested a primary focus on getting/giving information and action-oriented tasks to access services and programs. Most action steps were assigned and completed by veteran's spouses and the majority were successfully accomplished. On average, families had two contacts per month with care coordinators. Few barriers were indicated by care coordinators in implementing PDC, highlighting the acceptability and feasibility of the PDC protocol. Implications: PDC addressed the diverse needs of individuals with dementia and their caregivers, including important non-medical care issues, such as understanding VA benefits, accessing community resources, and addressing caregiver strain. PDC proved to be a feasible model that was complementary to the existing programs of the 2 partnering organizations. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10