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A protocol for an exploratory phase I mixed-methods study of enhanced integrated care for care home residents with advanced dementia: the Compassion Intervention

机译:探索性第一阶段混合方法研究方案的研究方案旨在为患有老年痴呆症的养老院居民提供更好的综合护理:同情干预

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摘要

IntroductionIn the UK approximately 700 000 people are living with, and a third of people aged over 65 will die with, dementia. People with dementia may receive poor quality care towards the end of life. We applied a realist approach and used mixed methods to develop a complex intervention to improve care for people with advanced dementia and their family carers. Consensus on intervention content was achieved using the RAND UCLA appropriateness method and mapped to sociological theories of process and impact. Core components are: (1) facilitation of integrated care, (2) education, training and support, (3) investment from commissioners and care providers. We present the protocol for an exploratory phase I study to implement components 1 and 2 in order to understand how the intervention operates in practice and to assess feasibility and acceptability.
机译:简介在英国,约有700 000人与痴呆症一起生活,而65岁以上的老人将死于痴呆症。痴呆症患者可能会在生命的尽头获得质量差的护理。我们采用了现实主义的方法,并采用了混合方法来开发复杂的干预措施,以改善对晚期痴呆症患者及其家庭护理人员的护理。使用RAND UCLA适当性方法达成了干预内容的共识,并将其映射到过程和影响的社会学理论。核心组成部分是:(1)促进综合护理;(2)教育,培训和支持;(3)专员和护理提供者的投资。我们提出了用于探索性第一阶段研究的协议,以实施组件1和2,以便了解干预措施在实践中的运作方式并评估可行性和可接受性。

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