Effective interventions for people with dementia and their caregivers should involve specific implementation efforts. These efforts should ensure that Community Occupational Therapy in Dementia (COTiD) programmes are able to overcome barriers and be implemented optimally.
A combined implementation strategy has been developed in Dutch healthcare organizations that deliver community occupational therapy, which is compared with a more conventional educational strategy. The primary outcome measures in this study protocol are the use of the COTiD program by community occupational therapists (OTs), the adherence of OTs to the COTiD program, and the cost effectiveness of implementing the COTiD program in outpatient care. Secondary outcome measures are patient and caregiver outcomes and the awareness of managers, physicians and OTs about the COTiD program.
Implementation research of this kind, with an emphasis on methodological rigour, is said to be new in the field of occupational therapy.
Döpp, CM. Graff, MJ. [and] Teerenstra, S. [et al] (2011). A new combined strategy to implement a community occupational therapy intervention: designing a cluster randomized controlled trial. BMC Geriatrics, March 30th 2011, Vol.11(13), pp.1-9. (Click here to view the PubMed abstract).