Tag Archives: Realist Approaches

Realist Review of Non-Pharmacological Interventions for BPSD (Innovation in Aging)

Posted on December 3, 2018 by Dementia and Elderly Care News

Summary In an attempt to address the question “Which non-pharmacological interventions work to manage BPSD, under which circumstances and why?” a realist review was conducted to identify complex interactions between context, mechanism, and outcome. The answers were correspondingly multi-dimensional: “Nonpharmacological … Continue reading →

Research Into New Models of Care in Integrated Care (NIHR)

Posted on August 7, 2018 by Dementia and Elderly Care News

Summary The Multispecialty Community Provider (MCP) model has been assessed against the quadruple aim i.e. (i) outcomes addressed population health, (ii) cost-effectiveness, (iii) patient experience and (iv) improved staff experience / involvement. Full Text Link Reference Turner, A. Mulla, A. … Continue reading →

Posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NIHR, NIHRSDO, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Telecare, UK, Universal Interest | Tagged Access to Health and Social Care Support, Accountability in Health and Social Care, Adaptive Systems, Australia, CareSearch Palliative Care Knowledge Network: Flinders University, Central Coast Local Health District (New South Wales), Complex Adaptive Systems (CASs), Coordinated Health and Social Care, Dementia Search Filter, Difficulties in Searching for Integrated Care Content Using Online Databases, Flinders University, Flinders University (South Australia), Health and Social Care Integration, IHI Triple Aim, Integrated Care: Special Search Filter (Proposed), Integrated Out-of-Hospital Care: Multispecialty Community Providers, Integration of Health and Care, Integration of Health and Social Care, International Journal of Integrated Care, Joy in Work, Local Health and Care Economies, Local Health and Care Services, Multispecialty Community Provider (MCP) Model, Multispecialty Community Providers, Multispecialty Community Providers (Integrated Out-of-Hospital Care), Multispecialty Community Providers (MCPs), Multispecialty Community Providers (MCPs) - Vanguard Site: NHS Dudley CCG, Multispecialty Community Providers (MCPs) Vanguard Sites, National Institute for Health Research (NIHR), New Models of Care, New Models of Care Programme, New Models of Care Vanguards, New Models of Primary Care, New Models of Seamless Care, New Models of Service, NHS Midlands and Lancashire Commissioning Support Unit (West Bromwich), Quadruple Aim for All, Quality and Sustainability, Realist Analyses, Realist Approaches, Realist Evaluations, Realist Reviews, School of Health and Related Research (ScHARR): University of Sheffield, Strategy Unit: NHS Midlands and Lancashire Commissioning Support Unit, Sustainability, Triple Aim: (1) Improved Health and Wellbeing (2) Redesigned Care and (3) Wise Financial Stewardship, University of Sheffield | Leave a comment

Overcoming Barriers to Timely Adoption of Home Adaptations (Centre for Ageing Better / Northumbria University / University of the West of England)

Posted on July 12, 2018 by Dementia and Elderly Care News

Summary Research into the lived experience of users home adaptations (and the professionals who work with these users) suggests that people sometimes delay adaptations to their homes due to a perceived “stigma” associated with handrails, ramps etc. Full Text Link … Continue reading →

Posted in Assistive Technology, Charitable Bodies, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Housing, Integrated Care, Management of Condition, National, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, Systematic Reviews, Telecare, Telehealth, UK, Universal Interest | Tagged Ageing and Re-Entry Into the Community, Ageing Population, Appearance and Perceptions of Age and Disability, Barriers to Timely Adoption of Home Adaptations, Big Lottery Fund’s Ageing Better Programme, Big Lottery Funding, Bristol Centre for Public Health and Wellbeing (UWE), Building Research Establishment (BRE), CAPABLE Trial (USA): Reable-Repair-Adapt, Centre for Ageing Better, Centre for Ageing Better (CfAB), Control and Independence, Coping Strategies, Disabled Facilities Grant (DFG), Elders Council of Newcastle, Embedding Patient Experience in Service Delivery, Embedding Patient Experience in Service Design, End-User Experience, Experience Based Co-Design, Experience-Based Co-Design (EBCD), Experienced Based Design (EBD), Experiences, Experts by Experience, Facilitating Independence Grant (Proposal), HAIL Study (Australia), HIPI Trial (New Zealand), Home Adaptations, Independence and Wellbeing, Independence at Home, Independence Choice and Risk, Independence in Older Adults, Industrial Strategy Challenge Fund, Lived Experience, Lived Experiences of Home Adaptations, Loss of Independence, Maintaining Independence, Maintaining Independence: Technology Supporting People Living With Dementia and Their Carers (SCIE), Major Adaptations Trial (Sweden), Newcastle City Council, Newcastle University, North Tyneside Council, Northumbria University, Participant Lived Experiences, Practitioner Experiences, Realist Approaches, Realist Reviews, Realist Syntheses, Regaining Independence, Role of Home Adaptations in Improving Later Life, Services Maximising Independence, Smart Home Adaptations, Staying Independent, Staying Independent: Technology Supporting People Living With Dementia and Their Carers (SCIE), Stigma, Stigma of Ugly Home Adaptations, Supporting Health Wellbeing and Independence, Supporting Wellbeing Resilience and Independence, Timely Adoption of Home Adaptations, Triggers and Tipping Points (in Housing Adaptation), University of the West of England | Leave a comment

Improving the Management of Diabetes in People Living with Dementia (NIHR HTA)

Posted on January 2, 2018 by Dementia and Elderly Care News

Summary A realist review was conducted to identify features or mechanisms in various interventions likely to improve the management of diabetes in people with dementia. The full NIHR HTA report from this research, already summarised in a BMC Medicine article … Continue reading →

An Investigation Into NHS Services for Care Homes Residents (NIHR)

Posted on November 17, 2017 by Dementia and Elderly Care News

Summary A highly detailed, multi-staged, investigation into which type(s) of NHS primary care services work best for care homes and their residents was conducted. Conclusions drawn are hard to summarise simply, without doing this research some injustice. One thing is … Continue reading →

Posted in Antipsychotics, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, NIHR, NIHRSDO, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK | Tagged Access to General Practice, Age-Appropriate Services, Alignment Between General Practices and Care Homes, Alternatives to Antipsychotic Drugs, Alzheimer’s and Related Disorders Society of India (Kottayam Kerala; India), Antipsychotic Prescribing in Primary Care, Brunel University, Care Home Residents, Care Home Specialist Nurses, Care Home Specialist Pharmacist-Led Services, Care Home Specialist Support Teams, Centre for Behavioural Sciences and Research: Rajagiri College of Social Sciences, Centre for Research in Primary and Community Care (CRIPACC): University of Hertfordshire, Challenging Behaviour, Challenging Behaviour in Dementia, Challenging Behaviour: Core Learning Needs, CMOC: Context–Mechanism–Outcome Configuration, Commissioning Guidance for High-Quality Health Care for Older Care Home Residents (BGS), Commissioning Guidance for Older Care Home Residents, Context-Mechanism-Outcome Configuration, Dementia Awareness, Dementia Expertise, Designated NHS Hospital Beds, Education and Staff Training, Enhanced Payment Schemes for GPs, Faculty of Medicine and Health Sciences: University of Nottingham, General Medical Services (GMS), General Practice, Guy's and St Thomas' NHS Foundation Trust, Health Care for Older Care Home Residents, Health Care Needs of Care Home Residents, India, Institute of Environment Health and Societies: Brunel University London, Journal of Geriatric Care and Research (JGCR), Kerala Old Age Home Survey, Linked Community Services, Local General Practitioner (GP) Practices, Management of Challenging Behaviour, NHS Services for Care Homes Residents, NIHR Service Delivery and Organisation, Old Age Homes (OAHs) in Kerala (India), Older Care Home Residents, OPTIMAL Study, Outreach Clinics, Pharmacist-Led Services for Care Homes, Primary Care, Rajagiri College of Social Sciences (Kalamassery Kochi; India), Realist Analyses, Realist Approaches, Realist Evaluations, Realist Reviews, Reducing Antipsychotic Drugs in Care Homes, Reducing Antipsychotic Medication in Care Homes, Research Department of Primary Care and Population Health (PCPH): University College London, School of Economics: University of Surrey, School of Health Sciences (City): University of London, School of Sociology and Social Policy: University of Nottingham, Staff Training, Suboptimal Care, Support and Coping Mechanisms, Support to Care Home Residents, University College London, University of Hertfordshire, University of London, University of Nottingham, University of Surrey | Leave a comment

An Investigation Into the Management of Faecal Incontinence in Care Home Residents With Advanced Dementia (Health Technology Assessments / JAMDA / BMJ Open)

Posted on August 21, 2017 by Dementia and Elderly Care News

Summary The results of the latest research into this topic, based on a realist approach to investigation. Full Text Link Reference Goodman, C. Norton, C. [and] Buswell, M. [et al] (2017). Managing Faecal INcontinence in people with advanced dementia resident … Continue reading →

Posted in Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Management of Condition, Models of Dementia Care, NIHR, Person-Centred Care, Quick Insights, Systematic Reviews, UK, Universal Interest | Tagged Bangor University, BMJ Open, BMJ Publishing Group Ltd, Care Home Residents, Care Homes, Care Homes Wellbeing, Care of Older People Living in Care Homes, Centre for Health and Social Care Research: Kingston and St George's, Centre for Research in Primary and Community Care: University of Hertfordshire, CMOC: Context–Mechanism–Outcome Configuration, Continence Specialists, Department of Ageing and Health: Guy's and St Thomas' NHS Foundation Trust, Division of Health and Social Care: King's College London, Edge Hill University, Edge Hill University of Manchester, Faculty of Health and Social Care: Edge Hill University, Faculty of Health and Social Care: Edge Hill University of Manchester, Faculty of Health Social Care and Education: Kingston and St George's, Faecal Incontinence, Fecal Incontinence, FINCH Study: Managing Faecal INcontinence in people with advanced dementia resident in Care Homes, Florence Nightingale Faculty of Nursing and Midwifery: King's College London, Guy's and St Thomas' NHS Foundation Trust, Guys and St Thomas' Hospital, Health Care of Older People: University of Nottingham, Health Sciences: University of Southampton, Health Technology Assessment (HTA) Programme, Health Technology Assessment in the UK, Health Technology Assessment Study, Health Technology Assessments, Incontinence-Associated Dermatitis, Kings College London, Kings' College: University of London, Kingston and St George's, Management of Constipation for Older People With Dementia, Management of Faecal Incontinence With Absorbent Products, Management of Faecal Incontinence With Mechanical Devices, Managing Faecal INcontinence in people with advanced dementia resident in Care Homes (FINCH), National Institute for Health Research (NIHR) Health Technology Assessment (HTA) Programme, NIHR HTA: Health Technology Assessment Programme, Nottingham University Hospitals NHS Trust, Older People Living in Care Homes, Order of St John Care Trust (Witney UK), Patient-Centred Care Framework, People With Dementia Living in Care Homes, Personalised Care Planning, Putative C–M–O Configurations, Quality of Life for People Living in Care Homes, Realist Analyses, Realist Approaches, Realist Reviews, School of Health Sciences: University of Liverpool, School of Healthcare Sciences: Bangor University, St George's: University of London, University of Hertfordshire, University of Kingston, University of Liverpool, University of London, University of Nottingham, University of Southampton | Leave a comment

Suggestions for Improving the Management of Diabetes in People Living with Dementia (BMC Medicine)

Posted on August 14, 2017 by Dementia and Elderly Care News

Summary The results of recent research into this topic. Full Text Link Reference Bunn, F. Goodman, C. [and] Reece Jones, P. [et al] (2017). What works for whom in the management of diabetes in people living with dementia: a realist … Continue reading →

Posted in Assistive Technology, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Systematic Reviews, UK, Universal Interest | Tagged Assistive Technology (AT), Assistive Technology Services, Bangor University, Barriers to Self-Management for People with Dementia, BMC Medicine, Cardiff University, Carers and Families, Caring for Family Carers, Centre for Research in Primary and Community Care: University of Hertfordshire, CMOC: Context–Mechanism–Outcome Configuration, Dementia and Diabetes, Diabetes, Diabetes Frail Ltd (Luton UK), Diabetes Self-Management Education and Support, Diabetes Self-Management Support (DSMS), Division of Population Medicine: Cardiff University, Family Carers, Flexible Care (+ 24 Hour Care), Foundation for Diabetes Research in Older People (London), Foundation for Diabetes Research in Older People: Diabetes Frail Ltd, Improving the Management of Diabetes in People Living with Dementia, Patient and Family Engagement, Realist Analyses, Realist Approaches, Realist Reviews, Regular Contact with Families, Research Department of Primary Care and Population Health: UCL Medical School (Royal Free Campus), School of Healthcare Sciences: Bangor University, Self Management From Patient Perspective, Self Management of Chronic Disease, Self-Management, Self-Management Support, Support for Carers, Support for Self Management, Systematic Reviews and Meta-Analyses, Type 2 Diabetes Mellitus (T2DM), UCL Medical School (Royal Free Campus), University of Hertfordshire, Usability of Assistive Devices, Usability of Assistive Technology, Use and Awareness of Assistive Technology in Community Care, Use and Awareness of Assistive Technology in Dementia Care | Leave a comment

Approaches to Supporting Dementia-Friendly Healthcare in Hospital Settings (BMJ Open)

Posted on July 19, 2017 by Dementia and Elderly Care News

Summary A review implies that staff dementia awareness training, by itself alone, may not improve dementia care and / or the outcomes for patients with dementia in hospital. It appears that additional strategies such as support for staff in implementing … Continue reading →

Posted in Acute Hospitals, Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Management of Condition, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, UK | Tagged Acute Hospital Care, Acute Hospitals, Aging and Mental Health (Journal), Balancing Risk and Choice, Better Outcomes, BMJ Open, BMJ Publishing Group Ltd, Care and Communication, Care Assistants, Care in General Hospitals, Centre for Research in Primary and Community Care: University of Hertfordshire, CMOC: Context–Mechanism–Outcome Configuration, Confidence to Adapt Working Practices and Routines to Individualise Care, Context-Mechanism-Outcome Configuration, Culture: Risk Aversion (Barriers to Flexibility or Innovation), Dementia And Cognitive Disorders, Dementia Awareness, Dementia Awareness Raising, Dementia Awareness Training, Dementia Care in Acute General Hospitals, Dementia Care in the Acute Hospital, Dementia Training Programmes in Hospital Settings, Dementia-Friendly Environments, Dementia-Friendly Hospitals, Dementia-Friendly Wards, Dementia-Friendly Workplaces, Education and Staff Training, Empathy, Encourage Reflection for Responsibilities of Care, Experiential Learning, Good Communication, Health Care Assistants, Health Care Assistants in Dementia Care, Health Care Outcomes, Hospital-Based Dementia Training, Institutional Care, Patient Outcomes, Permission to Adapt Working Practices and Routines to Individualise Care, Person-Centred Risk Management, RAMESES Projects: Realist And Meta-Narrative Evidence Syntheses: Evolving Standards, Realist Analyses, Realist Analysis: Context Mechanism Outcome Configuration, Realist And Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES), Realist Approaches, Realist Evaluations, Realist Reviews, Realist Terms: Glossary, Risk Aversion, Risk Avoidance, Sensitivity in Communication, Staff Training, Staffing Levels, Staffing Levels and Skill Mix, Support Workforce in Acute Care, Training and Competency, Training and Educational Programmes, Training of Acute Hospital Staff, University of Hertfordshire, Unmet Needs, Valuing Care Assistants, Ward Staffing Levels, Workforce Issues, Workforce Planning and Development, Workforce Satisfaction, Workforce Training | Leave a comment

Tag Archives: Realist Approaches

Realist Review of Non-Pharmacological Interventions for BPSD (Innovation in Aging)

Suggestions for Improving the Management of Diabetes in People Living with Dementia (BMC Medicine)

Approaches to Supporting Dementia-Friendly Healthcare in Hospital Settings (BMJ Open)

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