Journal Article

Facilitators and barriers to adaptive implementation of the Meeting Centers Support Program (MCSP) in three European countries; the process evaluation within the MEETINGDEM study

Rymaszewska, J., Szcześniak, D., Meiland, F.J.M., Van Mierlo, L.D., Chattat, R., Gamberini, G., Scorolli, C., Brooker, D., Evans, S., Farina, E., Urbańska, K.M., Saibene, F.L., Dröes, R.M.

2018

Overview

ABSTRACTBackgroundIn the MEETINGDEM project, the Meeting Centers Support Program (MCSP) was adaptively implemented and evaluated in three European countries: Italy, Poland, and the United Kingdom. The aim of this study was to investigate overall and country-specific facilitators and barriers to the implementation of MCSP in these European countries. MethodsA qualitative multiple case study design was used. Based on the theoretical model of adaptive implementation, a checklist was composed of potential facilitators and barriers to the implementation of MCSP. This checklist was administered among stakeholders involved in the implementation of MCSP to trace the experienced facilitators and barriers. Twenty-eight checklists were completed. ResultsMain similarities between countries were related to the presence of suitable staff, management, and a project manager, and the fact that the MCSP is attuned to needs and wishes of people with dementia and informal caregivers. Main differences between countries were related to: communication with potential referrers, setting up an inter-organizational collaboration network, receiving support of national organizations, having clear discharge criteria for the MCSP and continuous PR in the region. ConclusionThe results of this study provide insight into generic and country specific factors that can influence the implementation of MCSP in different European countries. This study informs further implementation and dissemination of MCSP in Europe and may also serve as an example for the dissemination and implementation of other effective psychosocial support interventions for people with dementia and their informal caregivers across and beyond Europe.

• Publisher: Cambridge University Press,Elsevier Inc
• Subject: Aging / Alzheimer's disease / Barriers / Caregivers / Caregivers - psychology / carer / Case management / Case studies / Checklists / Continuity of Patient Care - organization & administration / Dementia / Dementia - psychology / Dementia - therapy / Dissemination / Ethics / Evaluation / Geriatrics / Humans / Implementation / implementation process / Integrated approach / Intervention / Italy / Meeting Centers Support Program / Mental health / Nursing homes / Organizational communication / Outcome Assessment, Health Care / person-centered approach / Poland / process evaluation / Program Evaluation - methods / Psychiatry / Psychosocial factors / Psychosocial intervention / Psychosocial support / Public relations / Qualitative Research / Quality of Life / Social integration / Social Support / Support services / Systematic review / United Kingdom