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J Appl Gerontol. 2020 Feb;39(2):119-128. doi: 10.1177/0733464818762068. Epub 2018 Mar 4.

An Action Research to Optimize the Well-Being of Older People in Nursing Homes: Challenges and Strategies for Implementing a Complex Intervention.

Author information

1
Université de Montréal, Québec, Canada.
2
Institut universitaire de gériatrie de Montréal, Québec, Canada.
3
Université Laval, Québec, Canada.
4
Université de Sherbrooke, Longueuil, Québec, Canada.
5
Centre intégré de santé et de services sociaux de la Montérégie-Ouest, Châteauguay, Québec, Canada.
6
Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Québec, Canada.

Abstract

Few studies have been conducted on strategies to promote the implementation of complex interventions in nursing homes (NHs). This article presents a pilot study intended to assess the strategies that would enable the optimal implementation of a complex intervention approach in NHs based on the meanings of screams of older people living with Alzheimer's disease. An action research approach was used with 19 formal and family caregivers from five NHs. Focus groups and individual interviews were held to assess different implementation strategies. A number of challenges were identified, as were strategies to overcome them. These latter included interactive training, intervention design, and external support. This study shows the feasibility of implementing a complex intervention to optimize older people's well-being. The article shares strategies that may promote the implementation of these types of interventions in NHs.

KEYWORDS:

action research; complex intervention; dementia; intervention implementation; nursing homes

PMID:
29504489
DOI:
10.1177/0733464818762068

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