What matters in development and sustainment of community dementia friendly initiatives and why? A realist multiple case study

BMC Public Health

Research

Wietske Kuijer-Siebelink¹  Maria W. G. Nijhuis-van der Sanden²  Marjolein Thijssen³  Maud Graff³  Monique A.S. Lexis⁴  Ramon Daniels⁴ 

[1] HAN University of Applied Sciences, School of Education, Nijmegen, The Netherlands;Radboud University Medical Center, Radboudumc Health Academy, Research on Learning and Education, Nijmegen, the Netherlands;Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ healthcare), Nijmegen, The Netherlands;Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ healthcare), Nijmegen, The Netherlands;Radboud University Medical Center, Radboud Alzheimer Center, Nijmegen, The Netherlands;Zuyd University of Applied Sciences, Research Centre Assistive Technology in Care, Heerlen, the Netherlands;

关键词: Dementia;    Dementia friendly communities;    Dementia friendly initiatives;    Community;    Realist approach;    Social participation;    Levels of change development;    Sustainment;   

DOI  :  10.1186/s12889-023-15125-9

 received in 2022-06-08, accepted in 2023-01-24,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDementia friendly communities (DFCs) are seen as key to participation of people with dementia and carers. Dementia-friendly initiatives (DFI) are important building blocks for the growth of DFCs. Therefore, it is essential to understand how DFIs are developed and sustained to secure the growth of DFCs. This study identifies contextual factors and mechanisms that influence the development and sustainment of Dutch DFIs. It also explains how these contextual factors and mechanisms are interrelated and the outcomes to which they lead.MethodsMixed methods, namely interviews, observations, documentation and focus groups, were used for this realist multiple case study. Participants were professionals (n = 46), volunteers (n = 20), people with dementia (n = 1) and carers (n = 2) who were involved in development and sustainment of DFIs in four Dutch DFCs.ResultsThis study revealed three middle-range program theories as final outcomes: development of a support base, collaboration, and participation in DFIs by people with dementia and carers. These theories address institutional, organisational, interpersonal and individual levels in the community that are essential in development and sustainment of DFIs.ConclusionsThe development and sustainment of DFIs requires the development of a support base, collaboration, and participation in DFIs by people with dementia and their carers.

【 授权许可】

CC BY   
© The Author(s) 2023

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