Academic Journal
Implementing person-centered dementia care practices using a care community coaching intervention.
| Τίτλος: | Implementing person-centered dementia care practices using a care community coaching intervention. |
|---|---|
| Συγγραφείς: | Moczygemba W; National Center for Excellence in Assisted Living at the University of North Carolina (CEAL@UNC), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States.; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States., Kim B; College of Nursing, University of Iowa, Iowa City, Iowa, United States., Belza B; de Tornyay Center for Healthy Aging, School of Nursing, University of Washington, Seattle, Washington, United States., Waddington E; Care & Support, Programs and Research Department, Alzheimer's Association, Chicago, Illinois, United States., Johnson S; Care & Support, Programs and Research Department, Alzheimer's Association, Chicago, Illinois, United States., Fazio S; Care & Support, Programs and Research Department, Alzheimer's Association, Chicago, Illinois, United States., Prophater L; Care & Support, Programs and Research Department, Alzheimer's Association, Chicago, Illinois, United States. |
| Πηγή: | The Gerontologist [Gerontologist] 2026 Sep 10; Vol. 66 (11). |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 0375327 Publication Model: Print Cited Medium: Internet ISSN: 1758-5341 (Electronic) Linking ISSN: 00169013 NLM ISO Abbreviation: Gerontologist Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2009- : Cary, NC : Oxford University Press Original Publication: St. Louis, Gerontological Society. |
| Ιατρικοί όροι (MeSH): | Patient-Centered Care*/organization & administration , Dementia*/therapy , Dementia*/nursing , Mentoring*/methods, Humans ; Ohio ; Long-Term Care |
| Περίληψη: | Background and Objectives: As person-centeredness is key to quality dementia care, the Care Community Coaching Program was created to implement the 2018 Alzheimer's Association Dementia Care Practice Recommendations (DCPR) in long-term care communities. This article describes the implementation and preliminary efficacy of a coaching intervention on adoption of the DCPR for person-centered care (PCC) and workforce practices, and current DCPR implementation in care communities. Research Design and Methods: This article uses a single group, pre- and posttest design drawing on field notes and data collected from 38 communities in a study on the impact of the coaching intervention in care communities in Ohio. Changes in the implementation of the DCPR for PCC were measured using a paired t test; changes in the DCPR for workforce practices were measured using a Wilcoxon signed-rank test. Additional post hoc descriptive statistics describe current implementation of the DCPR. Results: Participating communities saw statistically significant improvements related to the implementation of all but one DCPR for PCC and none related to workforce practices. Pre-intervention implementation rates for the DCPR for PCC and for workforce practices were 61.8% (n = 35 communities), and 78.3% (n = 10 communities), respectively. Exemplar practice changes, and facilitators and barriers to change are additionally described. Discussion and Implications: The Care Community Coaching Program can be effectively implemented in care communities and shows preliminary efficacy in increasing the adoption of the DCPR for PCC. Areas for future research on the impact of this intervention, and implications for improving the person-centeredness of dementia care in care communities, are identified and discussed. Clinical Trial Registration Number: NCT06249204. (© The Author(s) 2026. Published by Oxford University Press on behalf of the Gerontological Society of America.) |
| Grant Information: | United States ALZ Alzheimer's Association |
| Contributed Indexing: | Keywords: Alzheimer’s disease; Assisted living; Evidence-based practice; Quality of care; Skilled nursing |
| Molecular Sequence: | ClinicalTrials.gov NCT06249204 |
| Entry Date(s): | Date Created: 20261005 Date Completed: 20261018 Latest Revision: 20261018 |
| Update Code: | 20261018 |
| DOI: | 10.1093/geront/gnag224 |
| PMID: | 42830447 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1758-5341 |
|---|---|
| DOI: | 10.1093/geront/gnag224 |