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Wheat, Hannah; Weston, Lauren; Oh, Tomasina M; Morgan-Trimmer, Sarah; Ingram, Wendy; Griffiths, Sarah; Sheaff, Rod; Clarkson, Paul; Medina-Lara, Antonieta; Musicha, Crispin; Spicer, Stuart; Ukoumunne, Obioha; Allgar, Victoria; Creanor, Siobhan; Clark, Michael; Quinn, Cath; Gude, Alex; McCabe, Rose; Batool, Saqba; Smith, Lorna; Richards, Debra; Shafi, Hannah; Warwick, Bethany; Lasrado, Reena; [...]

Longitudinal realist evaluation of the Dementia PersonAlised Care Team (D-PACT) intervention: protocol

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  • Medientyp: E-Artikel
  • Titel: Longitudinal realist evaluation of the Dementia PersonAlised Care Team (D-PACT) intervention: protocol
  • Beteiligte: Wheat, Hannah; Weston, Lauren; Oh, Tomasina M; Morgan-Trimmer, Sarah; Ingram, Wendy; Griffiths, Sarah; Sheaff, Rod; Clarkson, Paul; Medina-Lara, Antonieta; Musicha, Crispin; Spicer, Stuart; Ukoumunne, Obioha; Allgar, Victoria; Creanor, Siobhan; Clark, Michael; Quinn, Cath; Gude, Alex; McCabe, Rose; Batool, Saqba; Smith, Lorna; Richards, Debra; Shafi, Hannah; Warwick, Bethany; Lasrado, Reena; [...]
  • Erschienen: Royal College of General Practitioners, 2023
  • Erschienen in: BJGP Open, 7 (2023) 3, Seite BJGPO.2023.0019
  • Sprache: Englisch
  • DOI: 10.3399/bjgpo.2023.0019
  • ISSN: 2398-3795
  • Schlagwörter: Family Practice
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: BackgroundDifferent dementia support roles exist but evidence is lacking on which aspects are best, for whom, and in what circumstances, and on their associated costs and benefits. Phase 1 of the Dementia PersonAlised Care Team programme (D-PACT) developed a post-diagnostic primary care-based intervention for people with dementia and their carers and assessed the feasibility of a trial.AimPhase 2 of the programme aims to 1) refine the programme theory on how, when, and for whom the intervention works; and 2) evaluate its value and impact.Design & settingA realist longitudinal mixed-methods evaluation will be conducted in urban, rural, and coastal areas across South West and North West England where low-income or ethnic minority populations (for example, South Asian) are represented. Design was informed by patient, public, and professional stakeholder input and phase 1 findings.MethodHigh-volume qualitative and quantitative data will be collected longitudinally from people with dementia, carers, and practitioners. Analyses will comprise the following: 1) realist longitudinal case studies; 2) conversation analysis of recorded interactions; 3) statistical analyses of outcome and experience questionnaires; 4a) health economic analysis examining costs of delivery; and 4b) realist economic analysis of high-cost events and ‘near misses’. All findings will be synthesised using a joint display table, evidence appraisal tool, triangulation, and stakeholder co-analysis.ConclusionThe realist evaluation will describe how, why, and for whom the intervention does or does not lead to change over time. It will also demonstrate how a non-randomised design can be more appropriate for complex interventions with similar questions or populations.
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