Components of intervention and implementation strategies | Content | Participants (target population) | Duration | |
---|---|---|---|---|
Components of the intervention | I. In-service training in performing case conferences | ▪ Aims and structures of CCs, NDB model, communication rules and use of IdA (only in the WELCOME-IdA intervention group) | ▪ Manager of nursing home, head nurses of nursing teams and members of nursing teams (core team) | ▪ Half a day |
II. Case conferences with support (training on the job) | ▪ CCs are conducted with the support of trainers; the trainers assist the moderator, are involved in discussions and provide advice | ▪ Members of nursing teams (core teams) and trainers | ▪ 4 CCs within 3 months | |
III. Case conferences without support | ▪ CCs are conducted without aid | ▪ Members of nursing teams (core teams) | ▪ Minimum of 4 CCs within 4 months | |
Components of implementation strategy | (1) Information about project/case conferences | ▪ Information concerning the project/intervention and data collection, time frame and organizational aspects | ▪ Manager of nursing home, quality management and head nurses of nursing teams | ▪ 3 hours |
(2) Kick-off meetings | ▪ Information concerning project/intervention and data collection, time frame, and organizational aspects | ▪ Nursing teams | ▪ 1.5 hours | |
(3) In-service training in a) dementia and challenging behaviors; and | ▪ a) Diagnosis of dementia, forms and symptoms of dementia, causes of challenging behaviors and their management; and | ▪ a) Nursing teams (core teams) | ▪ a) Half a day | |
b) Moderation of case conferences | ▪ b) Training in moderation techniques | ▪ b) 2 persons from each nursing team | ▪ b) 2 days | |
(4) Establishment of steering group | ▪ Development of an implementation plan | ▪ Manager of nursing home, quality management and members of both nursing teams (core teams) | ▪ 2 days | |
(5) Reminders | ▪ Reminders via telephone to conduct CCs regularly | ▪ All participants | ▪ During intervention | |
(6) Telephone hotline | ▪ Questions concerning CCs | ▪ All participants | ▪ During intervention |