A SPOTLIGHT ON ADAPTATION: PREIMPLEMENTATION OF MONTESSORI-BASED APPROACHES IN VA LONG-TERM CARE Article Swipe
Caroline Madrigal
,
Whitney L. Mills
,
Camilla B. Pimentel
,
Christine W. Hartmann
,
A. Lynn Snow
,
Cameron J. Camp
,
Michelle M. Hilgeman
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/geroni/igad104.1142
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/geroni/igad104.1142
Effectively adapting evidence-based interventions for nursing home (NH) implementation is a critical, yet under-examined, component of improving care quality. Montessori-based activity programming (MAP) is an evidence-based intervention that promotes person-centered care, engages persons living with dementia, and mitigates distress behaviors. Currently, there is sparse examination of MAP in Department of Veterans Affairs NHs (i.e., Community Living Centers, CLCs). We report on the use of the Framework for Reporting Adaptations and Modifications-Enhanced (FRAME) to track adaptations made to MAP – providing a pre-implementation exemplar for NH clinicians and implementation scientists. Qualitative and quantitative data were collected across two phases (i.e., pre-implementation and pilot implementation) at eight VA CLCs between 2017-2019. We used an iterative, rapid content analytic approach to triangulate findings across data sources (e.g., advisory panel, staff interviews, training evaluations, field notes, fidelity assessments) and identify needed adaptations for the CLC setting and population. More than 300 frontline VA CLC staff participated in qualitative interviews and/or provided feedback on quantitative staff training. Thirty-six adaptations were made. Most adaptions occurred during the pre-implementation phase, were reactive, focused on training/evaluation, and involved researchers, intervention developers, and practitioners. All were fidelity-consistent with MAP. The most common goal across adaptations was increased reach/engagement of the intervention. CLCs and community NHs can use findings to support intervention adaptation, and adapt and implement MAP to improve meaningful engagement for persons living with dementia and other residents. Future research should further evaluate and standardize FRAME for diverse users of complex interventions.
Related Topics
Concepts
Fidelity
Medical education
Intervention (counseling)
Psychological intervention
Psychology
Adaptation (eye)
Nursing
Qualitative property
Multidisciplinary approach
Veterans Affairs
Applied psychology
Medicine
Computer science
Internal medicine
Telecommunications
Social science
Sociology
Machine learning
Neuroscience
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/geroni/igad104.1142
- https://academic.oup.com/innovateage/article-pdf/7/Supplement_1/343/54738515/igad104.1142.pdf
- OA Status
- gold
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4390042362
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4390042362Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/geroni/igad104.1142Digital Object Identifier
- Title
-
A SPOTLIGHT ON ADAPTATION: PREIMPLEMENTATION OF MONTESSORI-BASED APPROACHES IN VA LONG-TERM CAREWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-12-01Full publication date if available
- Authors
-
Caroline Madrigal, Whitney L. Mills, Camilla B. Pimentel, Christine W. Hartmann, A. Lynn Snow, Cameron J. Camp, Michelle M. HilgemanList of authors in order
- Landing page
-
https://doi.org/10.1093/geroni/igad104.1142Publisher landing page
- PDF URL
-
https://academic.oup.com/innovateage/article-pdf/7/Supplement_1/343/54738515/igad104.1142.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/innovateage/article-pdf/7/Supplement_1/343/54738515/igad104.1142.pdfDirect OA link when available
- Concepts
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Fidelity, Medical education, Intervention (counseling), Psychological intervention, Psychology, Adaptation (eye), Nursing, Qualitative property, Multidisciplinary approach, Veterans Affairs, Applied psychology, Medicine, Computer science, Internal medicine, Telecommunications, Social science, Sociology, Machine learning, NeuroscienceTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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