Kelleher, D, Windle, K, Randell, R, Lord, K, Duffy, L, Aktah, A, Budgett, J, Zabihi, S, Banks, S, Rappaport, P, Lee, T, Barber, J, Orgeta, V, Manthorpe, J, Walters, K, Rockwood, K, Dow, B, Hoe, J ORCID: https://orcid.org/0000-0003-4647-8950, Banerjee, S and Cooper, c (2024) A process evaluation of the NIDUS-Professional dementia training intervention for UK homecare workers. Age & Ageing, 53 (5). ISSN 0002-0729

	PDF Kelleher et al., 2024_NIDUS-professional process evaluation_Age&Ageing.pdf - Accepted Version Restricted to Repository staff only until 25 May 2025. Download (1MB)
Preview	PDF afae109.pdf - Published Version Available under License Creative Commons Attribution. Download (1MB) | Preview

Abstract

Introduction

This process evaluation was conducted in parallel to the randomised controlled feasibility trial of NIDUS-Professional, a manualised remote dementia training intervention for homecare workers (HCWs), delivered alongside an individualised intervention for clients living with dementia and their family carers (NIDUS-Family). The process evaluation reports on (i) intervention reach, dose, and fidelity, (ii) contexts influencing agency engagement, and (iii) alignment of findings with theoretical assumptions about how the intervention might produce change.

Methods

We report proportions of eligible HCWs receiving any intervention (reach), number of sessions attended (dose; attending ≥4/6 main sessions was predefined as adhering), intervention fidelity and adherence of clients and carers to NIDUS-Family (attending all 6-8 planned sessions). We interviewed HCWs, managers, family carers and facilitators. We integrated and thematically analysed, at homecare agency level, qualitative interview and intervention recording data.

Results

32/141 (23%) of eligible HCWs and 7/42 (17%) of family carers received any intervention; most who did adhered to the intervention (89% and 71%). Intervention fidelity was high. We analysed interviews with 20/44 HCWs, 3/4 managers and 3/7 family carers, and intervention recordings involving 32/44 HCWs. All agencies reported structural challenges in supporting intervention delivery. Agencies with greater management buy-in had higher dose and reach. HCWs valued NIDUS-Professional for enabling group reflection and peer support, providing practical, actionable care strategies, and increasing their confidence as practitioners.

Conclusion

NIDUS-Professional was valued by HCWs. Agency management, culture and priorities were key barriers to implementation; we discuss how to address these in a future trial.

Item Type:	Article
Identifier:	10.1093/ageing/afae109
Keywords:	dementia, homecare, training, carers, process evaluation, implementation
Subjects:	Medicine and health
Depositing User:	Juanita Hoe
Date Deposited:	10 Jun 2024 08:48
Last Modified:	04 Nov 2024 10:37
URI:	https://repository.uwl.ac.uk/id/eprint/11939

Actions (login required)

View Item