Development of an evidence-based best practice model for teams managing crisis in dementia: protocol for a qualitative study

Stanyon, Miriam, Streater, Amy, Coleston-Shields, Donna Maria, Yates, Jennifer, Challis, David, Dening, Tom, Hoe, Juanita ORCID:, Lloyd-Evans, Brynmor, Mitchell, Shirley, Moniz-Cook, Esme, Poland, Fiona, Prothero, David and Orrell, Martin (2021) Development of an evidence-based best practice model for teams managing crisis in dementia: protocol for a qualitative study. JMIR Research Protocols, 10 (1). e14781.

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Teams working in the community to manage crisis in dementia currently exist, but with widely varying models of practice, it is difficult to determine the effectiveness of such teams.

The aim of this study is to develop a “best practice model” for dementia services managing crisis, as well as a set of resources to help teams implement this model to measure and improve practice delivery. These will be the best practice tool and toolkit to be utilized by teams to improve the effectiveness of crisis teams working with older people with dementia and their caregivers. This paper describes the protocol for a prospective study using qualitative methods to establish an understanding of the current practice to develop a “best practice model.”

Participants (people with dementia, caregivers, staff members, and stakeholders) from a variety of geographical areas, with a broad experience of crisis and noncrisis work, will be purposively selected to participate in qualitative approaches including interviews, focus groups, a consensus workshop, and development and field testing of both the best practice tool and toolkit.

Data were collected between October 2016 and August 2018. Thematic analysis will be utilized to establish the current working of teams managing crisis in dementia in order to draw together elements of the best practice.

This is the first study to systematically explore the requirements needed to fulfill effective and appropriate home management for people with dementia and their caregivers at the time of mental health crisis, as delivered by teams managing crisis in dementia. This systematic approach to development will support greater acceptability and validity of the best practice tool and toolkit and lay the foundation for a large scale trial with teams managing crisis in dementia across England to investigate the effects on practice and impact on service provision, as well as the associated experiences of people with dementia and their caregivers.

Item Type: Article
Identifier: 10.2196/14781
Additional Information: Preprints (earlier versions) of this paper are available at, first published May 22, 2019 Please cite as: Stanyon M, Streater A, Coleston-Shields DM, Yates J, Challis D, Dening T, Hoe J, Lloyd-Evans B, Mitchell S, Moniz-Cook E, Poland F, Prothero D, Orrell M Development of an Evidence-Based Best Practice Model for Teams Managing Crisis in Dementia: Protocol for a Qualitative Study JMIR Res Protoc 2021;10(1):e14781 URL: doi: 10.2196/14781 PMID: 33502333
Keywords: dementia; caregivers; crisis; mental health; home management
Subjects: Medicine and health > Clinical medicine > Dementia
Related URLs:
Depositing User: Juanita Hoe
Date Deposited: 02 Nov 2021 13:47
Last Modified: 06 Feb 2024 16:07


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