Reaching people and managing membership in community-based dementia support groups: the Get Real with Meeting Centres realist evaluation part 1.

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2024-12-01 Epub Date: 2024-05-25 DOI:10.1080/13607863.2024.2356885
Thomas Morton, Shirley B Evans, Ruby Swift, Jennifer Bray, Faith Frost, Chris Russell, Dawn Brooker, Geoff Wong, Nigel Hullah
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Abstract

Objectives: There is a need to improve the provision and reach of community services for people living with dementia, a goal in which community-based support groups can play a key role. The Get Real with Meeting Centres project aimed to explore factors involved in the success and sustainability of Meeting Centres (MCs) a form of community-based support proliferating in the UK. This is the first of two linked articles outlining learning from this realist evaluation of MCs, which focusses on findings around reach and membership.

Method: Semi-structured interviews and focus group discussions were conducted with 77 participants across three case study MC sites in England and Wales, including people living with dementia, informal carers, staff, volunteers, trustees, and supporting professionals/practitioners. Data were themed, then analysed using both soft systems methodology and realist logic of analysis.

Results: Fifty-two 'context-mechanism-outcome' statements were generated, explaining how background circumstances might trigger responses/processes to produce wanted or unwanted outcomes regarding four key areas for MC sustainability: Referrals and the dementia care pathway; Reaching people and membership; Carer engagement and benefit; and Venue and location.

Conclusion: Strong links with formal services and a well-functioning dementia care pathway are essential to sustaining community-based group support such as MCs; group support is also well-placed to assist work to improve pathway issues. Clarity of offer (including benefit to carers), and a wide range of activities, are key to appeal and reach; transport to, and use of, venue are challenges, as are pressures to support people with more advanced dementia.

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以社区为基础的痴呆症支持小组的覆盖人群和成员管理:"与会议中心一起实现现实 "现实主义评估第一部分。
目标:有必要改善为痴呆症患者提供的社区服务并扩大服务范围,而社区支持团体在实现这一目标方面可以发挥关键作用。会议中心 "项目(Get Real with Meeting Centres)旨在探索会议中心(MCs)成功和可持续发展的相关因素,会议中心是一种在英国不断涌现的社区支持形式。本文是两篇相关文章中的第一篇,概述了从对会议中心的现实主义评估中学到的知识,重点是关于覆盖范围和会员资格的研究结果:方法:在英格兰和威尔士的三个案例研究社区管理中心所在地,对 77 名参与者进行了半结构化访谈和焦点小组讨论,其中包括痴呆症患者、非正式照护者、工作人员、志愿者、受托人和支持专业人员/从业人员。对数据进行了主题化处理,然后使用软系统方法和现实主义分析逻辑对数据进行了分析:结果:产生了 52 个 "背景-机制-结果 "陈述,解释了背景情况如何触发反应/过程,从而在管委会可持续发展的四个关键领域产生想要或不想要的结果:转介和痴呆症护理路径;接触人群和成员;照护者参与和受益;以及场地和位置:结论:与正规服务机构的紧密联系以及运作良好的痴呆症护理路径,对于维持以社区为基础的团体支持(如管委会)至关重要;团体支持也是协助改善护理路径问题的有利条件。清晰的服务内容(包括对照护者的益处)和广泛的活动范围是吸引和覆盖人群的关键;场地的交通和使用都是挑战,为晚期痴呆症患者提供支持的压力也是挑战。
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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
期刊最新文献
Examining mental health and autonomic function as putative mediators of the relationship between sleep and trajectories of cognitive function: findings from the Irish longitudinal study on ageing (TILDA). Exploring the associations between structural and functional aspects of social relationships and cognition in very old age. Sensory impairments and depressive symptoms in Europe: a cross-national cohort study. Co-occurrence of depressive and anxious symptoms and their influence on self-rated health: a national representative survey among Chinese older adults. Reaching people and managing membership in community-based dementia support groups: the Get Real with Meeting Centres realist evaluation part 1.
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