Developing Rehabilitative Behavioral Interventions for Long-Term Care: Technology Transfer, Acceptance, and Maintenance Issues
Rehabilitative behavioral interventions that are documented in clinical trials to improve nursing home resident outcomes and are recommended by practice guidelines are often not adapted for daily use in nursing homes and other long‐term care (LTC) facilities. Failure to evaluate issues other than cl...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 1998-06, Vol.46 (6), p.771-777 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 46 |
| creator | Schnelle, John F. Cruise, Patrice A. Rahman, Annie Ouslander, Joseph G. |
| description | Rehabilitative behavioral interventions that are documented in clinical trials to improve nursing home resident outcomes and are recommended by practice guidelines are often not adapted for daily use in nursing homes and other long‐term care (LTC) facilities. Failure to evaluate issues other than clinical efficacy when developing interventions contributes to this gap between efficacy and effectiveness in practice. A potential solution is a research model that supplements traditional clinical intervention research with methodology designed specifically to evaluate the ability of LTC facilities to implement the interventions. This paper discusses several critical issues of intervention and implementation that should be addressed, including targeting interventions, advocacy, cost‐effectiveness, training, and quality control. We also describe how clinical trials could be designed and staged to increase the probability that effective interventions will be implemented in the day‐to‐day care of frail older patients in LTC facilities. J Am Geriatr Soc 46:771–777, 1998. |
| doi_str_mv | 10.1111/j.1532-5415.1998.tb03815.x |
| format | Article |
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Failure to evaluate issues other than clinical efficacy when developing interventions contributes to this gap between efficacy and effectiveness in practice. A potential solution is a research model that supplements traditional clinical intervention research with methodology designed specifically to evaluate the ability of LTC facilities to implement the interventions. This paper discusses several critical issues of intervention and implementation that should be addressed, including targeting interventions, advocacy, cost‐effectiveness, training, and quality control. We also describe how clinical trials could be designed and staged to increase the probability that effective interventions will be implemented in the day‐to‐day care of frail older patients in LTC facilities. 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Failure to evaluate issues other than clinical efficacy when developing interventions contributes to this gap between efficacy and effectiveness in practice. A potential solution is a research model that supplements traditional clinical intervention research with methodology designed specifically to evaluate the ability of LTC facilities to implement the interventions. This paper discusses several critical issues of intervention and implementation that should be addressed, including targeting interventions, advocacy, cost‐effectiveness, training, and quality control. We also describe how clinical trials could be designed and staged to increase the probability that effective interventions will be implemented in the day‐to‐day care of frail older patients in LTC facilities. J Am Geriatr Soc 46:771–777, 1998.</description><subject>Aged</subject><subject>Behavior Therapy</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Behavioural approaches</subject><subject>Biological and medical sciences</subject><subject>Dementia - psychology</subject><subject>Dementia - rehabilitation</subject><subject>Elderly people</subject><subject>Geriatric Assessment</subject><subject>Homes for the Aged</subject><subject>Humans</subject><subject>Long term care</subject><subject>Long term health care</subject><subject>Medical sciences</subject><subject>Nursing Homes</subject><subject>Older people</subject><subject>Patient Acceptance of Health Care</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Behavior Therapy Behavior therapy. Cognitive therapy Behavioural approaches Biological and medical sciences Dementia - psychology Dementia - rehabilitation Elderly people Geriatric Assessment Homes for the Aged Humans Long term care Long term health care Medical sciences Nursing Homes Older people Patient Acceptance of Health Care Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality Assurance, Health Care Rehabilitation Technology Transfer Treatment Outcome Treatments |
| title | Developing Rehabilitative Behavioral Interventions for Long-Term Care: Technology Transfer, Acceptance, and Maintenance Issues |
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