Implementing the Multi-Disciplinary Expertise Team method to reduce involuntary care in intellectual disability care: multi-methods study evaluating adaptation and effectiveness
Involuntary care in intellectual disability care may be reduced by deployment of multidisciplinary consultation. The Multi-Disciplinary Expertise Team (MDET) method proved effective in a previous trial on increasing involuntary care reduction. The current study aimed to examine how four organization...
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Veröffentlicht in: | Journal of intellectual disabilities 2024-12, p.17446295241307061 |
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creator | Bisschops, Esther Bakkum, Lianne de Schipper, J Clasien Metselaar, Britt van der Plas, Simone Embregts, Petri Schuengel, Carlo |
description | Involuntary care in intellectual disability care may be reduced by deployment of multidisciplinary consultation. The Multi-Disciplinary Expertise Team (MDET) method proved effective in a previous trial on increasing involuntary care reduction. The current study aimed to examine how four organizations adapted MDET during implementation, and tested whether these versions were also effective. Semi-structured interviews with MDET-coordinators were analyzed using the Framework Reporting Adaptions and Modifications-Expanded. A quasi-experimental interrupted time-series design tested change in weekly counts of involuntary care recordings from before to during MDET implementation, in care homes that implemented MDET (
= 24) compared to care homes providing care-as-usual (CAU). Adaptations to MDET varied. These included implementing MDET without an independent MDET-team and loosening recordings of involuntary care. No differential changes in recordings were found between the implementation- and CAU-groups. Scaling-out MDET to other organizations led to adaptations that may have undermined its effects on reducing involuntary care. |
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= 24) compared to care homes providing care-as-usual (CAU). Adaptations to MDET varied. These included implementing MDET without an independent MDET-team and loosening recordings of involuntary care. No differential changes in recordings were found between the implementation- and CAU-groups. Scaling-out MDET to other organizations led to adaptations that may have undermined its effects on reducing involuntary care.</description><identifier>EISSN: 1744-6309</identifier><identifier>PMID: 39654105</identifier><language>eng</language><publisher>England</publisher><ispartof>Journal of intellectual disabilities, 2024-12, p.17446295241307061</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0001-5501-3341 ; 0000-0002-3612-9290 ; 0000-0002-2880-6853</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39654105$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bisschops, Esther</creatorcontrib><creatorcontrib>Bakkum, Lianne</creatorcontrib><creatorcontrib>de Schipper, J Clasien</creatorcontrib><creatorcontrib>Metselaar, Britt</creatorcontrib><creatorcontrib>van der Plas, Simone</creatorcontrib><creatorcontrib>Embregts, Petri</creatorcontrib><creatorcontrib>Schuengel, Carlo</creatorcontrib><title>Implementing the Multi-Disciplinary Expertise Team method to reduce involuntary care in intellectual disability care: multi-methods study evaluating adaptation and effectiveness</title><title>Journal of intellectual disabilities</title><addtitle>J Intellect Disabil</addtitle><description>Involuntary care in intellectual disability care may be reduced by deployment of multidisciplinary consultation. The Multi-Disciplinary Expertise Team (MDET) method proved effective in a previous trial on increasing involuntary care reduction. The current study aimed to examine how four organizations adapted MDET during implementation, and tested whether these versions were also effective. Semi-structured interviews with MDET-coordinators were analyzed using the Framework Reporting Adaptions and Modifications-Expanded. A quasi-experimental interrupted time-series design tested change in weekly counts of involuntary care recordings from before to during MDET implementation, in care homes that implemented MDET (
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= 24) compared to care homes providing care-as-usual (CAU). Adaptations to MDET varied. These included implementing MDET without an independent MDET-team and loosening recordings of involuntary care. No differential changes in recordings were found between the implementation- and CAU-groups. Scaling-out MDET to other organizations led to adaptations that may have undermined its effects on reducing involuntary care.</abstract><cop>England</cop><pmid>39654105</pmid><orcidid>https://orcid.org/0000-0001-5501-3341</orcidid><orcidid>https://orcid.org/0000-0002-3612-9290</orcidid><orcidid>https://orcid.org/0000-0002-2880-6853</orcidid></addata></record> |
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title | Implementing the Multi-Disciplinary Expertise Team method to reduce involuntary care in intellectual disability care: multi-methods study evaluating adaptation and effectiveness |
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