Department of Psychiatry, Amsterdam University Medical Centers, location VUmc, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
Gerion, Department of General Practice and Elderly Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, the Netherlands.
Int Psychogeriatr. 2019 Oct;31(10):1433-1445. doi: 10.1017/S1041610219001108.
There have been relatively few interventions on an individual level to support community-dwelling people with dementia to continue to fulfill their potential in society. This study investigated the implementation of DemenTalent, an intervention in which people with dementia become active as volunteers in society based on their talents. The intervention was linked to existing Meeting Centers for people with dementia and their informal caregivers.
We conducted a qualitative multiple case study. Semi-structured interviews regarding experienced facilitators and barriers were conducted with 22 key figures/stakeholders in 12 Meeting Centers during the preparation, starting and continuation phases of the implementation of DemenTalent.
Several influencing factors were found on a micro level (e.g. Public Relations, training, management involvement), meso level (e.g. finances, collaborating with others) and macro level (e.g. laws and regulations, national and regional policy) during the different phases of the implementation process. Factors mentioned by most stakeholders were human and financial resources. Another important factor appeared to be the culture of the region.
The insight into facilitating and impeding factors in the implementation of DemenTalent provided by this study will inform and enable other Meeting Centers to adopt a fitting strategy to implement DemenTalent in their own center. This is expected to help disseminate the intervention further, giving more people with dementia the chance to fulfill their potential, find a meaningful and pleasant way of spending their time, and actively participate in society. This will contribute to a more inclusive society and less stigmatization of people with dementia.
针对支持社区居住的痴呆症患者充分发挥其社会潜力的个体干预措施相对较少。本研究调查了 DemenTalent 的实施情况，该干预措施基于痴呆症患者的才能使他们作为志愿者积极参与社会。该干预措施与现有的痴呆症患者聚会中心及其非正式照顾者相关联。
我们进行了一项定性的多案例研究。在实施 DemenTalent 的准备、启动和持续阶段，对 12 个聚会中心的 22 位关键人物/利益相关者进行了有关经验丰富的促进者和障碍的半结构化访谈。
在实施过程的不同阶段，在微观层面（例如公共关系、培训、管理层参与）、中观层面（例如财务、与他人合作）和宏观层面（例如法律和法规、国家和地区政策）发现了几个影响因素。大多数利益相关者提到的因素是人力和财力资源。另一个重要因素似乎是该地区的文化。
本研究提供了实施 DemenTalent 的促进和阻碍因素的见解，这将为其他聚会中心提供信息并使其能够采用适合的策略在自己的中心实施 DemenTalent。这有望进一步推广该干预措施，使更多的痴呆症患者有机会充分发挥其潜力，找到有意义和愉快的消磨时间的方式，并积极参与社会。这将有助于建设一个更具包容性的社会，减少对痴呆症患者的污名化。
