Department of Social Policy and Department of Management, London School of Economics and Political Science, London, UK
School of Dementia Studies, University of Bradford, Bradford, West Yorkshire, UK.
BMJ Open. 2020 Dec 8;10(12):e038397. doi: 10.1136/bmjopen-2020-038397.
Patients with long-term conditions consistently report a lack of information around services and support available to them. This unmet need for information is significant among people with dementia and family carers. A quality improvement intervention is being carried out to tackle this issue as part of a co-creation initiative in the North East of England (UK). The intervention consists of the dissemination (via the local Community Mental Health Services for Older People) of a leaflet about services available to people with dementia and their family carers in the study site. This protocol is reported in accordance with the Standards for Reporting Implementation Studies.
This effectiveness-implementation hybrid type 2 study aims at understanding (1) the unfolding and outcomes of the implementation strategy, (2) the outcomes of the intervention (for people with dementia and family carers, staff implementing the intervention and local service providers) and (3) the contribution of co-creation to the design and implementation of the intervention and its outcomes. The prospective theory of change of the intervention articulated by local stakeholders is used as a reference framework against which to assess the implementation and outcomes of the intervention. Evaluation data will be collected through in-depth interviews with people with dementia and family carers receiving the intervention, staff implementing the intervention and managers from local service providers. Referral data from local service providers will be collected to triangulate the interview data. A focus group with key stakeholders will support the sense-making of findings. The realist configuration of mechanism-context-outcome, operationalised using an information behaviour model, will inform data analysis and interpretation.
Ethical and research governance approvals have been obtained from the West Midlands-South Birmingham Research Ethics Committee. The results of the study will be submitted for publication in peer-reviewed journals and disseminated through conferences.
长期病患者经常反映他们缺乏有关可用服务和支持的信息。在痴呆症患者和家庭照顾者中，这种对信息的未满足需求尤为明显。作为英格兰东北部（英国）合作共创计划的一部分，正在进行一项质量改进干预措施来解决这个问题。该干预措施包括通过当地老年人社区心理健康服务机构传播有关研究地点痴呆症患者及其家庭照顾者可用服务的传单。本报告按照实施研究报告标准进行。
本有效性-实施混合 2 型研究旨在了解：（1）实施策略的展开和结果；（2）干预措施的结果（对痴呆症患者和家庭照顾者、实施干预措施的工作人员和当地服务提供者）；（3）合作共创对干预措施及其结果的设计和实施的贡献。当地利益相关者提出的干预措施的前瞻性变革理论被用作评估干预措施实施和结果的参考框架。评估数据将通过对接受干预的痴呆症患者和家庭照顾者、实施干预的工作人员和当地服务提供者的管理人员进行深入访谈收集。将从当地服务提供者收集转介数据，以对访谈数据进行三角验证。一个由主要利益相关者组成的焦点小组将支持发现的意义构建。使用信息行为模型实现的机制-背景-结果的现实主义配置将为数据分析和解释提供信息。
已从西米德兰兹-南伯明翰研究伦理委员会获得伦理和研究治理批准。该研究的结果将提交给同行评议期刊发表，并通过会议进行传播。
