University of Worcester Worcester Research and Publications

The sustainability of community interventions for people affected by dementia: A realist review

Morton, Thomas ORCID:, Atkinson, Teresa ORCID:, Brooker, Dawn ORCID: and Wong, G. (2020) The sustainability of community interventions for people affected by dementia: A realist review. In: Alzheimer's Association International Conference (AAIC) 2020, 27-31 July 2020, Online. ISSN 1552-5279 (Unpublished)

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Community‐based support for people with dementia and their care partners (family/friends), such as regularly‐meeting groups and activities, can play an important part in post‐diagnostic care: from combating isolation and maintaining positive self‐image, to delaying decline and hospitalisation. However, in countries such as the UK these are typically delivered piecemeal by a variety of agencies with inconsistent funding. This has led to fragmented provision with significant gaps and, to add to this, many such interventions are forced to fold after only a short period. The SCI‐Dem review is investigating what can promote, or get in the way of, community interventions for people affected by dementia becoming sustainable over time.

This review is utilising a Realist approach. Key sources of evidence were gathered using formal searches of electronic databases and grey literature, together with informal search methods such as citation tracking and snowballing. Data were interrogated, assessed and organised with the aid of NVivo software, and a Realist logic of analysis was applied to trace context‐mechanism‐outcome configurations as part an overall programme theory, indicating what works for whom, in what circumstances, in what respects and how, with regards to sustaining community interventions. Consultation with stakeholders, involved with a variety of such interventions in various roles, informed this process throughout.

Due to complete in September 2020, this review will produce an evidence‐informed programme theory mapping how different contexts can trigger mechanisms (processes in people and organisations) to produce outcomes that help or hinder the sustainability of a community group or activity. Early findings suggest a range of factors affecting four key areas for sustainability: whether a group or activity can get or keep 1) members; 2) appropriate staff and volunteers; 3) necessary resources; 4) necessary funding.

Conclusions will focus upon how best to implement community‐based interventions, with recommendations to those commissioning, planning or running such schemes, based upon our programme theory. Accessible publications and online materials will be produced, aiming to provide an evidence‐informed ‘blueprint’ for other community settings. Recommendations about what could be useful at both regional and national policy and infrastructure levels will also be made.

Item Type: Conference or Workshop Item (Other)
Additional Information:

The published abstract relating to this conference podium presentation can be accessed via the official URL.

Uncontrolled Discrete Keywords: health policy, developmental neuroscience, epidemiology, cellular and molecular neuroscience, geriatrics and gerontology, psychiatry and mental health, clinical neurology
Subjects: R Medicine > R Medicine (General)
R Medicine > RZ Other systems of medicine
Divisions: College of Health, Life and Environmental Sciences > School of Allied Health and Community
Related URLs:
SWORD Depositor: Prof. Pub Router
Depositing User: Teresa Atkinson
Date Deposited: 17 Dec 2020 11:19
Last Modified: 23 Feb 2021 04:00

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