Table 3.
Components of intervention and implementation | Content | Participants | Duration | |
---|---|---|---|---|
Components of the intervention | I. Training in performing case conferences | Aim and structure of CCs, NDB model, communication rules, use of IdA (only in the IdA intervention group) | Unit leaders, manager of the nursing home and members of care teams | Half a day |
II. Case conferences with support (training on the job) | Conducting CCs supported by the experts; the experts assist the moderator, are involved in the discussions, and provide advice | Members of care teams and experts | Minimum 2 case conferences within 3 months | |
III. Case conferences without support | Conducting CC unaided | Members of care teams | Minimum 3 case conferences within 4 months | |
Educational strategy for the implementation | I. Kick-off meetings | Information concerning the project/intervention and data collection, time frame, organizational aspects | Participating care team members | 90 minutes |
II. Training in dementia and challenging behavior | Diagnosis of dementia, forms and symptoms of dementia, causes of challenging behavior and management of challenging behavior | Members of care teams | Half a day | |
III. Training in moderation of case conferences | Training in moderation techniques | 2 nursing staff from each unit | 2 days | |
IV. Training in development of implementation strategy for management | A steering group will be formed to develop an implementation plan | Unit leaders, manager of the nursing home, moderators, project manager | 2 days | |
V. Telephone-hotline and reminders | Questions concerning the CCs and reminders via phone call to conduct CCs regularly | All participants | During the intervention |
CC, case conference; NDB, need-driven dementia-compromised behavior; IdA, innovative dementia-oriented assessment tool.