Table 3.
Attitudes and barriers of occupational therapists regarding the implementation of the COTiD program
| Statement | M (SD) | Totally agree N (%) | Agree N (%) | Not agree or disagree N (%) | Disagree N (%) | Totally disagree N (%) | V / M |
|---|---|---|---|---|---|---|---|
| Attitude toward the COTiD program (α = 0.72)† | |||||||
| It takes too much time to familiarize myself with the working method of the COTiD program. ‡ |
3.18 (0.77) |
1 (1.8) |
9 (16.1) |
25 (44.6) |
21 (37.5) |
0 (0) |
56 / 38 |
| It takes too much time to treat clients according to the COTiD program. ‡ |
3.22 (0.83) |
0 (0) |
13 (23.6) |
18 (32.7) |
23 (41.8) |
1 (1.8) |
55 / 39 |
| I find treatment according to the COTiD program too intensive for my clients. ‡ |
3.42 (0.69) |
0 (0) |
3 (5.5) |
29 (52.7) |
20 (36.4) |
3 (5.5) |
55 / 39 |
| I find treatment according to the COTiD program too intensive for caregivers. ‡ |
3.52 (0.69) |
0 (0) |
2 (3.6) |
27 (48.2) |
23 (41.1) |
4 (7.1) |
56 / 38 |
| The program provides sufficient guidance to treat people with dementia and their caregivers. |
3.68 (0.77) |
5 (8.9) |
33 (58.9) |
13 (23.2) |
5 (8.9) |
0 (0) |
56 / 38 |
| The intensive diagnostic phase of the program enables me to better shape the treatment. |
3.85 (0.62) |
6 (10.9) |
36 (65.5) |
12 (21.8) |
1 (1.8) |
0 (0) |
55 / 39 |
| Experience, skills, and self-efficacy of the occupational therapist (α = 0.72) † | |||||||
| I have sufficient experience with the COTiD program. |
2.07 (0.87) |
1( 1.8) |
2 (3.6) |
11 (19.6) |
28 (50) |
14 (25) |
56 / 38 |
| I feel competent in using the COTiD program. |
2.64 (0.82) |
0 (0) |
8 (14.3) |
24 (42.9) |
20 (35.7) |
4 (7.1) |
56 / 38 |
| I find it difficult to change my old habits concerning the diagnostic phase. ‡ |
3.02 (0.95) |
1 (1.9) |
19 (35.8) |
12 (22.6) |
20 (37.7) |
1 (1.9) |
53 / 41 |
| I find it difficult to change my old habits concerning the treatment phase. ‡ |
3.27 (0.84) |
0 (0) |
13 (23.2) |
16 (28.6) |
26 (46.4) |
1 (1.8) |
56 / 38 |
| I feel capable of changing the procedures regarding dementia occupational therapy care at my place of work. |
3.71 (0.78) |
5 (8.9) |
36 (64.3) |
9 (16.1) |
6 (10.7) |
0 (0) |
56 / 38 |
| I find it difficult to justify the use of the COTiD program toward physicians. ‡ |
3.5 (1.03) |
1 (1.8) |
12 (21.4) |
8 (14.3) |
28 (50) |
7 (12.5) |
56 / 38 |
| Knowledge of occupational therapists | |||||||
| I have insufficient knowledge about dementia to be able to work with the COTiD program. ‡ |
3.45 (1.03) |
2 (3.6) |
10 (17.9) |
11 (19.6) |
27 (48.2) |
6 (10.7) |
56 / 38 |
| Support from the professional environment (α = 0.50) † | |||||||
| Role models are lacking. ‡ |
2.70 (1.06) |
5 (8.9) |
25 (44.6) |
10 (17.9) |
14 (25) |
2 (3.6) |
56 / 38 |
| I have sufficient opportunities to ask for feedback. |
3.0 (0.97) |
0 (0) |
17 (30.4) |
13 (23.2) |
17 (30.4) |
3 (5.4) |
56 / 38 |
| I do not feel supported in using the COTiD program by occupational therapists at my work place. ‡ |
3.98 (1.04) |
2 (4.2) |
3 (6.3) |
5 (10.4) |
22 (45.8) |
16 (33.3) |
48 / 46 |
| I feel supported in using the COTiD program by occupational therapy colleagues in my region. |
2.8 (1.26) |
3 (5.4) |
18 (32.1) |
12 (21.4) |
11 (19.6) |
12 (21.4) |
56 / 38 |
| Management at my work place supports working according to the COTiD program. |
3.66 (0.72) |
3 (5.4) |
35 (62.5) |
15 (26.8) |
2 (3.6) |
1 (1.8) |
56 / 38 |
| I feel supported in using the COTiD program by physicians. | 2.84 (0.91) | 2 (3.6) | 11 (19.6) | 21 (37.5) | 20 (35.7) | 2 (3.6) | 56 / 38 |
† Internal consistency of the concept based on Cronbach’s alpha; ‡ Negatively stated items: reversed scoring system applies; V / M = valid and missing responses; M = mean; SD = standard deviation.