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dc.contributor.authorLord, Kathryn
dc.contributor.authorBeresford-Dent, Jules
dc.contributor.authorRapaport, P.
dc.contributor.authorBurton, A.
dc.contributor.authorLeverton, M.
dc.contributor.authorWalters, K.
dc.contributor.authorLang, I.
dc.contributor.authorDowns, Murna G.
dc.contributor.authorManthorpe, J.
dc.contributor.authorBoex, S.
dc.contributor.authorJackson, J.
dc.contributor.authorOgden, M.
dc.contributor.authorCooper, C.
dc.date.accessioned2020-10-21T11:06:41Z
dc.date.accessioned2020-11-05T09:26:06Z
dc.date.available2020-10-21T11:06:41Z
dc.date.available2020-11-05T09:26:06Z
dc.date.issued2020-01
dc.identifier.citationLord K, Beresford-Dent J, Rapaport P et al (2020) Developing the New Interventions for independence in Dementia Study (NIDUS) theoretical model for supporting people to live well with dementia at home for longer: a systematic review of theoretical models and Randomised Controlled Trial evidence. Social Psychiatry and Psychiatric Epidemiology. 55: 1-14.en_US
dc.identifier.urihttp://hdl.handle.net/10454/18152
dc.descriptionYesen_US
dc.description.abstractPurpose: To build an evidence-informed theoretical model describing how to support people with dementia to live well or for longer at home. Methods: We searched electronic databases to August 2018 for papers meeting predetermined inclusion criteria in two reviews that informed our model. We scoped literature for theoretical models of how to enable people with dementia to live at home independently, with good life quality or for longer. We systematically reviewed Randomised Controlled Trials (RCTs) reporting psychosocial intervention effects on time lived with dementia at home. Two researchers independently rated risk of bias. We developed our theoretical model through discussions with experts by personal, clinical and academic experiences, informed by this evidence base. Results: Our scoping review included 52 studies. We divided models identified into: values and approaches (relational and recovery models; optimising environment and activities; family carer skills and support); care strategies (family carer-focused; needs and goal-based; self-management); and service models (case management; integrated; consumer-directed). The 11 RCTs included in our systematic review, all judged at low risk of bias, described only two interventions that increased time people with dementia lived in their own homes. These collectively encompassed all these components except for consumer-directed and integrated care. We developed and revised our model, using review evidence and expert consultation to define the final model. Conclusions: Our theoretical model describes values, care strategies and service models that can be used in the design of interventions to enable people with dementia to live well and for longer at home.en_US
dc.description.sponsorshipThis work forms the first phase of the NIDUS (New Interventions in Dementia Study), which is hosted within the Alzheimer’s Society Centre of Excellence for Independence at home (Centre of Excellence grant 330).en_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttps://doi.org/10.1007/s00127-019-01784-wen_US
dc.rights© The Author(s) 2019. Open Access - This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.en_US
dc.subjectDementiaen_US
dc.subjectHome careen_US
dc.subjectTheoretical modelsen_US
dc.titleDeveloping the New Interventions for independence in Dementia Study (NIDUS) theoretical model for supporting people to live well with dementia at home for longer: a systematic review of theoretical models and Randomised Controlled Trial evidenceen_US
dc.status.refereedYesen_US
dc.date.Accepted2019-10-09
dc.date.application2019-11-02
dc.typeArticleen_US
dc.type.versionPublished versionen_US
dc.date.updated2020-10-21T10:06:54Z
refterms.dateFOA2020-11-05T09:27:09Z


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