Dissemination and implementation in dementia care
Over 47 million people globally are diagnosed with dementia and future projections estimate this number will rise to 115 million by 2050. The provision of best quality dementia care is therefore becoming a prominent goal, as manifested in multiple national dementia strategies. Despite the growing list of things that we know can be done to improve dementia care, research findings do not always translate into practice. Indeed policy documents and reports have highlighted a large gap between currently provided dementia care and what, according to research evidence, should be provided. This gap implies there are issues with how people get to know about what we know from research to be best-quality care (dissemination), as well as how this knowledge can be turned into action (implementation). In order to provide the greatest possible benefit to people with dementia and those who care for them, it is important not only to understand which interventions work but also, crucially, how best to put these practices into action.
Although there is evidence for the quality and efficacy of various interventions in the dementia context, there is no systematic synthesis available on how best to disseminate and implement practices that have been shown to improve care across dementia stages and care settings. The current project is funded by the Alzheimer’s Society to directly address this issue.
We will conduct a systematic review of quantitative and qualitative evidence to address the following research questions:
- How effective are the strategies that have been used to disseminate and implement knowledge within dementia care?
- What are the barriers and facilitators to dissemination and implementation of knowledge in dementia care? In other words, what stops it working and what helps it happen?