Development of an Evidence-Based Best Practice Model for Teams Managing Crisis in Dementia: Protocol for a Qualitative Study

Stanyon, Miriam; Streater, Amy; Coleston-Shields, Donna Maria; Yates, Jen; Challis, David; Dening, Tom; Hoe, Juanita; Lloyd‐Evans, Brynmor; Mitchell, Shirley; Moniz–Cook, Esme; Poland, Fiona; Prothero, David; Orrell, Martin

doi:10.2196/14781

“…A detailed protocol for Work Package 1 is published elsewhere [15]. A consensus approach was chosen to determine a model of best practice as it can provide sense-making insightful information on priorities in situations where there is limited empirical evidence, and can be helpful in supporting future decisions concerning ambiguous or controversial topics [16].…”

Section: Methods Designmentioning

confidence: 99%

Developing a model of best practice for teams managing crisis in people with dementia: A consensus approach

Yates

¹

,

Stanyon

²

,

Challis

³

et al. 2020

Preprint

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Background: Teams delivering crisis resolution services for people with dementia and their carers provide short-term interventions to prevent admission to acute care settings. There is great variation in these services across the UK. This article reports on a consensus process undertaken to devise a Best Practice Model and evaluation Tool for use with teams managing crisis in dementia. Methods: The Best Practice Model and Tool were developed over a three stage process: (i) Evidence gathering and generation of candidate standards (systematic review and scoping survey, interviews and focus groups); (ii) Prioritisation and selection of standards (consultation groups, a consensus conference and modified Delphi process); (iii) Refining and operationalising standards (consultation group and field-testing). Results: 165 candidate standards arose from the evidence gathering stage; were refined and reduced to 90 through a consultation group exercise; and then reduced to 50 during the consensus conference and weighted using a modified Delphi process. Standards were then operationalised through a clinical consultation group and field-tested with 11 crisis teams and 5 non-crisis teams. Scores ranged from 48-92/100. The median score for the crisis teams was 74.5 (range 67-92), and the median score for non-crisis teams was 60 (range 48-72).Conclusions: With further psychometric testing, this Best Practice Model and Tool will be ideal for the planning, improvement and national benchmarking of teams managing dementia crises in the future.

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“…The Work Package 1 protocol is published elsewhere [15]. An iterative, multi-methods, consensus approach was chosen as it provides pragmatic information where empirical evidence is limited and in exploring ambiguous or controversial topics [16].…”

Section: Designmentioning

confidence: 99%

“…This work is part of the Achieving Quality and Effectiveness in Dementia Using Crisis Teams (AQUEDUCT) research programme (RP-PG-0612-20,004). AQUEDUCT aims to improve the quality and effectiveness of care for people with dementia experiencing crisis This article describes the development of the Best Practice Model and Best Practice Tool (Work Package 1) [15]. The Model, Tool, and other resources will be trialled in subsequent Work Packages and discussed in future publications.…”

Section: Introductionmentioning

confidence: 99%

Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach

Yates

¹

,

Stanyon

²

,

Challis

³

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background Teams delivering crisis resolution services for people with dementia and their carers provide short-term interventions to prevent admission to acute care settings. There is great variation in these services across the UK. This article reports on a consensus process undertaken to devise a Best Practice Model and evaluation Tool for use with teams managing crisis in dementia. Methods The Best Practice Model and Tool were developed over a three stage process: (i) Evidence gathering and generation of candidate standards (systematic review and scoping survey, interviews and focus groups); (ii) Prioritisation and selection of standards (consultation groups, a consensus conference and modified Delphi process); (iii) Refining and operationalising standards (consultation group and field-testing). Results One hundred sixty-five candidate standards arose from the evidence gathering stage; were refined and reduced to 90 through a consultation group exercise; and then reduced to 50 during the consensus conference and weighted using a modified Delphi process. Standards were then operationalised through a clinical consultation group and field-tested with 11 crisis teams and 5 non-crisis teams. Scores ranged from 48 to 92/100. The median score for the crisis teams was 74.5 (range 67–92), and the median score for non-crisis teams was 60 (range 48–72). Conclusions With further psychometric testing, this Best Practice Model and Tool will be ideal for the planning, improvement and national benchmarking of teams managing dementia crises in the future.

show abstract

“…This work is part of the Achieving Quality and Effectiveness in Dementia Using Crisis Teams (AQUEDUCT) research programme (RP-PG-0612-20004). AQUEDUCT aims to improve the quality and effectiveness of care for people with dementia experiencing crisis This article describes the development of the Best Practice Model and Best Practice Tool (Work Package 1) (15). The Model, Tool, and other resources will be trialled in subsequent Work Packages and discussed in future publications.…”

Section: Introductionmentioning

confidence: 99%

Developing a model of best practice for teams managing crisis in people with dementia: A consensus approach

Yates

¹

,

Stanyon

²

,

Challis

³

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Teams delivering crisis resolution services for people with dementia and their carers provide short-term interventions to prevent admission to acute care settings. There is great variation in these services across the UK. This article reports on a consensus process undertaken to devise a Best Practice Model and evaluation Tool for use with teams managing crisis in dementia. Methods: The Best Practice Model and Tool were developed over a three stage process: (i) Evidence gathering and generation of candidate standards (systematic review and scoping survey, interviews and focus groups); (ii) Prioritisation and selection of standards (consultation groups, a consensus conference and modified Delphi process); (iii) Refining and operationalising standards (consultation group and field-testing). Results: 165 candidate standards arose from the evidence gathering stage; were refined and reduced to 90 through a consultation group exercise; and then reduced to 50 during the consensus conference and weighted using a modified Delphi process. Standards were then operationalised through a clinical consultation group and field-tested with 11 crisis teams and 5 non-crisis teams. Scores ranged from 48-92/100. The median score for the crisis teams was 74.5 (range 67-92), and the median score for non-crisis teams was 60 (range 48-72).Conclusions: With further psychometric testing, this Best Practice Model and Tool will be ideal for the planning, improvement and national benchmarking of teams managing dementia crises in the future.

show abstract

Development of an Evidence-Based Best Practice Model for Teams Managing Crisis in Dementia: Protocol for a Qualitative Study

Cited by 6 publications

References 15 publications

Developing a model of best practice for teams managing crisis in people with dementia: A consensus approach

Developing a model of best practice for teams managing crisis in people with dementia: A consensus approach

Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach

Developing a model of best practice for teams managing crisis in people with dementia: A consensus approach

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