Does the community-based combined Meeting Center Support Programme (MCSP) make the pathway to day-care activities easier for people living with dementia? A comparison before and after implementation of MCSP in three European countries

Szczęśniak, Dorota; Dröes, Rose-Marie; Meiland, Franka; Brooker, Dawn; Farina, Elisabetta; Chattat, Rabih; Evans, Siân; Evans, Simon; Saibene, Francesca Lea; Urbańska, Katarzyna; Rymaszewska, Joanna

doi:10.1017/s1041610217002885

Cited by 17 publications

(21 citation statements)

References 22 publications

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“…The analysis also undertook numerous tests of significance and multiple comparisons. However, the current study was designed primarily as an implementation study where much of the time and energy was put in realising at least 2 MCs in each country who provided the full MCSP were piloted and evaluated. Consequently, larger samples with blind assessment were not possible in this study.…”

Section: Discussionmentioning

confidence: 99%

“…Materials and concepts developed in the Netherlands were translated. Compliance with the original MCSP model was maintained to a high degree, although several country adaptations were made, such as more flexibility of attendance to the programme according to need, severity of dementia of the target group, and additional therapeutic approaches . The MC “club” was offered 3 days per week in the UK and Poland and 3 half‐days to 2 days per week in Italy.…”

Section: Methodsmentioning

confidence: 99%

“…The adaptive implementation involved translating MCSP concepts and practicalities into a new country context. After exploring pathways to care, pilot MCs were successfully implemented in all countries in 2015 following a 12‐month period of collaborative community engagement and adaptation . Within each participating country, a national project team conducted a standardised implementation study and assessed the impacts on people living with dementia and their family carers to ascertain if the results were comparable with those found in the Netherlands.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the implementation of the Meeting Centres Support Program in Italy, Poland, and the UK; exploration of the effects on people with dementia

Brooker

Evans

et al. 2018

Int J Geriat Psychiatry

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of the implementation of the Meeting Centres Support Program in Italy, Poland, and the UK; exploration of the effects on people with dementia

Brooker

Evans

et al. 2018

Int J Geriat Psychiatry

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“…In Poland, there is a lack of a multidisciplinary, coordinated system of care for people with dementia in the form of an evidence-based structured pathway 11. The post-diagnostic support is very limited.…”

Section: Introductionmentioning

confidence: 99%

Does the Meeting Centres Support Programme reduce unmet care needs of community-dwelling older people with dementia? A controlled, 6-month follow-up Polish study

Mazurek

Szczęśniak

Lion

et al. 2019

CIA

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IntroductionIn Poland we lack a multidisciplinary and coordinated system of care for people with dementia, which would take the form of an evidence-based pathway and the number of reports on the holistic approach to caring for people living with this diagnosis is very low.Aim of the studyThe aim of the study was to investigate whether the Meeting Centres Support Programme (MCSP) is effective in meeting the needs of older people with dementia.Participants and methodsThis was done by comparing the experiences of people with dementia themselves and that of their carers at baseline and at follow-up, after 6 months of participation in MCSP or Usual Care (UC).ResultsThe study included 47 people diagnosed with mild-to-moderate dementia (n=24, MCSP group; n=23, UC control group) and 42 informal carers (n=22, MCSP group; n=20, UC control group), all living in Wroclaw in Poland and involved in the European JPND-MEETINGDEM project. To assess cognitive functioning and severity of dementia, the Mini-Mental State Examination and Global Deterioration Scale were used. The needs were assessed using the Camberwell Assessment of Need for the Elderly. The most frequently reported unmet needs at baseline both by the persons with dementia and their carers included activities of daily living, psychological distress, and the need for company. Compared to the UC group the unmet needs were reduced considerably in the MCSP group providing convincing evidence that MCSP is effective in reducing unmet needs over a 6-month period.ConclusionMCSP may be regarded as a good example of comprehensive post-diagnostic support for patients with mild-to-moderate dementia as well as their informal carers.

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“…Reductions in length of stay and readmission were found as a consequence of type of added support. In a multi-center European study, reported by Szcześniak et al (2018), the introduction of new meeting centers as a bridge between diagnosis and residential care was evaluated in four countries. The intervention proved successful in providing more structured care pathways and post-diagnostic support for people with dementia and their carers.…”

mentioning

confidence: 99%

Social aspects of dementia and dementia practice

Haapala

Biggs

Kurrle

2018

Int. Psychogeriatr.

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Social aspects of dementia are becoming increasingly important as part of a wider shift in emphasis from cure to care. This is partly because approaches based on finding a cure have proved far more difficult and complex than originally imagined (WHO, 2016). New evidence on the effectiveness of public health measures, that while incidence is growing as the proportion of older people in society increases its prevalence amongst older adults is actually falling, has also lead to increased interest in social dimensions of prevention, lifestyle change, and practical intervention in community settings (Prince et al., 2016; Kivipelto et al., 2017). This, in turn, has led to a rediscovery of the role of supports to people living with dementia in their daily lives, the needs of informal carers, and professional activities that can maintain the social engagement of each party (Winblad et al., 2016). The expansion of practice around person-centered care, beyond traditional institutional settings, has also contributed to a socialized view of how interactions in dementia care are thought about (Bartlett et al., 2017), as has an increased awareness of the effects of the social construction of dementia in the public mind (Biggs, 2018). Most recently, people living with dementia, and particularly with respect to younger onset dementia, have begun to find a voice and to make connections to the wider disability movement (Dementia Alliance International, 2017). Each of these developments, in their different ways, have led to a re-emphasis on psycho-social elements of dementia, its experience, and how that might translate into clinical practice and service delivery.

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Does the community-based combined Meeting Center Support Programme (MCSP) make the pathway to day-care activities easier for people living with dementia? A comparison before and after implementation of MCSP in three European countries

Cited by 17 publications

References 22 publications

Evaluation of the implementation of the Meeting Centres Support Program in Italy, Poland, and the UK; exploration of the effects on people with dementia

Evaluation of the implementation of the Meeting Centres Support Program in Italy, Poland, and the UK; exploration of the effects on people with dementia

Does the Meeting Centres Support Programme reduce unmet care needs of community-dwelling older people with dementia? A controlled, 6-month follow-up Polish study

Social aspects of dementia and dementia practice

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