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Exploring Stakeholder Perspectives on the Implementation of WHO iSupport for Dementia Program: A Qualitative Study
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-10-28 , DOI: 10.1111/jan.16554 Dingxin Xu, Xirong Hu, Jing Wang, Lily Dongxia Xiao, Jin Wang
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-10-28 , DOI: 10.1111/jan.16554 Dingxin Xu, Xirong Hu, Jing Wang, Lily Dongxia Xiao, Jin Wang
AimTo explore the stakeholders' perspectives and develop a conceptual framework for promotion strategies to implement the iSupport‐based intervention for family caregivers of people with dementia.DesignA descriptive qualitative design was adopted.MethodsSemi‐structured interviews were conducted with 49 stakeholders of people with dementia from July to December 2023. The Consolidated Framework for Implementation Research was applied to guide the development of the interview guide, data collection and analysis. Directed content analysis was employed to identify facilitators and barriers, with data analysed based on the framework and the established its codebook. These findings were then summarised into a conceptual framework of critical components.ResultsThe identified 16 barriers and 28 facilitators were distributed across all Consolidated Framework for Implementation Research domains. All facilitators and barriers were integrated into a conceptual framework guiding the implementation of iSupport. This four‐tier, eight‐component conceptual framework guides the global promotion of the web‐based dementia care model, covering state, society, hospitals, individuals and strategies. The components included comprehensive and balanced national medical guidelines, a friendly social culture, adequate hospital collaboration, cooperative healthcare workers, responsible family caregivers, a comprehensive intervention system, appropriate learning content and digital health support.ConclusionThe ‘iSupport for Dementia’ program is seen positively for its potential to improve dementia care by providing mental and technical support to family caregivers. Successful implementation requires addressing barriers, enhancing facilitators and adapting to China's conditions and policies. Mobilising local healthcare resources and gaining stakeholder recognition is crucial. This approach may help develop a localised version of iSupport that suits the needs and habits of Chinese family caregivers, with the potential for broader dissemination.ImpactThe ‘iSupport for Dementia’ program could greatly improve dementia care in China by addressing barriers and utilising facilitators. This study offers critical insights for future policy development and effective implementation strategies.Reporting MethodAdherence to the COREQ guidelines for reporting qualitative research was maintained.Patient or Public ContributionNo patient or public contribution.
更新日期：2024-10-28
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