BackgroundMajor knowledge and practice gaps exist in aged care home services to support independence of older people with dementia. This research evaluates an adaptation of a community‐based rehabilitation model for care homes, namely Interdisciplinary Care Home‐bAsed Reablement Program (I‐CHARP), by examining whether (and, if so, how) I‐CHARP produces its intended effects and how this programme can be practicably implemented, sustained and scaled up across care homes in Australia.MethodsI‐CHARP is a 4‐month bio‐behavioural‐environmental rehabilitation model of care, integrated in care home services, supported through the deployment of an implementation strategy, the Research Enabled Aged Care Homes (REACH) network. It consists of (1) 8–12 full individual sessions and additional eight brief follow‐ups per resident, tailored to the resident's needs, delivered primarily by a team of an occupational therapist, registered nurse and other allied health staff; (2) environmental modifications/assistive devices up to the value of $400 per resident; and (3) engagement of intervention care home staff, managers and regular visitors. An overarching evaluation approach is participatory action research using a cluster quasi‐experimental design and mixed methods. It involves testing of the implementation strategy (REACH network and other approaches) while observing/gathering information on the intervention (I‐CHARP) and related outcomes in three cycles. Participants include residents (aged ≥ 60 years with early stages of dementia) and care staff from 16 care homes. Care quality indicators, health care costs, field notes and semi‐structured interviews/focus groups with intervention site staff, regular visitors and managers will provide further insights into I‐CHARP processes and implementation issues.DiscussionIn the final phase of the project, an Agile Implementation Playbook will be developed for the delivery of reablement care that can be used in routine practice across care homes in Australia. The study findings will also inform future policy development and strategic directions for dementia care in care homes.Trial Registration: Australian New Zealand Clinical Trial Registry, ACTRN12623000885695 Registered 16 August 2023, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=386088.Protocol version: 1.0 dated 20 July 2023

中文翻译：

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对护理院认知障碍和痴呆症患者的跨学科护理院 - bAsed Reablement Program （I-CHARP） 的评估


背景老年护理院服务存在主要知识和实践差距，以支持痴呆老年人的独立性。本研究通过检查 I-CHARP 是否（如果是，如何产生）以及该计划如何在澳大利亚的护理院中切实实施、维持和扩大该计划，评估了对护理院基于社区的康复模式的改编，即跨学科护理院 - bAsed Reablement Program （I-CHARP）。 整合到护理院服务中，通过部署实施策略 Research Enabled Aged Care Homes （REACH） 网络提供支持。它包括 （1） 8-12 次完整的个人会议和每位居民的额外 8 次简短随访，根据居民的需求量身定制，主要由职业治疗师、注册护士和其他专职卫生人员组成的团队提供;（2） 每位居民价值不超过 400 美元的环境改造/辅助设备;（3） 干预护理院工作人员、管理人员和定期访客的参与。一种总体评估方法是使用整群准实验设计和混合方法的参与式行动研究。它涉及在三个周期中观察/收集有关干预 （I-CHARP） 和相关结果的信息，同时测试实施策略（REACH 网络和其他方法）。参与者包括来自 16 家护理院的居民（年龄≥ 60 岁，患有早期痴呆）和护理人员。 护理质量指标、医疗保健成本、现场笔记和与干预站点工作人员、定期访客和管理人员的半结构化访谈/焦点小组将提供有关 I-CHARP 流程和实施问题的进一步见解。讨论在项目的最后阶段，将制定一本敏捷实施手册，以提供恢复能力的护理，可用于澳大利亚护理院的常规实践。研究结果还将为护理院痴呆护理的未来政策发展和战略方向提供信息。试验注册：澳大利亚新西兰临床试验注册中心，ACTRN12623000885695 2023 年 8 月 16 日注册，https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=386088.Protocol 版本：1。0 日期 2023 年 7 月 20 日