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Development and feasibility testing of a person‐centered cognitive service manual to enhance community care for people with dementia in Korea
Author(s) -
Park Myonghwa,
Go Younghye,
Lee Mihyun
Publication year - 2020
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1002/alz.047111
Subject(s) - dementia , service (business) , psychological intervention , nursing , focus group , psychology , intervention (counseling) , service provider , test (biology) , cognition , needs assessment , medicine , medical education , gerontology , applied psychology , psychiatry , business , paleontology , social science , disease , pathology , marketing , sociology , biology
Background In order to improve the quality of life for persons with dementia and their families and to ensure the efficiency of national cost for managing dementia, there is a need to support them in their communities as long as possible. Therefore, person‐centered cognitive interventions for early detecting of dementia and delaying its progression in the community is an urgent priority at the international level. This study aimed to develop a person‐centered cognitive service manual for early dementia to use for national long‐term care agencies and test its feasibility. Methods This study was conducted from February to July, 2019. The theoretical rationale for the manual was developed through systematic review of previous guidelines and studies. The focus group interviews identified the needs and preferences of stakeholders. The manual consisted of assessment, intervention, and outcome based on six domains. Six domains were individuality, independence, psychological health, physical health, safety, and social support. The manual provides comprehensive needs assessment tools and algorithms to plan and provide individualized service plan. The feasibility study was conducted at 47 senior welfare centers in Korea. Results This study found that the manual was effective for initial consultation (63.0%), comprehensive evaluation (50.0%), service planning (72.7%), service provision (78.3%), goal achievement evaluation (50.0%), and service termination (100.0%). However, service provider’s increased workloads and the time for completing the needs assessment were identified as barriers to apply the manual. In addition, service providers experienced lack of knowledge and skills in comprehensive evaluation (55.9%) and service planning (29.4%). The continuous educational support for manual application was suggested. Conclusion The national manual of person‐centered cognitive service can be useful to provide the best community services to improve the quality dementia community care. Development and dissemination of ICT based care pathways into the long‐term care service system to support best practices through the manual can be suggested.