Implementation Science in Dementia Care: Methodological, Cultural, and Sociodemographic Considerations

Friday, November 4, 2022

10:00 AM – 11:30 AM ET

Location: 204 CC

CE: 1.5

Chair(s)

JG

Joseph Gaugler, PhD

Professor and Robert L. Kane Endowed Chair in Long-Term Care and Aging
School of Public Health
University of Minnesota
Minneapolis, Minnesota, United States

Slides

Co-Chair(s)

Laura Gitlin, PhD, FGSA, FAAN

Dean and Distinguished Professor
College of Nursing and Health Professions
Drexel University
Philadelphia, Pennsylvania, United States

Discussant(s)

BP

Beth Prusaczyk, PhD

Assistant Professor
Institute for Informatics
Washington University in St. Louis, School of Medicine
St. Louis, Missouri, United States

Individual Symposium Abstract First Author(s)

JG

Joseph Gaugler, PhD

Professor and Robert L. Kane Endowed Chair in Long-Term Care and Aging
School of Public Health
University of Minnesota
Minneapolis, Minnesota, United States

Slides
MB

Marie Boltz, PhD, GNP-BC, FGSA, FAAN

Professor
Ross and Carol Nese College of Nursing
Penn State
State College, Pennsylvania, United States
Lauren Parker, PhD MPH

Assistant Scientist
Department of Health, Behavior, and Society
Johns Hopkins Bloomberg School of Public Health
Baltimore, Maryland, United States
Zachary Baker, PhD

Assistant Professor
Health Policy and Management
Arizona State University
Tempe, Arizona, United States

The gap between aging science and practice persists. Getting the best possible evidence into the real world is a particular challenge in gerontology because of the complex needs of older persons, the family caregiving experience, the workforce shortage, and underlying structural concerns with how services for older people are regulated, paid for, and valued. The purpose of this symposium is to consider contextual dimensions to facilitate implementation, methodological considerations, strategies to inform cultural adaptation of evidence-based innovations, and how creativity and innovation in low- and middle-income countries can better inform implementation practices in resource rich countries and vice-versa. Specifically, Dr. Marie Boltz and colleagues will examine the conceptual and theoretical underpinnings of organizational readiness for implementation and the operationalization of the construct. Dr. Joseph Gaugler and co-authors will provide case examples of three “hybrid effectiveness” trials in dementia care in different care settings including community-based and residential long-term care settings, each of which incorporate implementation methods alongside traditional evaluations of effectiveness. Dr. Lauren Parker and her team will demonstrate how cultural adaptation strategies were applied to facilitate the implementation of a community-based, evidence-based dementia care intervention. Dr. Baker and colleagues consider implementation issues and innovations in low- and middle-income countries. Dr. Beth Prusaczyk, an implementation expert, will serve as Discussant and highlight future implementation issues to advance best practices that facilitate and expedite the translation of aging science.

Learning Objectives:

After attending this session, participants will be able to identify design innovations that can blend effectiveness and implementation considerations in gerontological intervention research.
After attending this session, participants will be able to understand the theoretical and operational underpinnings of organizational readiness to facilitate implementation.
After attending this session, participants will be able to identify strategies to culturally adapt interventions to enhance implementation of innovations in a range of contexts.

Presentations:

10:00 AM – 11:30 AM ET

Using Hybrid Effectiveness Designs to Facilitate Implementation: Three Case Studies in Dementia Care Research
Individual Symposium Abstract First Author: Joseph E. Gaugler, PhD – University of Minnesota
10:00 AM – 11:30 AM ET

A Conceptual Model of Organizational Readiness for Implementation of Embedded Pragmatic Dementia Research
Individual Symposium Abstract First Author: Marie Boltz, PhD, GNP-BC, FGSA, FAAN – Penn State
10:00 AM – 11:30 AM ET

Cultural Adaptation of the Adult Day Service Plus Program for Hispanic/Latino Dementia Caregivers
Individual Symposium Abstract First Author: Lauren J. Parker, PhD MPH – Johns Hopkins Bloomberg School of Public Health
10:00 AM – 11:30 AM ET

Designing Interventions for Older Adults with Low- and Middle-Income Countries Settings in Mind
Individual Symposium Abstract First Author: Zachary G. Baker, PhD – Arizona State University