title: Implementing living room theatre activities for people with dementia on nursing home wards: a process evaluation study.
abstract: OBJECTIVE
  A new communication method, the 'Veder Method', was implemented in the Netherlands. This method uses theatrical stimuli in combination with proven person-centred communication methods. Care staff was trained to apply the Veder Method in a 'living room theatre activity' for people with dementia. This study evaluates the implementation of the Veder Method on psychogeriatric nursing home wards.
  
  
  METHODS
  Facilitators and barriers to train staff and implement the Veder Method in psychogeriatric nursing homes were identified by conducting semi-structured interviews with 12 stakeholders who were involved in the implementation, and five focus groups with 35 trained care staff. The interviews and focus groups were transcribed verbatim, and two independent researchers analysed the content of the transcripts. The Implementation Process Evaluation (IPE) Framework was used to categorize the data and the 7s-model to contextualize the qualitative findings.
  
  
  RESULTS
  A structured overview of facilitators and barriers in different stages of the implementation process is presented. Positive reactions in residents and more reciprocity in caregiver-resident contact motivated trained care staff to work with the Veder Method. An action plan, executive support, the visibility of the method in the organization and a pioneer group that initiated implementation were essential for successful implementation. High work pressure for the care staff was a hindering factor.
  
  
  CONCLUSIONS
  Respondents experienced the added value of the Veder Method. The facilitators and barriers to implementation we identified in this study can help to implement and disseminate the successful Veder Method and other person-centred communication methods in psychogeriatric nursing homes effectively.
authors.affiliation: a Department of Psychiatry/Department of General Practice and Elderly Care Medicine , VU University Medical Center , Amsterdam , The Netherlands.
authors.forename: A Marijke
authors.initials: AM
authors.lastname: van Haeften-van Dijk
authors.forename: Julia C M
authors.initials: JC
authors.lastname: van Weert
authors.forename: Rose-Marie
authors.initials: RM
authors.lastname: Dröes
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000451:nursing* / Q000523:psychology*; D017028:Caregivers / Q000193:education; D005240:Feasibility Studies; D017144:Focus Groups; D006284:Health Plan Implementation; D006707:Homes for the Aged / Q000458:organization & administration; D006801:Humans; D007318:Inservice Training; D007407:Interviews as Topic; D008875:Middle Aged; D009426:Netherlands; D009735:Nursing Homes / Q000458:organization & administration; D010043:Outcome and Process Assessment, Health Care; D011577:Psychodrama / Q000379:methods*; D011615:Psychotherapy, Group / Q000379:methods*
keywords: care staff training; dementia; implementation; interventions; nursing homes; psychosocial intervention