Exploring the need for a new UK occupational therapy intervention for people with dementia and family carers: Community Occupational Therapy in Dementia (COTiD). A focus group study.
In the Netherlands, Graff et al. found Community Occupational Therapy in Dementia (COTiD) demonstrated benefits to people with dementia and family carers. In this study, focus groups took place with people with dementia and family carers to explore how to make COTiD relevant to the UK context.



Six focus groups (three with people living with dementia (n = 18) and three with family carers (n = 21)) took place. Participants were asked for their impressions of the intervention, the extent to which it could meet their needs, and what modifications were needed. Audio-recordings of the groups were transcribed and analysed.



Three key themes emerged covering 'loss and living with dementia', 'what helped us', and 'consistency and continuity'. People with dementia and family carers spoke about the impact of their diagnosis on them and their family and what strategies helped. Issues such as timing, follow-up, and the importance of an early intervention in preventing crises were highlighted. There was some concern over the length of the intervention and the disruption it might cause to current schedules.



Overall, participants were optimistic about COTiD being used in the United Kingdom if it was to be introduced in a flexible and timely manner, incorporating the needs and existing strategies of the person with dementia. These outcomes have led to changes, such as incorporating more flexibility into COTiD, being made to the intervention prior to its implementation in the United Kingdom.
a Occupational Science and Occupational Therapy Department , Faculty of Medicine, University of British Columbia , Vancouver , Canada.
Sinéad M
SM
Hynes
b Rehabilitation and Assistive Technology Group, Health Services Research , School of Health and Related Research (ScHARR), The University of Sheffield , Sheffield , United Kingdom.
Becky
B
Field
c Dementia Care Research Centre, Research & Development Department , North East London NHS Foundation Trust , Essex , United Kingdom.
Ritchard
R
Ledgerd
c Dementia Care Research Centre, Research & Development Department , North East London NHS Foundation Trust , Essex , United Kingdom.
Thomas
T
Swinson
c Dementia Care Research Centre, Research & Development Department , North East London NHS Foundation Trust , Essex , United Kingdom.
Jennifer
J
Wenborn
b Rehabilitation and Assistive Technology Group, Health Services Research , School of Health and Related Research (ScHARR), The University of Sheffield , Sheffield , United Kingdom.
Laura
L
di Bona
d Centre of Dementia Research and Practice , University of Hull , Hull , United Kingdom.
Esme
E
Moniz-Cook
e School of Health Sciences, University of East Anglia , Norwich , United Kingdom.
Fiona
F
Poland
f Department of Mental Health Sciences , University College London , London , United Kingdom.
Martin
M
Orrell
D017028:Caregivers / Q000523:psychology; D003704:Dementia / Q000523:psychology / Q000628:therapy*; D005190:Family; D005260:Female; D017144:Focus Groups / Q000379:methods*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009788:Occupational Therapy / Q000379:methods*; D017063:Outcome Assessment, Health Care; D036301:Qualitative Research; D011788:Quality of Life; D012111:Residence Characteristics; D012944:Social Support; D006113:United Kingdom
Alzheimer's disease; caregiving and interventions; psychosocial interventions; quality of life/well-being