title: Implementing a psycho-educational intervention for care assistants working with people with dementia in aged-care facilities: facilitators and barriers.
abstract: Many intervention studies lack an investigation and description of the factors that are relevant to its success or failure, despite its relevance to inform future interventions. This study aimed to explore the facilitators and barriers to the implementation of a psycho-educational intervention for care assistants caring for people with dementia in aged-care facilities. A process evaluation was carried out alongside a pretest/post-test controlled study conducted in aged-care facilities. Seven focus-group interviews involving 21 care assistants (female; mean age 43.37 ± 10.0) and individual semi-structured interviews with two managers (female; mean age 45.5 ± 10.26) were conducted 2 weeks and 6 months after the intervention, in two aged-care facilities. Interviews were recorded, transcribed and submitted to content analysis by two independent researchers. Results were organised into implementer, participant and organisation level hindered and facilitator factors. Findings enable the interpretation of the experimental results and underscore the importance of collecting the perception of different grades of staff to obtain information relevant to plan effective interventions.
authors.affiliation: Department of Health Sciences, University of Aveiro, Aveiro, Portugal.
authors.forename: Ana
authors.initials: A
authors.lastname: Barbosa
authors.affiliation: School of Nursing and Midwifery, University of Sheffield, Northern General Hospital, Sheffield, UK.
authors.forename: Mike
authors.initials: M
authors.lastname: Nolan
authors.affiliation: Department of Health Sciences, University of Aveiro, Aveiro, Portugal.|Center for Health Technology and Services Research (CINTESIS.UA), University of Aveiro, Aveiro, Portugal.
authors.forename: Liliana
authors.initials: L
authors.lastname: Sousa
authors.affiliation: Center for Health Technology and Services Research (CINTESIS.UA), University of Aveiro, Aveiro, Portugal.|School of Health Sciences, University of Aveiro, Aveiro, Portugal.
authors.forename: Daniela
authors.initials: D
authors.lastname: Figueiredo
mesh_terms: D000328:Adult; D003704:Dementia / Q000451:nursing*; D004496:Education, Continuing / Q000458:organization & administration*; D005260:Female; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009728:Nursing Assistants / Q000193:education* / Q000523:psychology
keywords: aged-care facilities; care assistants; dementia; management; person-centred care