title: Not re-inventing the wheel: the adaptive implementation of the meeting centres support programme in four European countries.
abstract: The implementation of new health services is a complex process. This study investigated the first phase of the adaptive implementation of the Dutch Meeting Centres Support Programme (MCSP) for people with dementia and their carers in three European countries (Italy, Poland, the UK) within the JPND-MEETINGDEM project. Anticipated and experienced factors influencing the implementation, and the efficacy of the implementation process, were investigated. Findings were compared with previous research in the Netherlands.
  
  
  
  A qualitative multiple case study design was applied. Checklist on anticipated facilitators and barriers to the implementation and semi-structured interview were completed by stakeholders, respectively at the end and at the beginning of the preparation phase.
  
  
  
  Overall, few differences between countries were founded. Facilitators for all countries were: added value of MCSP matching needs of the target group, evidence of effectiveness of MCSP, enthusiasm of stakeholders. General barriers were: competition with existing care and welfare organizations and scarce funding. Some countries experienced improved collaborations, others had difficulties finding a socially integrated location for MCSP. The step-by-step implementation method proved efficacious.
  
  
  
  These insights into factors influencing the implementation of MCSP in three European countries and the efficacy of the step-by-step preparation may aid further implementation of MCSP in Europe.
authors.affiliation: a Department of Psychology , University of Bologna , Bologna , Italy.|e Department of Psychiatry , EMGO Institute for Health and Care Research, VU University Medical Center , Amsterdam , The Netherlands.
authors.forename: F
authors.initials: F
authors.lastname: Mangiaracina
authors.affiliation: a Department of Psychology , University of Bologna , Bologna , Italy.
authors.forename: R
authors.initials: R
authors.lastname: Chattat
authors.affiliation: b Don Gnocchi Foundation , IRCCS Santa Maria Nascente , Milan , Italy.
authors.forename: E
authors.initials: E
authors.lastname: Farina
authors.affiliation: b Don Gnocchi Foundation , IRCCS Santa Maria Nascente , Milan , Italy.
authors.forename: F L
authors.initials: FL
authors.lastname: Saibene
authors.affiliation: b Don Gnocchi Foundation , IRCCS Santa Maria Nascente , Milan , Italy.
authors.forename: G
authors.initials: G
authors.lastname: Gamberini
authors.affiliation: c Association for Dementia Studies , University of Worcester , Worcester , UK.
authors.forename: D
authors.initials: D
authors.lastname: Brooker
authors.affiliation: c Association for Dementia Studies , University of Worcester , Worcester , UK.
authors.forename: S C
authors.initials: SC
authors.lastname: Evans
authors.affiliation: c Association for Dementia Studies , University of Worcester , Worcester , UK.
authors.forename: S B
authors.initials: SB
authors.lastname: Evans
authors.affiliation: d Division of consulation Psychiatry and Neuroscience, Department of Psychiatry , Wroclaw Medical University , Wroclaw , Poland.
authors.forename: D
authors.initials: D
authors.lastname: Szcześniak
authors.affiliation: d Division of consulation Psychiatry and Neuroscience, Department of Psychiatry , Wroclaw Medical University , Wroclaw , Poland.
authors.forename: K
authors.initials: K
authors.lastname: Urbanska
authors.affiliation: d Division of consulation Psychiatry and Neuroscience, Department of Psychiatry , Wroclaw Medical University , Wroclaw , Poland.
authors.forename: J
authors.initials: J
authors.lastname: Rymaszewska
authors.affiliation: e Department of Psychiatry , EMGO Institute for Health and Care Research, VU University Medical Center , Amsterdam , The Netherlands.
authors.forename: I
authors.initials: I
authors.lastname: Hendriks
authors.affiliation: e Department of Psychiatry , EMGO Institute for Health and Care Research, VU University Medical Center , Amsterdam , The Netherlands.
authors.forename: R M
authors.initials: RM
authors.lastname: Dröes
authors.affiliation: e Department of Psychiatry , EMGO Institute for Health and Care Research, VU University Medical Center , Amsterdam , The Netherlands.
authors.forename: F J M
authors.initials: FJ
authors.lastname: Meiland
mesh_terms: D000368:Aged; D017028:Caregivers / Q000523:psychology*; D003151:Community Health Centers / Q000458:organization & administration*; D003266:Continuity of Patient Care / Q000458:organization & administration*; D003704:Dementia / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D011044:Poland; D016730:Program Development; D036301:Qualitative Research; D012944:Social Support; D006113:United Kingdom
keywords: Implementation; combined support for people with dementia and caregivers; dementia; process analysis; psychosocial interventions