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Developing rehabilitative behavioral interventions for long-term care: technology transfer, acceptance, and maintenance issues
Author(s)John F Schnelle, Patrice A Cruise, Annie Rahman
Journal titleJournal of the American Geriatrics Society, vol 46, no 6, June 1998
Pagespp 771-777
KeywordsRehabilitation ; Patients [nursing homes] ; United States of America.
AnnotationRehabilitative behavioural interventions that are documented in clinical trials to improve nursing home resident outcomes and are recommended by practice guidelines are often not adapted for daily use in nursing homes and other long-term care (LTC) facilities. Failure to evaluate issues other than clinical efficacy when developing interventions contributes to this gap between efficacy and effectiveness in practice. A potential solution is a research model that supplements traditional clinical intervention research with methodology designed specifically to evaluate the ability of LTC facilities to implement the intervention. This paper discusses several critical issues of intervention and implementation that should be addressed, including targeting interventions, advocacy, cost-effectiveness, training, and quality control. It also looks at how clinical trials could be designed and staged to increase the probability that effective interventions will be implemented in the day-to-day care of frail older patients in LTC facilities. (AKM).
Accession NumberCPA-981005410 A
ClassmarkLM: LHB:LF: 7T

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