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Using Retinal Imaging to Study Dementia
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Developing an Intervention for Fall-Related Injuries in Dementia (DIFRID): an integrated, mixed-methods approach
Alison Wheatley1, Claire Bamford1, Caroline Shaw1
1Institute of Health and Society, Newcastle University, Newcastle upon Tyne, England.
BMC Geriatrics
|March 2, 2019
Summary
A new intervention was developed to improve outcomes for people with dementia after falls. This multidisciplinary approach aims to optimize rehabilitation and support self-management, with feasibility currently under evaluation.
Area of Science:
- Gerontology
- Neurology
- Rehabilitation Medicine
Background:
- Falls in individuals with dementia lead to significant physical and psychosocial challenges.
- Limited evidence exists on optimal service delivery for dementia patients post-fall.
- The DIFRID study addresses this gap by developing a new intervention.
Purpose of the Study:
- To determine the feasibility of developing and implementing a novel intervention for dementia patients with fall-related injuries.
- To improve short-term recovery and reduce future fall likelihood.
- To detail the development process of the DIFRID intervention.
Main Methods:
- An integrated, mixed-methods approach combining literature synthesis and qualitative data from 81 health and social care professionals.
- A modified Delphi panel with 24 experts to reach consensus on intervention components.
- Stakeholder feedback from 15 key individuals on the proposed intervention model.
Main Results:
- Key intervention components identified focus on optimizing rehabilitation, compensating for self-management deficits, and enhancing workforce skills.
- Consensus was reached on 54 of 69 statements via two Delphi rounds.
- A 12-week complex, multidisciplinary, home-based intervention was finalized.
Conclusions:
- A new intervention has been developed to enhance outcomes for people with dementia following a fall.
- The feasibility of this comprehensive intervention is currently undergoing testing.
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