Community support for caring relatives of people with dementia: qualitative analysis using the Theoretical Domains Framework.

Maren Wittek, Henrike Voß, Anna Kiefer, Stefanie Wiloth, Eric Schmitt
Author Information
  1. Maren Wittek: Institute of Gerontology, Ruprecht-Karls-University of Heidelberg, Bergheimer Straße 20, 69115 Heidelberg, Germany. ORCID
  2. Henrike Voß: Institute of Gerontology, Ruprecht-Karls-University of Heidelberg, Bergheimer Straße 20, 69115 Heidelberg, Germany.
  3. Anna Kiefer: Institute of Gerontology, Ruprecht-Karls-University of Heidelberg, Bergheimer Straße 20, 69115 Heidelberg, Germany.
  4. Stefanie Wiloth: Institute of Gerontology, Ruprecht-Karls-University of Heidelberg, Bergheimer Straße 20, 69115 Heidelberg, Germany.
  5. Eric Schmitt: Institute of Gerontology, Ruprecht-Karls-University of Heidelberg, Bergheimer Straße 20, 69115 Heidelberg, Germany.

Abstract

Aim: Although caring relatives of people with dementia are a mainstay of many care systems, the availability of support services for them within the municipal community shows deficiencies. Adopting the Theoretical Domains Framework (TDF) this study aims to investigate 1) which of the TDF domains adapted to gerontology show up in public dialogue, and 2) the results that public dialogues produce in terms of support services for caring relatives.
Subject and methods: The data consists of town hall meetings and focus groups from 14 municipal communities in Germany. Participants were caring relatives and stakeholders of the communities. A qualitative content analysis was conducted, focusing on the assessment of three TDF domains, namely , and as well as outcomes of care optimisation.
Results: With regard to domain , it was evident that in every community there were actors aware of the situation and relevance of carers and their relatives. Only some actors mentioned for optimising the care of the target group. The is often addressed through statements about incomplete requirements.
Conclusion: Overall, a relation between the discussion about the domains in public dialogues and changes in supporting carers of people with dementia can be assumed. The results indicate that an increased discussion about the domains within town hall meetings influences the actors and their statements with regard to the improvement of support services for caring relatives of people with dementia. Since the domains were not developed exclusively for the outlined context, this approach can also be applied to other areas of care.
Supplementary information: The online version contains supplementary material available at 10.1007/s10389-022-01744-w.

Keywords

References

  1. J Public Health Manag Pract. 2020 Nov/Dec;26(6):534-538 [PMID: 32890254]
  2. Can J Aging. 2017 Mar;36(1):108-119 [PMID: 28052780]
  3. Int J Geriatr Psychiatry. 2015 Feb;30(2):130-43 [PMID: 25354132]
  4. Z Gerontol Geriatr. 2020 Feb;53(1):3-9 [PMID: 31712898]
  5. Dementia (London). 2019 Oct-Nov;18(7-8):2679-2694 [PMID: 29363336]
  6. Implement Sci. 2009 Aug 07;4:50 [PMID: 19664226]
  7. Qual Saf Health Care. 2005 Feb;14(1):26-33 [PMID: 15692000]
  8. Implement Sci. 2014 Mar 03;9:31 [PMID: 24581339]
  9. Int J Behav Nutr Phys Act. 2017 Apr 4;14(1):45 [PMID: 28376892]
  10. Fam Syst Health. 2019 Sep;37(3):249-254 [PMID: 31169375]
  11. Implement Sci. 2014 Mar 19;9:33 [PMID: 24641907]
  12. Otolaryngol Head Neck Surg. 2020 Nov;163(5):929-930 [PMID: 32513062]
  13. Int J Geriatr Psychiatry. 2019 Aug;34(8):1235-1243 [PMID: 30993756]
  14. J Pers Soc Psychol. 1995 Oct;69(4):719-27 [PMID: 7473027]
  15. BMJ. 1997 Aug 16;315(7105):418-21 [PMID: 9277610]
  16. Pflege. 2023 Jun;36(3):129-138 [PMID: 36269006]
  17. Gerontol Geriatr Med. 2021 May 12;7:23337214211013596 [PMID: 34036118]
  18. Int J Environ Res Public Health. 2017 Nov 28;14(12): [PMID: 29182535]
  19. Health Soc Care Community. 2017 May;25(3):858-867 [PMID: 27406118]
  20. Z Gerontol Geriatr. 2021 Dec;54(8):775-780 [PMID: 32997232]
  21. Depress Anxiety. 2003;18(2):76-82 [PMID: 12964174]

Word Cloud

Created with Highcharts 10.0.0relativescaringdomainspeopledementiacaresupportservicescommunityTheoreticalDomainsFrameworkTDFpublicactorswithinmunicipalresultsdialoguestownhallmeetingscommunitiesqualitativeanalysisregardcarersstatementsdiscussioncanAim:AlthoughmainstaymanysystemsavailabilityshowsdeficienciesAdoptingstudyaimsinvestigate1adaptedgerontologyshowdialogue2producetermsSubjectmethods:dataconsistsfocusgroups14GermanyParticipantsstakeholderscontentconductedfocusingassessmentthreenamelywelloutcomesoptimisationResults:domainevidenteveryawaresituationrelevancementionedoptimisingtargetgroupoftenaddressedincompleterequirementsConclusion:OverallrelationchangessupportingassumedindicateincreasedinfluencesimprovementSincedevelopedexclusivelyoutlinedcontextapproachalsoappliedareasSupplementaryinformation:onlineversioncontainssupplementarymaterialavailable101007/s10389-022-01744-wCommunitydementia:usingCaringImplementationMunicipalPeopleSupport

Similar Articles

Cited By (2)