Abstract：
OBJECTIVE:To evaluate the contribution of applying the theoretical framework of implementation science for adherence to non-pharmacological interventions to prevent delirium. METHODS:A quasi-experimental prospective design was conducted from March 2017 to October 2018 in a teaching hospital. Participants included 149 healthcare staff and 72 elderly inpatients. A non-pharmacological delirium prevention program was designed, applied and evaluated in accordance with the consolidated framework for advancing implementation research (CFIR). The primary outcome was the global adherence rate to 12 predefined indicators, comparing measurements at baseline (O1), after training (O2) and at a 6-month follow-up (O3) assessed by an external reviewer. Staff knowledge and beliefs about delirium were assessed using a validated tool, and delirium incidence was evaluated using the confusion assessment method. RESULTS:Overall adherence increased from 58.2% (O1) to 77.9% (O2) and 75.6% (O3) (O2 vs. O1: p < 0.001 and O3 vs. O1: p < 0.001). Staff perceptions regarding implementation of non-pharmacological interventions increased from 74.8% to 81.9% (p = 0.004). Delirium incidence was non-significantly reduced from 20% (O1) to 16% (O3) (p = 0.99). CONCLUSIONS:Implementation of a delirium prevention program using a CFIR model was useful in improving adherence to activities included in this program, as well as improving the knowledge and beliefs regarding delirium by healthcare workers. The impact of this implementation strategy on the incidence of delirium should be evaluated in a larger scale multicenter trial.
journal_name
Int J Geriatr Psychiatryjournal_title
International journal of geriatric psychiatryauthors
Garrido MA,Alvarez EA,Ponce DP,Salech F,Tobar DI,Tobar EAdoi
10.1002/gps.5425subject
Has Abstractpub_date
2021-02-01 00:00:00pages
302-313issue
2eissn
0885-6230issn
1099-1166journal_volume
36pub_type
杂志文章abstract：OBJECTIVES:The purpose of this study is to identify risk factors for nursing home placement of cognitively-impaired elderly, with special attention to the role of psychosocial factors such as the caregiver's preference for institutionalization and the quality of the dyadic relationship. METHODS:Partners, children and ...
journal_title：International journal of geriatric psychiatry
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journal_title：International journal of geriatric psychiatry
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章
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更新日期：1998-12-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to examine the hypotheses stating the importance of amyloid or of its oligomers in the pathogenesis of Alzheimer's disease (AD). METHODS:Published studies were examined. RESULTS:The importance of amyloid in the pathogenesis of AD is well established, yet accepting it as the main cau...
journal_title：International journal of geriatric psychiatry
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更新日期：2018-01-01 00:00:00
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journal_title：International journal of geriatric psychiatry
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doi：10.1002/gps.1439
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章,评审
doi：10.1002/gps.2127
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章
doi：
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章,评审
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章,评审
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journal_title：International journal of geriatric psychiatry
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journal_title：International journal of geriatric psychiatry
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更新日期：2010-07-01 00:00:00
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pub_type： 杂志文章
doi：10.1002/(sici)1099-1166(199804)13:4<235::aid-gps76
更新日期：1998-04-01 00:00:00
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章
doi：10.1002/gps.2689
更新日期：2012-01-01 00:00:00
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pub_type： 杂志文章
doi：10.1002/gps.2604
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVE:Mild cognitive impairment in Parkinson's disease (PD-MCI) has been suggested to be a predictor for the development of PD dementia (PDD). This study explored the incidence and possible neuropsychological domain differences between PD patients with PD-MCI and without cognitive impairment (normal cognitive funct...
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更新日期：2015-10-01 00:00:00
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章,随机对照试验
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更新日期：2013-12-01 00:00:00
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journal_title：International journal of geriatric psychiatry
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doi：10.1002/gps.796
更新日期：2003-04-01 00:00:00
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更新日期：2019-12-01 00:00:00
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2014-04-01 00:00:00
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章
doi：10.1002/gps.5427
更新日期：2021-02-01 00:00:00
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journal_title：International journal of geriatric psychiatry
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更新日期：2017-12-01 00:00:00
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更新日期：1997-06-01 00:00:00
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章
doi：10.1002/gps.4223
更新日期：2015-08-01 00:00:00
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章
doi：10.1002/gps.4028
更新日期：2014-05-01 00:00:00
