Reconstructing successes and failures in implementing multidisciplinary delivery of expert consultation for restrictive measures

Research output: Contribution to JournalMeeting AbstractAcademic

Abstract

Introduction: A trial to implement a new mode of delivery of MultiDisciplinary Expert Team (MDET) consultation to reduce restrictive measures (RM) was conducted. MDET includes consultation, registration and monitoring of RM, and team and individual level interventions. Accelerated reduction of RM was observed in units randomised to receive MDET. This study seeks to reconstruct successes and failures of the approach by comparing units differing in the rate of RM reduction. The used frameworks were derived from emerging models for effective implementation from Cochrane Effective Practice and Organisation of Care (EPOC) and Normalisation Process Theory (NPT).

Methods: Process notes and MDET plans for 21 units and residents were used for content analyses by encoding on mentioning EPOC interventions and NPT constructs. This information is associated with the degree of elimination of RM (111 RM, 40%).

Results: Results show a distribution of implementation methods across units with least to most success concerning the reduction of RM.

Implications: The relevance of findings will be discussed for deliver the MDET model within and across settings. EPOC and NPT are useful for understanding implementation as a social process.
Original languageEnglish
Pages (from-to)722-722
Number of pages1
JournalJournal of Intellectual Disability Research
Volume63
Issue number7
Early online date27 Jun 2019
DOIs
Publication statusPublished - Jul 2019

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Referral and Consultation
Normalization

Keywords

  • Implementation model
  • Multidisciplinary Expert Team Restrictive measures, Effectiveness
  • Restrictive measures
  • Effectiveness

Cite this

@article{309c85d1ddc34d8da04008c0ffcdeef7,
title = "Reconstructing successes and failures in implementing multidisciplinary delivery of expert consultation for restrictive measures",
abstract = "Introduction: A trial to implement a new mode of delivery of MultiDisciplinary Expert Team (MDET) consultation to reduce restrictive measures (RM) was conducted. MDET includes consultation, registration and monitoring of RM, and team and individual level interventions. Accelerated reduction of RM was observed in units randomised to receive MDET. This study seeks to reconstruct successes and failures of the approach by comparing units differing in the rate of RM reduction. The used frameworks were derived from emerging models for effective implementation from Cochrane Effective Practice and Organisation of Care (EPOC) and Normalisation Process Theory (NPT).Methods: Process notes and MDET plans for 21 units and residents were used for content analyses by encoding on mentioning EPOC interventions and NPT constructs. This information is associated with the degree of elimination of RM (111 RM, 40{\%}).Results: Results show a distribution of implementation methods across units with least to most success concerning the reduction of RM.Implications: The relevance of findings will be discussed for deliver the MDET model within and across settings. EPOC and NPT are useful for understanding implementation as a social process.",
keywords = "Implementation model, Multidisciplinary Expert Team Restrictive measures, Effectiveness, Restrictive measures, Effectiveness",
author = "Baukje Schippers and Esther Bisschops and {de Schipper}, {J. Clasien} and Frederiks, {Brenda J.M.} and Carlo Schuengel",
year = "2019",
month = "7",
doi = "10.1111/jir.12654",
language = "English",
volume = "63",
pages = "722--722",
journal = "Journal of Intellectual Disability Research",
issn = "0964-2633",
publisher = "Wiley-Blackwell",
number = "7",

}

TY - JOUR

T1 - Reconstructing successes and failures in implementing multidisciplinary delivery of expert consultation for restrictive measures

AU - Schippers, Baukje

AU - Bisschops, Esther

AU - de Schipper, J. Clasien

AU - Frederiks, Brenda J.M.

AU - Schuengel, Carlo

PY - 2019/7

Y1 - 2019/7

N2 - Introduction: A trial to implement a new mode of delivery of MultiDisciplinary Expert Team (MDET) consultation to reduce restrictive measures (RM) was conducted. MDET includes consultation, registration and monitoring of RM, and team and individual level interventions. Accelerated reduction of RM was observed in units randomised to receive MDET. This study seeks to reconstruct successes and failures of the approach by comparing units differing in the rate of RM reduction. The used frameworks were derived from emerging models for effective implementation from Cochrane Effective Practice and Organisation of Care (EPOC) and Normalisation Process Theory (NPT).Methods: Process notes and MDET plans for 21 units and residents were used for content analyses by encoding on mentioning EPOC interventions and NPT constructs. This information is associated with the degree of elimination of RM (111 RM, 40%).Results: Results show a distribution of implementation methods across units with least to most success concerning the reduction of RM.Implications: The relevance of findings will be discussed for deliver the MDET model within and across settings. EPOC and NPT are useful for understanding implementation as a social process.

AB - Introduction: A trial to implement a new mode of delivery of MultiDisciplinary Expert Team (MDET) consultation to reduce restrictive measures (RM) was conducted. MDET includes consultation, registration and monitoring of RM, and team and individual level interventions. Accelerated reduction of RM was observed in units randomised to receive MDET. This study seeks to reconstruct successes and failures of the approach by comparing units differing in the rate of RM reduction. The used frameworks were derived from emerging models for effective implementation from Cochrane Effective Practice and Organisation of Care (EPOC) and Normalisation Process Theory (NPT).Methods: Process notes and MDET plans for 21 units and residents were used for content analyses by encoding on mentioning EPOC interventions and NPT constructs. This information is associated with the degree of elimination of RM (111 RM, 40%).Results: Results show a distribution of implementation methods across units with least to most success concerning the reduction of RM.Implications: The relevance of findings will be discussed for deliver the MDET model within and across settings. EPOC and NPT are useful for understanding implementation as a social process.

KW - Implementation model

KW - Multidisciplinary Expert Team Restrictive measures, Effectiveness

KW - Restrictive measures

KW - Effectiveness

U2 - 10.1111/jir.12654

DO - 10.1111/jir.12654

M3 - Meeting Abstract

VL - 63

SP - 722

EP - 722

JO - Journal of Intellectual Disability Research

JF - Journal of Intellectual Disability Research

SN - 0964-2633

IS - 7

ER -