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Table 3 Components of the intervention and educational strategy for the implementation of interventions in both groups

From: Effect evaluation of two types of dementia-specific case conferences in German nursing homes (FallDem) using a stepped-wedge design: study protocol for a randomized controlled trial

Components of intervention and implementation

Content

Participants

Duration

Components of the intervention

I. Training in performing case conferences

Aim and structure of CCs, NDB model, communication rules, use of IdA (only in the IdA intervention group)

Unit leaders, manager of the nursing home and members of care teams

Half a day

II. Case conferences with support (training on the job)

Conducting CCs supported by the experts; the experts assist the moderator, are involved in the discussions, and provide advice

Members of care teams and experts

Minimum 2 case conferences within 3 months

III. Case conferences without support

Conducting CC unaided

Members of care teams

Minimum 3 case conferences within 4 months

Educational strategy for the implementation

I. Kick-off meetings

Information concerning the project/intervention and data collection, time frame, organizational aspects

Participating care team members

90 minutes

II. Training in dementia and challenging behavior

Diagnosis of dementia, forms and symptoms of dementia, causes of challenging behavior and management of challenging behavior

Members of care teams

Half a day

III. Training in moderation of case conferences

Training in moderation techniques

2 nursing staff from each unit

2 days

IV. Training in development of implementation strategy for management

A steering group will be formed to develop an implementation plan

Unit leaders, manager of the nursing home, moderators, project manager

2 days

V. Telephone-hotline and reminders

Questions concerning the CCs and reminders via phone call to conduct CCs regularly

All participants

During the intervention

  1. CC, case conference; NDB, need-driven dementia-compromised behavior; IdA, innovative dementia-oriented assessment tool.