@article{ref1,
title="Barriers and facilitators to care for agitation and/or aggression among persons living with dementia in long-term care",
journal="BMC geriatrics",
year="2024",
author="Wong, Britney and Ismail, Zahinoor and Watt, Jennifer and Holroyd-Leduc, Jayna and Goodarzi, Zahra",
volume="24",
number="1",
pages="e330-e330",
abstract="BACKGROUND: Agitation and/or aggression affect up to 60% of persons living with dementia in long-term care (LTC). It can be treated via non-pharmacological and pharmacological interventions, but the former are underused in clinical practice. In the literature, there is currently a lack of understanding of the challenges to caring for agitation and/or aggression among persons living with dementia in LTC. This study assesses what barriers and facilitators across the spectrum of care exist for agitation and/or aggression among people with dementia in LTC across stakeholder groups. <br><br>METHODS: This was a qualitative study that used semi-structured interviews among persons involved in the care and/or planning of care for people with dementia in LTC. Participants were recruited via purposive and snowball sampling, with the assistance of four owner-operator models. Interviews were guided by the Theoretical Domains Framework and transcribed and analyzed using Framework Analysis. <br><br>RESULTS: Eighteen interviews were conducted across 5 stakeholder groups. Key identified barriers were a lack of agitation and/or aggression diagnostic measures, limited training for managing agitation and/or aggression in LTC, an overuse of physical and chemical restraints, and an underuse of non-pharmacological interventions. Facilitators included using an interdisciplinary team to deliver care and having competent and trained healthcare providers to administer non-pharmacological interventions. <br><br>CONCLUSIONS: This study advances care for persons living with dementia in LTC by drawing attention to unique and systemic barriers present across local and national Canadian LTC facilities. <br><br>FINDINGS will support future implementation research endeavours to eliminate these identified barriers across the spectrum of care, thus improving care outcomes among people with dementia in LTC.<p /> <p>Language: en</p>",
language="en",
issn="1471-2318",
doi="10.1186/s12877-024-04919-0",
url="http://dx.doi.org/10.1186/s12877-024-04919-0"
}