Stoner, Charlotte R. ORCID: 0000-0002-1536-4347 , Chandra, Mina, Bertrand, Elodie, DU, Bharath, Durgante, Helen, Klaptocz, Joanna, Krishna, Murali, Lakshminarayanan, Monisha, Mkenda, Sarah, Mograbi, Daniel C., Orrell, Martin, Paddick, Stella-Maria, Vaitheswaran, Sridhar and Spector, Aimee (2020) A new approach for developing “implementation plans” for cognitive stimulation therapy (CST) in low and middle-income countries: Results from the CST-International study. Frontiers in Public Health, 8:342. ISSN 2296-2565 (Online) (doi:https://doi.org/10.3389/fpubh.2020.00342)

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Abstract

Background:
Even with a strong evidence base, many healthcare interventions fail to be translated to clinical practice due to the absence of robust implementation strategies. For disorders such as Alzheimer's disease and other dementias, access to evidence-based interventions beyond research settings is of great importance. Cognitive Stimulation Therapy (CST) is a brief, group-based intervention, with consistent evidence of effectiveness.

Methods:
An implementation focused, three-phase methodology was developed using extensive stakeholder engagement. The methods resulted in a standardized Implementation Plan for the successful translation of CST from research to practice. The methodology was developed using the Consolidated Framework for Implementation Research (CFIR) and refined in three countries that vary in levels of economic development and healthcare systems (Brazil, India and Tanzania.

Results:
Five Implemention Plans for CST were produced. Each plan contained implementation strategies and action plans devised in conjunction with policy professionals, healthcare professionals, people with dementia and family carers, and an international team of researchers and clinicians.

Conclusion:
This novel methodology can act as a template for implementation studies in diverse healthcare systems across the world. It is an effective means of devising socio-culturally informed Implementation Plans that account for economic realities, health equity and healthcare access.

Item Type:	Article
Additional Information:	© 2020 Stoner, Chandra, Bertrand, DU, Durgante, Klaptocz, Krishna, Lakshminarayanan, Mkenda, Mograbi, Orrell, Paddick, Vaitheswaran and Spector. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Uncontrolled Keywords:	translational research, implementation, cognition, developing countries, methodology, psychosocial, dementia
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > School of Human Sciences (HUM) Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Chronic Illness and Ageing Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Mental Health
Last Modified:	03 Aug 2020 23:33
URI:	http://gala.gre.ac.uk/id/eprint/29115

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