Occupation

Abstracts Tuesday 28 June 2016
barriers to occupational participation, and what steps group
members took to overcome these.
Windrum’s (2014) research into co-production states that no
information is more accurate of valuable than when it comes
from a person who is living the experience. The project is an
excellent example of this. Co-production has allowed for a
resource to be developed that will potentially benefit many
people for years to come. The SDWG provided their expert
insight into what it is like to live with dementia, and I had the
time and skills required to pull these ideas together and work
with the group to get the project off the ground.
References
Kielhofner, G., 2008. Model of human occupation theory and
application. 4th ed. Philadelphia: Lippincott, Williams and
Wilkins.
Scottish Dementia Working Group, 2015. Work Plan 2015.
[online], [viewed 15 August 2015]. Available from: http://www.
sdwg.org.uk/workplan-2015/.
WINDRUM, P., 2014. Third sector organizations and the coproduction
of health innovations. Management Decision
[online], vol. 52, no. 6 pp. 1046–1056 [viewed 15 August
2015]. Available from: http://search.ebscohost.com/login.
aspx?direct=true&db=psyh&AN=2014-28201-002&site=eds-live.
Keywords
Dementia, Resource or equipment design, Innovative practice,
Voluntary/third sector services
Contact E-mail Addresses
LRobertson-Flannigan@alzscot.org
Author Biographies
Lynsey Robertson-Flannigan, Occupational Therapy Intern,
Twitter: @LRFlanniganOTS. I am an Occupational Therapy
Intern working within the policy team at Alzheimer Scotland.
My internship has provided me with the excellent opportunity
to work alongside the Scottish Dementia Working Group and
support them with a project to share their ‘Top-Tips’ for living
well with dementia.
Elaine Hunter, Allied Health Professional Consultant, Alzheimer
Scotland, Twitter: @elaineahpmh. My remit in Alzheimer
Scotland is to bring the skills of AHPs to the forefront of
dementia practice and to share with them the principles and
practice of working in a major charity that is dedicated to
making sure nobody faces dementia alone”. I am leading the
delivery of commitment 4 of Scotland’s Dementia Strategy. In
short, a great job working with great people.
Session 3.3
Conducting research in practice: lessons learned
Wenborn J 1,2 , Mountain G 3,4 , University College London 1 ,
North East London NHS Foundation Trust 2 , University of
Sheffield 3 , Bradford University 4
Introduction: The development and evaluation of effective
interventions for people with dementia is a research and practice
imperative. In England, government policy (Department of
Health, 2009 2015) highlights the importance of people with
dementia and carers having the opportunity to take part in
research. Hence quality standards (Royal College of Psychiatrists,
2014) and commissioners require services to promote such
opportunities. Practitioners also need to use research findings to
underpin evidence based practice and service delivery. However,
the interface between research and practice can be challenging,
from recruiting participants via clinical services, to providing a
person-centred intervention within a randomised controlled trial,
and finally to implementing research findings in practice.
The Community Occupational Therapy in Dementia – United
Kingdom (COTiD-UK) intervention has been adapted from
a programme developed and found to be clinically and cost
effective in the Netherlands (Graff et al, 2007, 2008).
Method: An RCT is currently taking place across NHS trusts in
England to assess the clinical and cost effectiveness of COTiD-UK
compared with usual treatment. People with mild to moderate
dementia living in the community are recruited along with a
family carer who provides at least four hours support per week.
Recruitment of participants is via relevant health and social care
statutory services and voluntary organisations. NHS-wide ethical
approval and local governance approvals are in place.
Discussion/conclusion: This paper outlines some lessons
learned regarding recruitment of research participants through
engagement with clinical services and practitioners. The ethical
and practical issues surrounding recruitment of people with
cognitive impairment are discussed. Despite the challenges, the
research-practice interface must be enhanced to enable service
users to contribute to building the evidence that will underpin
future service provision.
References
Department of Health (2009) Living well with dementia: A
national dementia strategy. London: TSO.
Department of Health (2015) The Prime Ministers Challenge on
Dementia: 2020. London: TSO.
Graff M, Vernooij-Dassen M, Thijssen M, Dekker J, Hoefnagels
W, Olde Rikkert M. (2006) Community based occupational
therapy for patients with dementia and their care givers:
randomised controlled trial. British Medical Journal,
333(7580):1196–1201
Graff M, Adang E, Vernooij-Dassen M, Dekker J, Jönsson L,
Thijssen M, et al. (2008) Community occupational therapy
for older patients with dementia and their caregivers: cost
effectiveness study. British Medical Journal, 336(7636):134–138
Royal College of Psychiatrists (2014) Memory Services National
Accreditation Programme (MSNAP) Standards for Memory
Services (4 th edition)
Keywords
Dementia, Research, Practice – present and future, NHS
Contact E-mail Addresses
j.wenborn@ucl.ac.uk
Author Biographies
Jennifer Wenborn is Senior Clinical Research Associate /
Occupational Therapist at University College London / North
East London NHS Foundation Trust. She currently manages the
Valuing Active Life in Dementia (VALID) research programme that
is evaluating community occupational therapy for people with
dementia and their family carers: www.ucl.ac.uk/valid
Professor Gail Mountain (University of Sheffield and Bradford
University) has an extensive research portfolio that seeks to
develop, evaluate and implement interventions to enhance
the lives and well-being of older people and people living with
dementia.
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