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Translating Evidence-Based Dementia Caregiving Interventions into Practice: State-of-the-Science and Next Steps

2015; Oxford University Press; Volume: 55; Issue: 2 Linguagem: Inglês

10.1093/geront/gnu123

1758-5341

Laura N. Gitlin, Katherine Marx, Ian H. Stanley, Nancy Hodgson,

Mental Health and Patient Involvement

Over the past 3 decades, more than 200 dementia caregiver interventions have been tested in randomized clinical trials and found to be efficacious. Few programs have been translated for delivery in various service contexts, and they remain inaccessible to the 15+ million dementia family caregivers in the United States. This article examines translational efforts and offers a vision for more rapid advancement in this area. We summarize the evidence for caregiver interventions, review published translational efforts, and recommend future directions to bridge the research-practice fissure in this area. We suggest that as caregiver interventions are tested external to service contexts, a translational phase is required. Yet, this is hampered by evidentiary gaps, lack of theory to understand implementation challenges, insufficient funding and unsupportive payment structures for sustaining programs. We propose ways to advance translational activities and future research with practical applications.