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37/100

✓ Peer-reviewed alzhub usefulness score 37 out of 100. Caregiving

Topic: Risk, prevention and care in population studies

The Tailored Activity Program (TAP), an intervention for people living with dementia (PLWD) and their caregivers, has been shown to reduce behavioral symptoms for PLWD and caregiver burden. While TAP is proven as an evidence-based practice (EBP), it has yet to be implemented at scale. The Department of Veterans Affairs (VA) has prioritized the Age-Friendly Health System (AFHS) initiative, providing an opportunity to test implementation of TAP in a complex healthcare system. We conducted semi-structured pre-implementation interviews with leaders and clinicians at 6 VA Medical Centers (VAMCs) to engage key implementation partners and understand their unique implementation contexts. We utilized team-based rapid qualitative analysis to identify themes related to implementation determinants. We interviewed 65 unique informants in 58 interviews (5 VAMC leaders, 36 department leaders, and 17 frontline clinical staff). Informants identified 4 key factors critical to consider prior to implementing TAP: (1) alignment with organizational priorities; (2) perceived value and fit with existing clinical workflows; (3) competition with existing organizational and clinical priorities; and (4) considerations about the effect of caregiver burden on participation. We identified key factors to consider for successful implementation of a multicomponent intervention for PLWD and their caregivers within a complex healthcare system. As the AFHS initiative expands, there is a growing need for EBPs focused on the care of PLWD and their caregivers. These factors can guide clinicians, leaders, and implementation scientists in planning for implementation and sustainment of EBPs to bolster AFHS initiatives.Trial RegistrationRegistered 05 May 2021, at ISRCTN #60,657,985.Reporting GuidelinesThe COnsolidated criteria for REporting Qualitative research (COREQ) checklist was used to ensure proper standards for reporting qualitative studies (see attached).

Key findings

We interviewed 65 unique informants in 58 interviews (5 VAMC leaders, 36 department leaders, and 17 frontline clinical staff).
Informants identified 4 key factors critical to consider prior to implementing TAP: (1) alignment with organizational priorities; (2) perceived value and fit with existing clinical workflows; (3) competition with existing organizational and clinical priorities; and (4) considerations about the effect of caregiver burden on participation.
We identified key factors to consider for successful implementation of a multicomponent intervention for PLWD and their caregivers within a complex healthcare system.
As the AFHS initiative expands, there is a growing need for EBPs focused on the care of PLWD and their caregivers.
These factors can guide clinicians, leaders, and implementation scientists in planning for implementation and sustainment of EBPs to bolster AFHS initiatives.Trial RegistrationRegistered 05 May 2021, at ISRCTN #60,657,985.Reporting GuidelinesThe COnsolidated criteria for REporting Qualitative research (COREQ) checklist was used to ensure proper standards for reporting qualitative studies (see attached).

Why it matters

This pre-implementation interview study identified factors critical to implementing the Tailored Activity Program in Veterans Affairs medical centers, including alignment with organizational priorities and fit with clinical workflows. It addresses implementation of a caregiver program and does not test any treatment, cure, or prevention for Alzheimer's disease.

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Study details

Evidence strengthLow

How this study scored 37/100

Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.

Component	Points	Why
Journal tier	7 / 10	Tier 3 — peer-reviewed journal (INQUIRY The Journal of Health Care Organization Provision and Financing)
Journal's citation record	0 / 4	INQUIRY The Journal of Health Care Organization Provision and Financing: journal h-index 62 (OpenAlex, 2026-10-29)
Study design	0 / 12	No study design recorded — scores zero, not guessed (not stated in the record — scored 0)
Strength of evidence	1 / 5	Rated “low” in our summary
Peer-review validation	10 / 10	Peer-reviewed. Published as an article in a named peer-reviewed journal.
How recent	4 / 5	2025 — within 3 year(s) of the newest study here
Sample size	0 / 4	Participant count not stated — scores zero (not stated in the record — scored 0)
Effect reported	0 / 3	No effect size reported — scores zero (not stated in the record — scored 0)
Studied in people	0 / 3	Not stated whether this was studied in people — scores zero (not stated in the record — scored 0)
Randomised / blinded	0 / 2	No randomisation or blinding stated — scores zero (not stated in the record — scored 0)
Times cited	1 / 7	Cited 3 times (OpenAlex, 2026-10-10)
Citations per year	1 / 5	1.0 citations a year over 3 year(s) since 2025
Impact for its field and year	3 / 6	Cited 3.6× the average for papers of its field and year (OpenAlex FWCI)
Cited by studies here	0 / 6	No other study in this library cites it
Still being cited	1 / 4	Cited 3 times in 2024–2026 (2026 still in progress; OpenAlex)
Senior author's track record	2 / 4	Last-listed author Rebecca T. Brown: h-index 23 (OpenAlex, whole career)
Institution's track record	2 / 3	University of Pennsylvania: institution h-index 1,859 (OpenAlex)
Multi-centre collaboration	1 / 3	OpenAlex lists 3 institution(s) in 1 country
Indexed in PubMed	2 / 2	Indexed in PubMed (PMID 40070359)
Free to read	2 / 2	Free to read
Total	37 / 100	—

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Read the original

Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).

Cite this study APA, Vancouver, BibTeX · download .bib or .ris

Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.

APA 7th

Warren, C. M., Ashcraft, L. E., Peeples, A., Manges, K. A., Goodman, O., Gitlin, L. N., et al. (2025). Challenges and Opportunities in Implementing a Multicomponent Dementia Caregiver Program in a Complex Healthcare System. INQUIRY The Journal of Health Care Organization Provision and Financing. https://doi.org/10.1177/00469580251322364

Vancouver

Warren CM, Ashcraft LE, Peeples A, Manges KA, Goodman O, Gitlin LN, et al. Challenges and Opportunities in Implementing a Multicomponent Dementia Caregiver Program in a Complex Healthcare System. INQUIRY The Journal of Health Care Organization Provision and Financing. 2025. doi:10.1177/00469580251322364. PMID: 40070359.

BibTeX

@article{warren2025-40070359,
  author  = {Warren, Connor M. and Ashcraft, Laura Ellen and Peeples, Amanda and Manges, Kirstin A. and Goodman, Octavia and Gitlin, Laura N. and Long, Judith A. and Burke, Robert E. and others},
  title   = {{Challenges and Opportunities in Implementing a Multicomponent Dementia Caregiver Program in a Complex Healthcare System}},
  journal = {INQUIRY The Journal of Health Care Organization Provision and Financing},
  year    = {2025},
  doi     = {10.1177/00469580251322364},
  pmid    = {40070359},
  url     = {https://doi.org/10.1177/00469580251322364}
}

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