Home › Research › End-of-life care
Impact of the DEDICATED approach to optimizing palliative care for people with dementia: a multi-method study
Jesper M A Biesmans, Sascha Bolt, Niels Hameleers, Jos M. G. A. Schols, Jenny Theodora van der Steen, Sandra M.G. Zwakhalen, Daisy J.A. Janssen, Judith M M Meijers. BMC Health Services Research, 2025-07-02
Topic: Risk, prevention and care in population studies
The DEDICATED approach was implemented across 28 wards in three healthcare organizations. Interviews with ambassadors (n = 17) revealed that the approach raised awareness about person-centered palliative care and the importance of timely advance care planning (ACP) for people with dementia. DEDICATED showed no significant impact on healthcare professionals' self-efficacy, work engagement, and psychological empowerment. The frequency of ACP discussion and quality of end-of-life care showed no significant differences over time. DEDICATED ambassadors found the DEDICATED approach to be of value in enhancing person-centered palliative care. Although quantitative assessments of healthcare professionals' competence did not fully capture this, the positive feedback received suggests that more time may be needed for the approach to be fully integrated into practice. This could explain the modest results observed among team members and bereaved family caregivers. Future research should explore the long-term impact of the DEDICATED approach using longitudinal study designs.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Biesmans, J. M. A., Bolt, S., Hameleers, N., Schols, J. M. G. A., van der Steen, J. T., Zwakhalen, S. M., et al. (2025). Impact of the DEDICATED approach to optimizing palliative care for people with dementia: a multi-method study. BMC Health Services Research. https://doi.org/10.1186/s12913-025-13063-3
Vancouver
Biesmans JMA, Bolt S, Hameleers N, Schols JMGA, van der Steen JT, Zwakhalen SM, et al. Impact of the DEDICATED approach to optimizing palliative care for people with dementia: a multi-method study. BMC Health Services Research. 2025. doi:10.1186/s12913-025-13063-3. PMID: 40604780.
BibTeX
@article{biesmans2025-40604780,
author = {Biesmans, Jesper M A and Bolt, Sascha and Hameleers, Niels and Schols, Jos M. G. A. and van der Steen, Jenny Theodora and Zwakhalen, Sandra M.G. and Janssen, Daisy J.A. and Meijers, Judith M M},
title = {{Impact of the DEDICATED approach to optimizing palliative care for people with dementia: a multi-method study}},
journal = {BMC Health Services Research},
year = {2025},
doi = {10.1186/s12913-025-13063-3},
pmid = {40604780},
url = {https://doi.org/10.1186/s12913-025-13063-3}
}
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 names 8 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
Key findings
- The DEDICATED approach was implemented across 28 wards in three healthcare organizations.
- Interviews with ambassadors (n = 17) revealed that the approach raised awareness about person-centered palliative care and the importance of timely advance care planning (ACP) for people with dementia.
- DEDICATED showed no significant impact on healthcare professionals' self-efficacy, work engagement, and psychological empowerment.
- The frequency of ACP discussion and quality of end-of-life care showed no significant differences over time.
- DEDICATED ambassadors found the DEDICATED approach to be of value in enhancing person-centered palliative care.
Why it matters
The DEDICATED approach raised awareness of person-centred palliative care, but showed no significant impact on staff self-efficacy, work engagement, psychological empowerment, frequency of advance care planning discussion, or quality of end-of-life care. It does not test any treatment, cure or prevention.
Study details
- Study designlongitudinal study
- Participants17
- Evidence strengthModerate
How this study scored 49/100
Published in a peer-reviewed journal, and it is a longitudinal study following the same people over time. Scored zero for effect reported and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (BMC Health Services Research) |
| Journal's citation record | 2 / 4 | BMC Health Services Research: journal h-index 218 (OpenAlex, 2026-10-29) |
| Study design | 7 / 12 | A longitudinal study following the same people over time |
| Strength of evidence | 3 / 5 | Rated “moderate” 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 | 1 / 4 | 17 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 1 / 6 | Cited 0.8× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 1 other studies in this library |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Judith M M Meijers: h-index 34 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Leiden University Medical Center: institution h-index 930 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 7 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40604780) |
| Free to read | 2 / 2 | Free to read |
| Total | 49 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1186/s12913-025-13063-3
- PubMed: 40604780
- Original source →
- Free full text: BMC Health Services Research →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Studies this one cites
Referenced by this study and also in the alzhub library, so you can read them here.
Later studies that cite this one
1 study in the alzhub library lists this one in its references.
Related studies in End-of-life care
Also tagged “care”
996 studies in the library carry the topic tag “care”; these are this study's neighbours in a fixed, alphabetical-by-hash tour of them, not the closest in content. All 996 tagged studies.