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IMPACT Pilot Awardee Carpenter explores barriers to telehealth program intervention for people living with dementia

Key informants’ perceptions of telehealth palliative care for people living with dementia in nursing homes

March 19, 2025

IMPACT Pilot Grant Awardee Joan Carpenter, PhD, and team describe key informants’ perceptions of a nursing home telehealth palliative care intervention collected during a recent pilot study of an embedded pragmatic pilot clinical trial for people living with dementia.

Guided by the Practical Implementation Sustainability Model (PRISM), the research team engaged key informants in 30–60-minute focus groups and individual semi-structured interviews to understand barriers and facilitators to implementation of a NH telehealth palliative care intervention in one NH

Key informants provided feedback that barriers to implementing NH telehealth palliative care far outweighed the facilitators for uptake. Future work will focus on employing NH staff in user-centered design to overcome barriers such as optimal timing for consults and/or scheduled consult days to fit NH workflow, assessing organizational readiness for implementing change, and identifying dementia-specific and palliative care education needs.

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