Journal
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume 69, Issue 7, Pages 1755-1762Publisher
WILEY
DOI: 10.1111/jgs.17342
Keywords
Alzheimer disease; dementia; design; diffusion; implementation
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Innovations to reduce the burden of ADRD often face challenges in implementation and diffusion, leading to suboptimal care for patients and caregivers. Limited market demand, lack of patient engagement, insufficient evidence on scalability and implementation difficulties are identified as key factors hindering the effective implementation of evidence-based ADRD interventions. New investments in human-centered design and diffusion science are crucial for meeting the goals of the National Plan to Address Alzheimer's Disease.
Most innovations developed to reduce the burden of Alzheimer disease and other related dementias (ADRD) are difficult to implement, diffuse, and scale. The consequences of such challenges in design, implementation, and diffusion are suboptimal care and resulting harm for people living with ADRD and their caregivers. National experts identified four factors that contribute to our limited ability to implement and diffuse of evidence-based services and interventions for people living with ADRD: (1) limited market demand for the implementation and diffusion of effective ADRD interventions; (2) insufficient engagement of persons living with ADRD and those caring for them in the development of potential ADRD services and interventions; (3) limited evidence and experience regarding scalability and sustainability of evidence-based ADRD care services; and (4) difficulties in taking innovations that work in one context and successfully implementing them in other contexts. New investments in the science of human-centered design, implementation, and diffusion are crucial for meeting the goals of the National Plan to Address Alzheimer's Disease under the auspices of the National Alzheimer's Project Act.
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