{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T07:32:23Z","timestamp":1787643143190,"version":"build-2736575974"},"reference-count":63,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T00:00:00Z","timestamp":1730160000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T00:00:00Z","timestamp":1730160000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP2014821"],"award-info":[{"award-number":["APP2014821"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,6]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Major knowledge and practice gaps exist in aged care home services to support independence of older people with dementia. This research evaluates an adaptation of a community\u2010based rehabilitation model for care homes, namely Interdisciplinary Care Home\u2010bAsed Reablement Program (I\u2010CHARP), by examining whether (and, if so, how) I\u2010CHARP produces its intended effects and how this programme can be practicably implemented, sustained and scaled up across care homes in Australia.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n I\u2010CHARP is a 4\u2010month bio\u2010behavioural\u2010environmental rehabilitation model of care, integrated in care home services, supported through the deployment of an implementation strategy, the Research Enabled Aged Care Homes (REACH) network. It consists of (1) 8\u201312 full individual sessions and additional eight brief follow\u2010ups per resident, tailored to the resident's needs, delivered primarily by a team of an occupational therapist, registered nurse and other allied health staff; (2) environmental modifications\/assistive devices up to the value of $400 per resident; and (3) engagement of intervention care home staff, managers and regular visitors. An overarching evaluation approach is participatory action research using a cluster quasi\u2010experimental design and mixed methods. It involves testing of the implementation strategy (REACH network and other approaches) while observing\/gathering information on the intervention (I\u2010CHARP) and related outcomes in three cycles. Participants include residents (aged \u2265\u200960\u2009years with early stages of dementia) and care staff from 16 care homes. Care quality indicators, health care costs, field notes and semi\u2010structured interviews\/focus groups with intervention site staff, regular visitors and managers will provide further insights into I\u2010CHARP processes and implementation issues.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n In the final phase of the project, an Agile Implementation Playbook will be developed for the delivery of reablement care that can be used in routine practice across care homes in Australia. The study findings will also inform future policy development and strategic directions for dementia care in care homes.<\/jats:p>\n \n Trial Registration:<\/jats:bold>\n Australian New Zealand Clinical Trial Registry, ACTRN12623000885695 Registered 16 August 2023,\n https:\/\/www.anzctr.org.au\/Trial\/Registration\/TrialReview.aspx?id=386088<\/jats:ext-link>\n .\n <\/jats:p>\n Protocol version: 1.0 dated 20 July 2023<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jan.16588","type":"journal-article","created":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T07:37:07Z","timestamp":1730187427000},"page":"3386-3399","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of the Interdisciplinary Care Home\u2010\n bAsed<\/scp>\n Reablement Program (I\u2010\n CHARP<\/scp>\n ) for People Living With Cognitive Impairment and Dementia in Care Homes"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2031-9134","authenticated-orcid":false,"given":"Yun\u2010Hee","family":"Jeon","sequence":"first","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery The University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Hobbs","sequence":"additional","affiliation":[{"name":"Calvary Health Care\u2013Aged Care Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karn","family":"Nelson","sequence":"additional","affiliation":[{"name":"Research and Positive Aging Frank Whiddon Masonic Homes of New South Wales Glenfield Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Fethney","sequence":"additional","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery The University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Comans","sequence":"additional","affiliation":[{"name":"Centre for Health Services Research The University of Queensland Temora Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Conway","sequence":"additional","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery The University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loren","family":"Mowszowski","sequence":"additional","affiliation":[{"name":"Brain and Mind Centre School of Psychology, the University of Sydney Camperdown Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Hill","sequence":"additional","affiliation":[{"name":"Rehabilitation, Aging and Independent Living Research Centre (RAIL), School of Primary and Allied Health Monash University Melbourne 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Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"O'Leary","sequence":"additional","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery The University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"MacAndrew","sequence":"additional","affiliation":[{"name":"School of Nursing Queensland University of Technology Brisbane City Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Beattie","sequence":"additional","affiliation":[{"name":"School of Nursing Queensland University of Technology Brisbane City Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Stears","sequence":"additional","affiliation":[{"name":"Policy Lab, University College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Hilmer","sequence":"additional","affiliation":[{"name":"Kolling Institute Northern Sydney Local Health District and The University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Sykes","sequence":"additional","affiliation":[{"name":"Dementia Australia Newtown Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Liddell","sequence":"additional","affiliation":[{"name":"Aged and Community Care Providers Association Mile End Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Little","sequence":"additional","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery The University of Sydney Sydney 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