CARE MANAGER PERSPECTIVES ON COPE INTERVENTION IMPLEMENTATION IN THE CT HOME CARE PROGRAM FOR ELDERS

摘要

An important aspect of the COPE CT study translational design is understanding implementation processes to enable widespread adoption of COPE within the CT Home Care Program for Elders (CHCPE), and within Medicaid waiver and state-funded homecare programs elsewhere. We draw upon Normalization Process Theory (NPT) which posits specific criteria for judging implementation potential of an intervention, how practice settings may be affected by the intervention, and how the intervention can be modified to support its implementation. Focus groups designed in accordance with NPT are conducted annually in years 2–5 of the study period with CHCPE care managers and COPE interventionists. This presentation reports findings from the 6 care manager focus groups held during study years 2 and 3, with special emphasis on their experiences recruiting participants from their client caseloads, perceived COPE intervention benefits and challenges, and how well COPE services are integrated into their daily service coordination activities