Barriers to Sustained Implementation of STAR-VA and Strategies to Overcome Them. (17th December 2021)

• Record Type: Journal Article
• Authors: Adjognon, Omonyele; Pendergast, Jacquelyn; Wray, Laura; Karel, Michele; Curyto, Kimberly; Sullivan, Jennifer
• Is Part Of: Innovation in aging. Volume 5(2021)Supplement 1
• Page Start: 538
• Page End: 538
• Publication Date: 2021-12-17
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igab046.2058
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: STAR-VA is an evidence-based, interdisciplinary program helping CLC teams effectively manage DBD. We conducted interviews with 42 key informants involved with STAR-VA implementation in 20 CLCs, guided by a sustainment framework, to understand facilitators and barriers to sustained implementation. We used directed content analysis to identify barriers and mapped them to the CFIR-ERIC Mapping Tool to identify associated implementation strategies. We identified six barriers: 1) staffing issues, 2) lack of written policies, 3) staff buy-in, 4) limited leadership support, 5) exclusion of STAR-VA criteria in performance evaluations, and 6) service line silos. We identified six strategies to overcome these barriers, three strategies most frequently mapped to reported barriers to STAR-VA sustainment: 1) assessing local CLC readiness, facilitators and addressable barriers; 2) identifying and preparing new champions; and 3) altering incentive/allowance structures. The identified strategies can be packaged to further integrate STAR-VA into usual CLC care processes to optimize program sustainability.