(New) Integration of a PROgnostic Model for Advanced Dementia (PRO-MADe) into tertiary clinical care using the implementation research logic model: A qualitative analysis

New

Objective

Patients with dementia are vulnerable to significant and prolonged disability and dependency, experiencing a mortality two-fold higher than those without dementia. Supporting patients living in advanced stages of this neurodegenerative disease through early palliative care integration could improve symptom suffering and justify healthcare utilisation. However, these patients are often referred for palliative support only in the last weeks to months, amid clinical uncertainty in prognostication.

PRO-MADe was developed with the intention of predicting one-year mortality among patients with advanced dementia presenting to a tertiary care setting. It is embodied in an integrated care model that extends to the site of discharge in the community.

As part of PRO-MADe’s effectiveness-implementation mixed-methods research, this study aims to evaluate the implementation, associated strategies and outcomes in relation to the adoption of PRO-MADe in the clinical practice setting.

GERI funded the development and validation of the PRO-MADe tool which formed the foundation for its ongoing deployment and evaluation. Presently, GERI is collaboratively supporting as an implementation research partner, providing expertise specifically in the qualitative evaluation of PRO-MADe’s implementation and outcomes.

Collaborators

Tan Tock Seng Hospital