Page 124 - Demo

Chapter 5122AbstractBackground: The Needs Assessment Framework (NAF) stimulates awareness of care staff to consider perspectives of clients with intellectual disabilities in decisions on involuntary care. We explored the effect of implementers%u2019 participation in a Community-of-Practice (CoP) for designing implementation plans, on NAF implementation and staff awareness. Method: A quasi-experimental design was used to compare implementation and awareness by care staff (n=54) between organisations that implemented NAF with CoP participation (N= 4) and organisations that implemented NAF as usual (N=3). The ItFits-toolkit work routine in the CoP was qualitatively analysed to understand choices regarding implementation plans.Results: No statistical differences in implementation and awareness among care staff were found between the experimental and control groups. Implementers evaluated collaboration on implementation and the ItFitstoolkit as helpful.Conclusions: Evaluation of implementation effectiveness and process are both needed to offer unique insights for iteratively changing daily practice around involuntary care.