This site uses cookies to measure how you use the website so it can be updated and improved based on your needs and also uses cookies to help remember the notifications you’ve seen, like this one, so that we don’t show them to you again. If you could also tell us a little bit about yourself, this information will help us understand how we can support you better and make this site even easier for you to use and navigate.

A new combined strategy to implement a community occupational therapy intervention: designing a cluster randomized controlled trial


Döpp, Carola M. E., Graff, Maud J. L., Teerenstra, Steven, Adang, Eddy, Nijhuis-van der Sanden, Ria W. G., Olderikkert, Marcel G. M., Vernooij-Dassen, Myrra J. F. J.


BMC Geriatrics, Volume: 11, Pages.: 13-13

Year of Publication



Background: Even effective interventions for people with dementia and their caregivers require specific implementation efforts. A pilot study showed that the highly effective community occupational therapy in dementia (COTiD) program was not implemented optimally due to various barriers. To decrease these barriers and make implementation of the program more effective a combined implementation (CI) strategy was developed. In our study we will compare the effectiveness of this CI strategy with the usual educational (ED) strategy.; Methods: In this cluster randomized, single-blinded, controlled trial, each cluster consists of at least two occupational therapists, a manager, and a physician working at Dutch healthcare organizations that deliver community occupational therapy. Forty-five clusters, stratified by healthcare setting (nursing home, hospital, mental health service), have been allocated randomly to either the intervention group (CI strategy) or the control group (ED strategy). The study population consists of the professionals included in each cluster and community-dwelling people with dementia and their caregivers. The primary outcome measures are the use of community OT, the adherence of OTs to the COTiD program, and the cost effectiveness of implementing the COTiD program in outpatient care. Secondary outcome measures are patient and caregiver outcomes and knowledge of managers, physicians and OTs about the COTiD program.; Discussion: Implementation research is fairly new in the field of occupational therapy, making this a unique study. This study does not only evaluate the effects of the CI-strategy on professionals, but also the effects of professionals’ degree of implementation on client and caregiver outcomes.; Clinical Trials Registration: NCT01117285.;

Bibtex Citation

@article{D_pp_2011, doi = {10.1186/1471-2318-11-13}, url = {}, year = 2011, month = {mar}, publisher = {Springer Nature}, volume = {11}, number = {1}, author = {Carola ME Döpp and Maud JL Graff and Steven Teerenstra and Eddy Adang and Ria WG Nijhuis - van der Sanden and Marcel GM OldeRikkert and Myrra JFJ Vernooij-Dassen}, title = {A new combined strategy to implement a community occupational therapy intervention: designing a cluster randomized controlled trial}, journal = {{BMC} Geriatr} }


cluster analysis, dementia, humans, methods, occupational therapy, patient care team, psychology, residence characteristics, therapy

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Non randomised controlled trial


Hospital Inpatient Care, Nursing Homes, Specialist Dementia Centre Care / Memory Clinic

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions

Occupational Therapy