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Breaking Barriers: Navigating EBP in Major

Neurocognitive Disorder
Samantha Wannstedt, OTS-swannstedt@chatham.edu
Alisa Pellegrino, OTS-alisa.pellegrino@chatham.edu
Laura Collignon, OTS-laura.collignon@chatham.edu
Emily Eckard, OTS-emily.eckard@chatham.edu
Jodi Schreiber OTD, OTR/L, C/NDT-jschreiber1@chatham.edu
1. Acknowledge the interchangeable (nomenclature) use of the terms Dementia and
Major Neurocognitive Disorder (MNCD).
2. Recognize the need for implementation of evidence-based practice in the MNCD
3. Understand potential facilitators, barriers and solutions to implementing
evidence-based intervention for the MNCD population in OT intervention settings.
4. Determine which interventions are being used with the MNCD population.
Rationale for study:
Occupational therapists play an important role in facilitating occupational
performance with the dementia population.
Occupational therapists use evidence in practice in order to provide current,
effective treatment to clients.
Top treatment priorities in:
SNF: family/caregiver education, ADL performance, cueing
LTC: family/caregiver education, environmental modification,
compensatory strategies, cueing
Home Health: family/caregiver education, environmental modification
Facilitators to Implementing EBP
Support from other staff members
Evidence supporting the interventions
Continuing education courses
Applicability to clients needs
Support from upper-level management

Barriers to Implementing EBP

Lack of resources/funding
Lack of time
Poor communication between staff
Limited research
Decreased confidence in
implementing new interventions

Bennett, S., Shand, S., & Liddle, J. (2011). Occupational therapy practice in Australia with
people with dementia: A profile in need of change. Australian Occupational Therapy
Journal, 58, 155-163. doi: 10.1111/j.1440-1630.2011.00930.x
Chard G., Liu, L., & Mulholland S. (2009). Verbal cueing and environmental modifications:
Strategies to improve engagement in occupations in persons with alzheimer disease,
Physical & Occupational Therapy in Geriatrics, 27(3), 197-211. doi:
Fitzsimmon, S. & Buetner, L. (2003). Therapeutic cooking for older adults with dementia:
Effects on agitation and apathy. American Journal of Recreational Therapy, Fall, 23-33.
Hinton, L., Franz, C. E., Reddy, G., Flores, Y., Kravitz, R. L. & Barker, J. C. (2007). Practice
constraints, behavioural problems, and dementia care: Primary care physicians
perspectives. Journal of Geriatric Internal Medicine, 22(11), 1487-92.
Leven, N.V., Graff, M., Kaijen, M., de Swart, B., Rikkert, M.O., & Vernooij-Dassen, M. (2011).
Barriers to and facilitators for the use of an evidence-based occupational therapy
guideline for older people with dementia and their carers. International Journal of
Geriatric Psychiatry, 27, 742-748. doi: 10.1002/gps.2782
O'Rourke, H., Duggleby, W., Fraser, K., & Jerke, L. (2015). Factors that affect quality
of life from the perspective of people with dementia: A metasynthesis.
American Geriatrics Society, 63(1), 24-38.
Schaber, P., & Lieberman, D. (2010). Occupational therapy practice guidelines for adults with
Alzheimer's disease and related disorders. Bethesda, MD: AOTA Press.