EMTReK Model for Advance Care Planning in Long-Term Care:
Qualitative Findings from mySupport Study

J 2025

EMTReK Model for Advance Care Planning in Long-Term Care: Qualitative Findings from mySupport Study

HARTIGAN, Irene; Catherine BUCKLEY; Nicola CORNALLY; Kevin BRAZIL; Julie DOHERTY et al.

Základní údaje

Originální název

EMTReK Model for Advance Care Planning in Long-Term Care: Qualitative Findings from mySupport Study

Autoři

Vydání

Geriatrics, BASEL, MDPI, 2025, 2308-3417

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30227 Geriatrics and gerontology

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.100 v roce 2024

Označené pro přenos do RIV

Ano

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

advance care planning; ACP; knowledge translation; communication; dissemination; research uptake

Štítky

14110523, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 19. 3. 2026 14:16, Mgr. Tereza Miškechová

Anotace

V originále

Background/Objectives: Conversations about end-of-life care or advance care planning are often difficult and emotionally challenging to initiate. Tailoring messages to the specific audiences can make these sensitive discussions more manageable and effective. The Evidence-based Model for the Transfer and Exchange of Research Knowledge (EMTReK), compromising six core components (message, stakeholders, processes, context, facilitation, and evaluation) offers a structured framework for research dissemination and knowledge transfer in palliative and long-term care settings. Knowledge translation bridges research and practice, with its effectiveness depending on stakeholder engagement, tailored communication, and systematic application of evidence in policy and practice. This study explores stakeholder perspectives on a dementia care intervention, using EMTReK as an analytical framework to examine how knowledge transfer and exchange (KTE) actions were implemented across long-term care settings. Methods: A qualitative analysis was conducted on primary data comprising case narratives from multinational research groups involved in the "Caregiver Decision Support" (mySupport) study (2019-2023). Teams from Canada, the Czech Republic, Ireland, Italy, the Netherlands, and the United Kingdom evaluated the mySupport intervention through interviews, with analysis guided by components of the EMTReK model. Results: Facilitated Family Care Conferences were found to be effective mechanisms for supporting knowledge transfer and intervention uptake in dementia care across nursing homes in Europe and Canada. Despite challenges posed by the COVID-19 pandemic, Family Care Conferences adapted through stakeholder engagement, interactive learning, and innovative communication methods. Using EMTReK as an analytical framework, the research team identified key elements that contributed to successful implementation, including the importance of flexibility to accommodate local contexts. Conclusions: The transnational application of the EMTReK model for advance care planning in long-term dementia care highlights the importance of tailored, culturally relevant knowledge translation strategies, which, despite challenges from the COVID-19 pandemic, were successfully implemented through local adaptations and diverse dissemination methods, emphasising the need for further research on their impact on resident and family outcomes.

Citovat

HARTIGAN, Irene; Catherine BUCKLEY; Nicola CORNALLY; Kevin BRAZIL; Julie DOHERTY; Catherine WALSHE; Andrew J E HARDING; Nancy PRESTON; Laura BAVELAAR; Jenny T VAN DER STEEN; Di Giulio PAOLA; Silvia GONELLA; Sharon KAASALAINEN; Tamara SUSSMAN; Bianca TETRAULT; Martin LOUČKA; Karolina VLCKOVA a Rene A GONZALES. EMTReK Model for Advance Care Planning in Long-Term Care: Qualitative Findings from mySupport Study. Geriatrics. BASEL: MDPI, 2025, roč. 10, č. 6, s. 1-23. ISSN 2308-3417. Dostupné z: https://doi.org/10.3390/geriatrics10060171.

@article{2558030,
   author = {Hartigan, Irene and Buckley, Catherine and Cornally, Nicola and Brazil, Kevin and Doherty, Julie and Walshe, Catherine and Harding, Andrew J E and Preston, Nancy and Bavelaar, Laura and Van Der Steen, Jenny T and Paola, Di Giulio and Gonella, Silvia and Kaasalainen, Sharon and Sussman, Tamara and Tetrault, Bianca and Loučka, Martin and Vlckova, Karolina and Gonzales, Rene A},
   article_location = {BASEL},
   article_number = {6},
   doi = {https://doi.org/10.3390/geriatrics10060171},
   keywords = {advance care planning; ACP; knowledge translation; communication; dissemination; research uptake},
   language = {eng},
   issn = {2308-3417},
   journal = {Geriatrics},
   title = {EMTReK Model for Advance Care Planning in Long-Term Care: Qualitative Findings from mySupport Study},
   url = {https://www.mdpi.com/2308-3417/10/6/171},
   volume = {10},
   year = {2025}
}

TY  - JOUR
ID  - 2558030
AU  - Hartigan, Irene - Buckley, Catherine - Cornally, Nicola - Brazil, Kevin - Doherty, Julie - Walshe, Catherine - Harding, Andrew J E - Preston, Nancy - Bavelaar, Laura - Van Der Steen, Jenny T - Paola, Di Giulio - Gonella, Silvia - Kaasalainen, Sharon - Sussman, Tamara - Tetrault, Bianca - Loučka, Martin - Vlckova, Karolina - Gonzales, Rene A
PY  - 2025
TI  - EMTReK Model for Advance Care Planning in Long-Term Care: Qualitative Findings from mySupport Study
JF  - Geriatrics
VL  - 10
IS  - 6
SP  - 1-23
EP  - 1-23
PB  - MDPI
SN  - 23083417
KW  - advance care planning
KW  - ACP
KW  - knowledge translation
KW  - communication
KW  - dissemination
KW  - research uptake
UR  - https://www.mdpi.com/2308-3417/10/6/171
N2  - Background/Objectives: Conversations about end-of-life care or advance care planning are often difficult and emotionally challenging to initiate. Tailoring messages to the specific audiences can make these sensitive discussions more manageable and effective. The Evidence-based Model for the Transfer and Exchange of Research Knowledge (EMTReK), compromising six core components (message, stakeholders, processes, context, facilitation, and evaluation) offers a structured framework for research dissemination and knowledge transfer in palliative and long-term care settings. Knowledge translation bridges research and practice, with its effectiveness depending on stakeholder engagement, tailored communication, and systematic application of evidence in policy and practice. This study explores stakeholder perspectives on a dementia care intervention, using EMTReK as an analytical framework to examine how knowledge transfer and exchange (KTE) actions were implemented across long-term care settings. Methods: A qualitative analysis was conducted on primary data comprising case narratives from multinational research groups involved in the "Caregiver Decision Support" (mySupport) study (2019-2023). Teams from Canada, the Czech Republic, Ireland, Italy, the Netherlands, and the United Kingdom evaluated the mySupport intervention through interviews, with analysis guided by components of the EMTReK model. Results: Facilitated Family Care Conferences were found to be effective mechanisms for supporting knowledge transfer and intervention uptake in dementia care across nursing homes in Europe and Canada. Despite challenges posed by the COVID-19 pandemic, Family Care Conferences adapted through stakeholder engagement, interactive learning, and innovative communication methods. Using EMTReK as an analytical framework, the research team identified key elements that contributed to successful implementation, including the importance of flexibility to accommodate local contexts. Conclusions: The transnational application of the EMTReK model for advance care planning in long-term dementia care highlights the importance of tailored, culturally relevant knowledge translation strategies, which, despite challenges from the COVID-19 pandemic, were successfully implemented through local adaptations and diverse dissemination methods, emphasising the need for further research on their impact on resident and family outcomes.
ER  -

HARTIGAN, Irene; Catherine BUCKLEY; Nicola CORNALLY; Kevin BRAZIL; Julie DOHERTY; Catherine WALSHE; Andrew J E HARDING; Nancy PRESTON; Laura BAVELAAR; Jenny T VAN DER STEEN; Di Giulio PAOLA; Silvia GONELLA; Sharon KAASALAINEN; Tamara SUSSMAN; Bianca TETRAULT; Martin LOUČKA; Karolina VLCKOVA a Rene A GONZALES. EMTReK Model for Advance Care Planning in Long-Term Care: Qualitative Findings from mySupport Study. \textit{Geriatrics}. BASEL: MDPI, 2025, roč.~10, č.~6, s.~1-23. ISSN~2308-3417. Dostupné z: https://doi.org/10.3390/geriatrics10060171.

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