Understanding the implementation of CareCoach—A blended eHealth intervention for carers of people living with dementia: A qualitative process evaluation using normalisation process theory

Katangwe-Chigamba, Thando, Guy, Margaret, Oyebode, Jan R., Poland, Fiona M., May, Carl, Fox, Chris, Morse, Helen and Cross, Jane L. (2025) Understanding the implementation of CareCoach—A blended eHealth intervention for carers of people living with dementia: A qualitative process evaluation using normalisation process theory. Behavioral Sciences, 15 (8). ISSN 2076-328X

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Abstract

CareCoach seeks to enhance self-efficacy in family caregivers of people living with dementia and has been feasibility tested in a multicentre randomised controlled trial. The intervention offers two face-to-face sessions with a trained coach and access to an online platform with nine modules. This paper reports findings from an embedded qualitative process evaluation assessing implementation from the implementer’s (‘coach’s’) (n = 8) perspective using individual interviews and implementer group discussions. Qualitative data were transcribed verbatim, inductively coded and analysed using Normalisation Process Theory. Implementers demonstrated (1) ‘Coherence’ by seeking to understand how CareCoach compared to current practice, highlighting the importance of supporting coaches to differentiate and identify boundaries between their new ‘coach role’ and usual practice; (2) ‘Cognitive Participation’ by reviewing training and resources to understand their role own responsibilities and facilitate delivery of coaching sessions; group supervision and peer support were also emphasised; (3) ‘Collective Action’ through interactions with carers to deliver key behavioural aspects such as goal setting, problem solving, and providing feedback; and (4) ‘Reflexive Monitoring’ by appraising the intervention to gain useful insights that could facilitate refinement of CareCoach training and delivery. This study provides a theoretically informed understanding of the implementation of CareCoach for caregivers of people living with dementia and provides recommendations to enhance training for coaches, intervention delivery and carer engagement.

Item Type:	Article
Additional Information:	Data Availability Statement: The data presented in this study are available on request from the corresponding author due to confidentiality. Funding: This is funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (NIHR201076). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. The CareCoach programme is hosted by Norfolk and Suffolk NHS Foundation Trust.
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Medicine and Health Sciences > Research Centres > Institute for Volunteering Research Faculty of Medicine and Health Sciences > Research Groups > Dementia & Complexity in Later Life Faculty of Medicine and Health Sciences > Research Centres > Mental Health and Social Care (fka Lifespan Health) Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Mental Health Faculty of Medicine and Health Sciences > Research Centres > Public Health
Depositing User:	LivePure Connector
Date Deposited:	09 Sep 2025 14:30
Last Modified:	09 Sep 2025 19:30
URI:	https://ueaeprints.uea.ac.uk/id/eprint/100342
DOI:	10.3390/bs15081058

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