Implementation Strategies to Address Barriers to Family Caregiver Use of PainChek®: A Multi-stakeholder Evaluation

Abstract Despite its established use in aged care facilities, PainChek ® , an approved medical application for assessing pain in individuals with advanced dementia, has not been utilised in community settings by family caregivers. This study aimed to determine effective modes of delivery for the key intervention functions—of education, training, enablement, persuasion, and modelling, for the implementation of PainChek ® in community-dwelling individuals with dementia. Step 8 of the Behaviour Change Wheel process was followed. To identify appropriate modes of delivery, family caregivers of people living with dementia and healthcare professionals participated in idea generation surveys and two rounds of a modified RAND/UCLA Appropriateness Method. PainChek ® Ltd staff then rated the final list of modes of delivery for feasibility. Nine family caregivers, eight healthcare professionals, and thirteen PainChek ® Ltd staff participated. In total, 44 delivery modes were assessed as both appropriate and feasible, with digital methods emerging as highly viable. The findings offer valuable insights for implementing PainChek ® in community settings, improving pain management for people living with dementia.