90 Implementation of person-centred outcome measures (PCOMS) to support assessment and care for people with dementia: a mixed-method systematic review

<h3>Background</h3> People with dementia may experience high symptom burden and reduced quality of life, requiring timely, person-centred palliative care. Person-Centred Outcome Measures (PCOMs) support person-centred care provision. However, there is limited evidence on implementing PCOMs to improve dementia care outcomes. <h3>Objectives</h3> To identify and synthesise key factors that influence the implementation of PCOMs to support assessment and care for people living with dementia. <h3>Methods</h3> A search of Medline, PsycINFO, and CINAHL electronic databases from inception to February 2024 using terms for (‘Dementia’) AND (‘Outcome measure’) AND (‘Implementation’ OR ‘Quality of life’). Studies were included that if they evaluated PCOMs used in dementia care to facilitate identification of symptoms and concerns to improve care and outcomes. The adapted CFIR guided the search strategy, data extraction, analysis, and synthesis. Qualitative and quantitative data were analysed using narrative synthesis to summarise and explain the findings. <h3>Result</h3> Twenty-four studies met the inclusion criteria. The most common CFIR sub-constructs were Person-Centred Care, Clinical Benefit and Person Experience, which are in the Patient Needs Domain of CFIR. only three sub-constructs were not reported: Organisational Incentives &amp; Rewards, Individual Stage of Change, and Other Personal Attributes. Positive perceptions drive PCOM use, supporting assessment, identifying needs, and improving care outcomes. Professionals’ perceived importance significantly influences implementation. Implementing PCOMs in dementia care provides a systematic way to assessing and addressing individual needs. Education and training improve staff confidence, attitudes, and willingness to adopt PCOMs, enhancing care delivery and implementation. Peer influence and effective multidisciplinary communication further support adoption. However, perceived lack of benefits among professionals, individuals with dementia, and their families remains a significant barrier. <h3>Conclusion</h3> This review highlights the need to implement comprehensive PCOMs into routine dementia care. No evidence was identified on CFIR sub-constructs essential for PCOM implementation, including routine care integration, organisational alignment, embedding progress, stakeholder engagement, and anticipated beneficiaries. Future research should address challenges in integrating PCOMs into existing practices, as these complexities remain significant barriers to sustaining their use and improving dementia care outcomes.