Table 3 Attitudes and barriers of occupational therapists regarding the implementation of the COTiD program

Attitude toward the COTiD program (α = 0.72)†

It takes too much time to familiarize myself with the working method of the COTiD program. ‡

3.18 (0.77)

1 (1.8)

9 (16.1)

25 (44.6)

21 (37.5)

0 (0)

56 / 38

It takes too much time to treat clients according to the COTiD program. ‡

3.22 (0.83)

0 (0)

13 (23.6)

18 (32.7)

23 (41.8)

1 (1.8)

55 / 39

I find treatment according to the COTiD program too intensive for my clients. ‡

3.42 (0.69)

0 (0)

3 (5.5)

29 (52.7)

20 (36.4)

3 (5.5)

55 / 39

I find treatment according to the COTiD program too intensive for caregivers. ‡

3.52 (0.69)

0 (0)

2 (3.6)

27 (48.2)

23 (41.1)

4 (7.1)

56 / 38

The program provides sufficient guidance to treat people with dementia and their caregivers.

3.68 (0.77)

5 (8.9)

33 (58.9)

13 (23.2)

5 (8.9)

0 (0)

56 / 38

The intensive diagnostic phase of the program enables me to better shape the treatment.

3.85 (0.62)

6 (10.9)

36 (65.5)

12 (21.8)

1 (1.8)

0 (0)

55 / 39

Experience, skills, and self-efficacy of the occupational therapist (α = 0.72) †

I have sufficient experience with the COTiD program.

2.07 (0.87)

1( 1.8)

2 (3.6)

11 (19.6)

28 (50)

14 (25)

56 / 38

I feel competent in using the COTiD program.

2.64 (0.82)

0 (0)

8 (14.3)

24 (42.9)

20 (35.7)

4 (7.1)

56 / 38

I find it difficult to change my old habits concerning the diagnostic phase. ‡

3.02 (0.95)

1 (1.9)

19 (35.8)

12 (22.6)

20 (37.7)

1 (1.9)

53 / 41

I find it difficult to change my old habits concerning the treatment phase. ‡

3.27 (0.84)

0 (0)

13 (23.2)

16 (28.6)

26 (46.4)

1 (1.8)

56 / 38

I feel capable of changing the procedures regarding dementia occupational therapy care at my place of work.

3.71 (0.78)

5 (8.9)

36 (64.3)

9 (16.1)

6 (10.7)

0 (0)

56 / 38

I find it difficult to justify the use of the COTiD program toward physicians. ‡

3.5 (1.03)

1 (1.8)

12 (21.4)

8 (14.3)

28 (50)

7 (12.5)

56 / 38

Knowledge of occupational therapists

I have insufficient knowledge about dementia to be able to work with the COTiD program. ‡

3.45 (1.03)

2 (3.6)

10 (17.9)

11 (19.6)

27 (48.2)

6 (10.7)

56 / 38

Support from the professional environment (α = 0.50) †

Role models are lacking. ‡

2.70 (1.06)

5 (8.9)

25 (44.6)

10 (17.9)

14 (25)

2 (3.6)

56 / 38

I have sufficient opportunities to ask for feedback.

3.0 (0.97)

0 (0)

17 (30.4)

13 (23.2)

17 (30.4)

3 (5.4)

56 / 38

I do not feel supported in using the COTiD program by occupational therapists at my work place. ‡

3.98 (1.04)

2 (4.2)

3 (6.3)

5 (10.4)

22 (45.8)

16 (33.3)

48 / 46

I feel supported in using the COTiD program by occupational therapy colleagues in my region.

2.8 (1.26)

3 (5.4)

18 (32.1)

12 (21.4)

11 (19.6)

12 (21.4)

56 / 38

Management at my work place supports working according to the COTiD program.

3.66 (0.72)

3 (5.4)

35 (62.5)

15 (26.8)

2 (3.6)

1 (1.8)

56 / 38

I feel supported in using the COTiD program by physicians.

2.84 (0.91)

2 (3.6)

11 (19.6)

21 (37.5)

20 (35.7)

2 (3.6)

56 / 38