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

From: Determinants for the effectiveness of implementing an occupational therapy intervention in routine dementia care

Statement M (SD) Totally agree N (%) Agree N (%) Not agree or disagree N (%) Disagree N (%) Totally disagree N (%) V / M
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
  1. Internal consistency of the concept based on Cronbach’s alpha; ‡ Negatively stated items: reversed scoring system applies; V / M = valid and missing responses; M = mean; SD = standard deviation.