The Stroud/ADI Dementia Quality Framework: a cross-national population-level framework for assessing the quality of life impacts of services and policies for people with dementia and their family carers

Objectives: To generate an internationally applicable framework for the systematic assessment of the quality of life impacts of services and policies for people with dementia and their family carers. Design: A qualitative analysis of text. Setting: Open groups at six consecutive Alzheimer's Disease International (ADI) Conferences (1999 2005) lasting between 1.5 and 2 h. Data were: presenters' texts, transcribed points made during discussion and written contributions. Participants: Three hundred and twelve contributors of text. Results: From 2246 chunks of text, eight interacting domains relating to quality of life emerged: Public Attitudes and Understanding; Government and Social Policy; Funding for Services; Health; Communication; Choice and Personhood; Environment; and Quality of Care leading to the development of the Stroud/ADI Dementia Quality Framework. Conclusions: The Stroud/ADI Dementia Quality Framework helps to structure assessment of the quality of life impacts of population level approaches in dementia impacts of population-level approaches in dementia. Information available can be mapped onto the framework. With its international approach, the Stroud/ADI Dementia Quality Framework has validity across cultures within and between countries. It is intended as a useful aid for the assessment of services and policies for people with dementia and their family carers. Copyright (C) 2009 John Wiley & Sons, Ltd.