Conclusions
dementia
This study, focused on implementation of a home-based personalised cognitive rehabilitation intervention for people with mild-to-moderate dementia, adds to a small but growing set of findings indicating that when rehabilitative interventions are delivered as part of routine services outcomes are as good as, or better than, those obtained under trial conditions. This underlines the importance of making interventions like GREAT CR available to as many people with dementia as possible. Ensuring that these interventions are widely available, however, requires organisational prioritisation, ongoing funding and investment in appropriately trained practitioners with sufficient time to work in this way and with adequate support. Given the potential of rehabilitative interventions to empower people with mild-to-moderate dementia and carers to adjust to and manage life with the condition, and ultimately reduce the need for crisis-driven responses by services, there is a strong case for reorienting service priorities and investing in widespread implementation.