"I Must Be the One to Change; He's Doing the Best He Can": Care Partner Evaluation Results from a Four-Part, In-Person, Dementia Community Education Program.

Olivia C Rubio, Erica K Husser, Rollin Wright, Diane Berish, Janice Whitaker, Marie Boltz, Donna Fick
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Abstract

We created a comprehensive, four-part, in-person, interactive community education series to teach informal, unpaid care partners of persons living with dementia (PLWD) how to support their PLWD, negotiate common day-to-day challenges, and navigate predictable situations that arise as the disease progresses over time. The purpose of this qualitative study was to explore the series impact on participant knowledge, care practices, and perceptions of caregiving. Inspired by the U.S. Medicare Cognitive Assessment and Care Plan Service visit and the 4Ms of the Age-Friendly Health Systems Framework, our curriculum focused on (1) expanding knowledge about the disease and disease progression, (2) developing skills to better connect and work with PLWD, (3) self-care for care partners, and (4) sharing resources to support future planning. The program was delivered in three communities in Central Pennsylvania (one rural, one small, and one medium metropolitan) and was attended by 146 individuals. Both session and final qualitative evaluation data were assessed using thematic analysis and five major categories emerged: lessons learned, activating new knowledge, impact and changes, assuming responsibility is challenging, and I need more help. Ongoing education, emotional support, and access to quality assistance for long-term planning are all needed and require sustained support.

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“我必须是那个改变的人;他正在尽他所能”:护理伙伴评估结果从四部分,面对面,痴呆症社区教育计划。
我们创建了一个全面的,由四部分组成的,面对面的,互动的社区教育系列,以教授痴呆症患者(PLWD)的非正式,无偿护理伙伴如何支持他们的PLWD,如何应对常见的日常挑战,以及如何应对随着疾病发展而出现的可预测情况。本质性研究的目的是探讨系列对参与者知识、护理实践和护理认知的影响。受美国医疗保险认知评估和护理计划服务访问以及年龄友好型卫生系统框架的4m的启发,我们的课程侧重于(1)扩展关于疾病和疾病进展的知识,(2)发展技能以更好地与PLWD联系和工作,(3)护理伙伴的自我护理,以及(4)共享资源以支持未来规划。该计划在宾夕法尼亚州中部的三个社区(一个农村,一个小型和一个中等都市)进行,共有146人参加。会议和最终定性评价数据均采用专题分析进行评估,出现了五个主要类别:经验教训、激活新知识、影响和变化、承担责任具有挑战性、我需要更多帮助。持续的教育、情感支持和获得长期规划的高质量援助都是必要的,需要持续的支持。
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期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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