调查可行性,可接受性和影响简短痴呆意识的护理人员(DAC)课程:一项混合方法研究。

IF 3.5 3区 医学 Q2 GERIATRICS & GERONTOLOGY Clinical Interventions in Aging Pub Date : 2023-11-21 eCollection Date: 2023-01-01 DOI:10.2147/CIA.S429556
Ria Patel, Isabelle Evans, Charlotte R Stoner, Aimee Spector
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引用次数: 0

摘要

目的:非正式护理人员在帮助痴呆症患者方面至关重要。然而,这一角色会对护理人员的生活产生重大影响,支持他们的干预措施至关重要。本研究旨在开发英国版的护理人员痴呆症意识(DAC)课程,并调查将该课程在线提供给非正式痴呆症护理人员的可行性、可接受性和影响。方法:本研究采用干预前后平行组设计。51名非正式痴呆症护理人员被随机分为实验组(接受DAC课程)或对照组(照常治疗)。在基线和随访中测量了与感知负担、态度、能力、关系质量和积极护理方面相关的结果,以及与招募、保留、出勤和依从性相关的统计数据。进行了半结构化访谈,以探索完成DAC课程的护理人员的定性可接受性和影响。结果:研究发现高的保留率和出勤率与低水平的不明原因的流失。分析表明,四项结果指标的积极变化有利于DAC疗程,但这在统计学上并不显著。定性分析产生了11个子主题,分为四个主要主题;“课程的可接受性”,“课程对护理者的影响”,“使用课程中的技能”和“结果测量”。结论:研究结果提供了有希望的证据,可行性,可接受性和影响的痴呆意识的护理人员课程,当在线交付给非正式护理人员在英国。
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Investigating the Feasibility, Acceptability, and Impact of a Brief Dementia Awareness for Caregivers (DAC) Course: A Mixed Methods Study.

Aim: Informal caregivers are vital in assisting people with dementia. However, this role can significantly impact caregivers' lives and interventions to support them are crucial. This study aimed to develop a United Kingdom version of the Dementia Awareness for Caregivers (DAC) course and to investigate the feasibility, acceptability, and impact of delivering the course online to informal dementia caregivers.

Methods: This study comprised a mixed-methods pre-post intervention parallel group design. Fifty-one informal dementia caregivers were randomized into either an experimental (receiving the DAC course) or control group (treatment as usual). Outcomes relating to perceived burden, attitude, competence, relationship quality and positive caregiving aspects were measured at baseline and follow-up, alongside statistics relating to recruitment, retention, attendance, and adherence. Semi-structured interviews were conducted to explore qualitative acceptability and impact among caregivers who completed the DAC course.

Results: The study found high retention and attendance rates with low levels of unexplained attrition. Analysis indicated positive change for four of the outcome measures in favor of the DAC course, however this was not statistically significant. Qualitative analysis generated 11 subthemes organized into four overarching main themes; "acceptability of course", "impact of course on caregivers", "using skills from course" and "outcome measures".

Conclusion: Findings provide promising evidence for the feasibility, acceptability and impact of the Dementia Awareness for Caregivers course when delivered online to informal caregivers in the United Kingdom.

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来源期刊
Clinical Interventions in Aging
Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-
CiteScore
6.80
自引率
2.80%
发文量
193
审稿时长
6-12 weeks
期刊介绍: Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.
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