Development of Training in Problem Solving for Caregivers of Childhood Brain Tumor Survivors.
Development of Training in Problem Solving for Caregivers of Childhood Brain Tumor Survivors.
复制标题
儿童脑肿瘤幸存者护理人员解决问题培训的发展。
DOI：
10.1097/ncc.0000000000001041
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发表时间：
2022
期刊：
影响因子：
2.6
通讯作者：
Barakat,LamiaP
中科院分区：
文献类型：
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作者：
Deatrick,JanetA;Knafl,KathleenA;Knafl,GeorgeJ;Bressler,ShannonN;Stevens,EvelynM;VerHoeve,ElizabethS;Zukin,Heather;Rhodes,Gates;Leri,Damien;Hobbie,Wendy;Barakat,LamiaP
背景儿童脑肿瘤年轻成年幸存者的母亲照顾者的家庭管理（FM）挑战有据可查，但没有基于证据的照顾者干预措施来改善FM。通过参与利益相关者的有效干预（第1阶段）。方法在本研究中使用了国立卫生研究院行为干预发展阶段模型和FM风格框架的第0和1阶段。结果在第0阶段，具有以条件为中心的FM模式的家庭被确定为存在解决问题能力差的风险。FM措施的12项条件管理能力量表被选为筛选器，以确定条件为重点的产妇照顾者。解决问题被认为是促进行为改变的潜在机制。在第一阶段，通过整合FM风格框架，为儿童脑肿瘤的年轻成年幸存者的照顾者创建解决问题的培训，对日常生活的光明思想进行了修改。定性和定量评估的可行性和可接受性的产妇照顾者是优秀的，并用于改善选定领域的concerns.ConclusionFeedback从利益相关者表明，培训解决问题是一个很有前途的方法来改变FM模式和改善功能的照顾者，年轻的成年幸存者，和家庭。
BackgroundFamily management (FM) challenges of maternal caregivers of young adult survivors of childhood brain tumors are well documented, but there are no evidence-based caregiver interventions to improve FM.ObjectivesThe aims of this study were to (1) generate the knowledge necessary for developing a caregiver intervention (stage 0) and (2) modify an existing, efficacious intervention by engaging stakeholders (stage 1).MethodsStages 0 and 1 of the National Institutes of Health Stage Model for Behavioral Intervention Development and the FM Styles Framework were used in this study.ResultsIn stage 0, families with condition-focused FM patterns were identified as at risk for poor problem solving. The 12-item Condition Management Ability scale of the FM Measures was selected as the screener to identify condition-focused maternal caregivers. Problem solving was identified as a potential mechanism for promoting behavior change. In stage 1, Bright IDEAS for Everyday Living was modified by integrating the FM Styles Framework creating Training in Problem Solving for Caregivers of Young Adult Survivors of Childhood Brain Tumors. Qualitative and quantitative assessments of feasibility and acceptability by maternal caregivers were excellent and used to improve selected areas of concern.ConclusionFeedback from stakeholders indicates that Training in Problem Solving is a promising approach to shifting FM patterns and improving the functioning of caregivers, young adult survivors, and families.