Exploring the benefits of respite services to family caregivers: methodological issues and current findings.

Exploring the benefits of respite services to family caregivers: methodological issues and current findings.
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DOI:
10.1080/13607863.2015.1128881
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发表时间:
2017-03
影响因子:
3.4
通讯作者:
Rovine MJ
Rovine MJ
中科院分区:
医学2区
文献类型:
--
作者:
Zarit SH;Bangerter LR;Liu Y;Rovine MJ

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人们越来越强调对老年人及其家庭社区服务的有效性进行实证验证,但对诸如临时护理等服务的研究面临着方法上的挑战,这限制了结果研究的发展。我们确定了与研究临时护理的常规研究方法相关的问题,目的是鼓励使用新颖和更合适的研究设计,从而改进社区服务的研究。运用研究效度的概念,我们评估目前暂托服务的研究方法,包括成人日间暂托、居家暂托和夜间暂托。虽然随机对照试验(rct)可以在社区环境中进行,但有效性受到随机化的实际限制和其他问题的影响。准实验和中断时间序列设计具有与随机对照试验相当的效度,可以在社区环境中有效实施。资助者和研究人员强调随机对照试验是没有科学证据支持的。替代设计可以导致对社区服务(如喘息)的有效研究的发展。
There is growing emphasis on empirical validation of the efficacy of community-based services for older people and their families, but research on services such as respite care faces methodological challenges that have limited the growth of outcome studies. We identify problems associated with the usual research approaches for studying respite care, with the goal of stimulating use of novel and more appropriate research designs that can lead to improved studies of community-based services. Using the concept of research validity, we evaluate the methodological approaches in the current literature on respite services, including adult day services, in-home respite and overnight respite. Although randomized control trials (RCTs) are possible in community settings, validity is compromised by practical limitations of randomization and other problems. Quasi-experimental and interrupted time series designs offer comparable validity to RCTs and can be implemented effectively in community settings. An emphasis on RCTs by funders and researchers is not supported by scientific evidence. Alternative designs can lead to development of a valid body of research on community services such as respite.
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