Use of motivational techniques to enhance unpaid caregiver engagement in a tailored skills training intervention.
Use of motivational techniques to enhance unpaid caregiver engagement in a tailored skills training intervention.
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DOI：
10.1080/13607863.2020.1855103
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发表时间：
2022-02
影响因子：
3.4
通讯作者：
Van Houtven, Courtney H.
中科院分区：
文献类型：
--
作者：
King, Heather A.;Shepherd-Banigan, Megan;Chapman, Jennifer G.;Bruening, Rebecca;Decosimo, Kasey P.;Van Houtven, Courtney H.
帮助投资家庭改善退伍军人经历研究(HI-FIFES)评估了一项支持认知或功能障碍者家庭照顾者的技能培训计划。Hi-Fives表明，照顾者和患者在VA护理方面的体验持续改善。这项不同的第二次定性研究的目的是探索与支持HI-Five干预效果的基于个人定制技能的电话培训相关的潜在过程。我们探讨了护理者选择的主题、创建的行动项目的特征、行动或不行动的模式，以及跨主题完成行动项目的障碍。定性数据来自随机进入HI-Five干预的118对夫妇，其中包括每周三次促进培训电话，涵盖五个教育主题和由照顾者为每个主题制定的行动项目。对培训电话中问题的文本回复进行了定性分析。在四个最受欢迎的话题中，有三个是以护理者为导向的，护理者创建了一个行动项目，最常见的是自我护理主题。以照顾者为导向的主题也有最高的行动项目完成率。创建的大多数行动项目符合设定目标的智能指导方针和简单的结构。关于完成行动项目的障碍，照顾者通常报告仍在考虑/等待完成。我们的研究发现，激励性访谈是识别关键干预内容和解决实现护理目标的障碍的一种有效技术。我们建议，当照顾者对完成行动项有更多的控制时，他们感觉更有权力创建和完成行动项，例如在与自己自我照顾相关的主题中。
The Helping Invested Families Improve Veterans’ Experiences Study (HI-FIVES) evaluated a skills training program to support family caregivers of cognitively or functionally impaired persons. HI-FIVES demonstrated sustained improvements in caregivers’ and patients’ experiences of VA care. The aim of this distinct, secondary qualitative study was to explore the potential processes related to the individual tailored skills-based telephone training underpinning HI-FIVES intervention effects. We explored topics caregivers selected, characteristics of action items created, patterns of action or inaction, and barriers to action item completion across topics. Qualitative data was analysed from 118 dyads randomized into the HI-FIVES intervention which included three weekly facilitated training calls covering five education topics and action items developed by caregivers for each topic. Qualitative analysis of text responses to questions from the training calls was used. Three of the top four most selected topics were caregiver-oriented and caregivers created an action item most often for self-care topics. Caregiver-oriented topics also had the highest action item completion rates. The majority of action items created met SMART guidelines for goal setting and simple structure. With regard to barriers to action item completion, caregivers commonly reported still contemplating/pending. Our findings identify motivational interviewing as an effective technique to identify critical intervention content and address barriers to achieving caregiving goals. We suggest that caregivers felt more empowered to create and complete an action item when they had more control over completing the action item, such as in topics related to their own self-care.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
120.7
作者：
Bevans, Margaret;Sternberg, Esther M.
通讯作者：
Sternberg, Esther M.
DOI：
10.1093/geronj/44.3.p61
发表时间：
1989-05-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
LAWTON, MP;KLEBAN, MH;GLICKSMAN, A
通讯作者：
GLICKSMAN, A
影响因子：
7.2
作者：
Bass, David M.;Judge, Katherine S.;Kunik, Mark E.
通讯作者：
Kunik, Mark E.
影响因子：
1.8
作者：
Toseland, RW;Smith, TL
通讯作者：
Smith, TL