Examining cultural adaptations of the savvy caregiver program for Korean American caregivers using the framework for reporting adaptations and modifications-enhanced (FRAME).

Examining cultural adaptations of the savvy caregiver program for Korean American caregivers using the framework for reporting adaptations and modifications-enhanced (FRAME).
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DOI:
10.1186/s12877-024-04715-w
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发表时间:
2024-01-20
期刊:
影响因子:
4.1
通讯作者:
Kim, Miyong T.
Kim, Miyong T.
中科院分区:
医学2区
文献类型:
--
作者:
Jang, Yuri;Hepburn, Kenneth;Haley, William E.;Park, Juyoung;Park, Nan Sook;Ko, Linda K.;Kim, Miyong T.

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改进和修改报告框架是一个工具,系统地指导决策和报告对循证干预措施的修改。使用框架,我们记录的过程和结果,适应精明的照顾者计划(SCP)的韩裔美国痴呆症照顾者。顺序适应是从语言协调开始的,然后是试点实施和全面适应。我们的数据驱动适应具有多个数据源和多个利益相关者之间的反馈循环,总共产生了32个修改,每个修改都根据FRAME的八个领域进行编码:(1)修改了什么,(2)谁参与了建议和决定要进行的修改,(3)何时发生修改,(4)是否计划修改,(5)修改是否与安全性一致,(6)修改是否是临时的,(7)在什么交付级别进行修改,以及(8)为什么进行修改。适应的领域均匀分布在上下文(37.5%),内容(31.2%)和培训(31.2%)。修改的主要原因是参与(62.5%),其次是与接受者的匹配(43.8%)和结果改善(31.1%)。大约66%的修改应用于整个目标组,并且所有修改都是一致的。FRAME分类提供了对SCP调整过程和性质的详细了解,并作为进一步实施和扩大规模的基础。FRAME不仅是调整循证干预措施的指南,而且还促进其可复制性和可扩展性。
The Framework for Reporting Adaptations and Modifications–Enhanced (FRAME) is a tool that systematically guides decision-making and reporting of adaptations made to evidence-based interventions. Using FRAME, we documented the process and outcomes of adapting the Savvy Caregiver Program (SCP) for Korean American dementia caregivers. Sequential adaptation was initiated with linguistic attunement, followed by pilot implementation and full adaptation. Our data-driven adaptation with multiple data sources and a feedback loop among multiple stakeholders yielded a total of 32 modifications, and each was coded according to the eight domains of FRAME: (1) what was modified, (2) who participated in recommending and deciding the modification to be made, (3) when the modification occurred, (4) whether the modification was planned, (5) whether the modification was fidelity-consistent, (6) whether the modification was temporary, (7) at what level of delivery, the modification was made, and (8) why the modification was made. The areas of adaptation were evenly distributed across context (37.5%), content (31.2%), and training (31.2%). The primary reasons for modification were for engagement (62.5%), followed by fit with recipients (43.8%) and outcome improvement (31.1%). About 66% of the modifications were applied to the entire target group, and all modifications were fidelity-consistent. The FRAME categorization provided a detailed understanding of the process and nature of adapting the SCP and served as a foundation for further implementation and scale-up. FRAME not only serves as a guide for adapting evidence-based interventions but also promotes their replicability and scalability.
DOI: 10.1093/geront/gnz157
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影响因子: 5.7
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