Translating Strong for Life Into the Community Care Program: Lessons Learned
Translating Strong for Life Into the Community Care Program: Lessons Learned
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DOI：
10.1177/0733464815625833
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发表时间：
2017-05-01
影响因子：
3
通讯作者：
Eisenstein, Amy R.
中科院分区：
文献类型：
--
作者：
Danilovich, Margaret K.;Hughes, Susan L.;Eisenstein, Amy R.
我们使用随机对照试验来测试抵抗运动干预措施Strong for Life(SFL)的实施，使用32名家庭护理助手(HCA)作为锻炼领导者，他们的42名居家老年客户参加了社区护理计划，这是一项医疗补助1915(C)豁免计划。使用混合方法分析项目满意率、培训课程评估、项目忠诚度和工作描述指数得分的结果。结果表明，HCAs在客户端安全地实施SFL是可行的。参与者认为SFL非常令人满意，而合资格机构能够为其客户调整SFL。HCA有很高的工作满意度，领导SFL会提高工作成就感和自豪感。我们的研究结果显示，除了提供一般照护服务外，还可以训练家庭护理人员与其服务对象一起实施系统功能训练，参与对照护双方都有正面的影响，这是一种可行且实用的交付模式，可为接受居家及社区服务的成年人提供锻炼。
We used a randomized controlled trial to test the implementation of Strong for Life (SFL), a resistance exercise intervention, using 32 home care aides (HCAs) as exercise leaders with their 42 homebound older adult clients enrolled in the Community Care Program, a Medicaid 1915(c) waiver program. Mixed-methods were used to analyze outcomes of program satisfaction rates, training session evaluations, program fidelity, and job descriptive index scores. Results indicate that it is feasible for HCAs to implement SFL safely with clients. Participants viewed SFL as highly satisfactory and HCAs were able to adapt SFL for their clients. HCAs have high job satisfaction, and leading SFL enhances work achievement and pride. Our results show it is possible to train HCAs to implement SFL with their clients in addition to providing usual care services, participation positively affects both care partners, and this is a feasible and practical delivery model to provide exercise for adults receiving home- and community-based services.