A Mixed-Methods Formative Evaluation of a Dementia-Friendly Congregation Program for Black Churches.

A Mixed-Methods Formative Evaluation of a Dementia-Friendly Congregation Program for Black Churches.
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DOI:
10.3390/ijerph19084498
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发表时间:
2022-04-08
影响因子:
--
通讯作者:
Epps, Fayron
Epps, Fayron
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Gore, Janelle;Toliver, Jamilla;Moore, Miranda A.;Aycock, Dawn;Epps, Fayron

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黑人教堂传统上是美国黑人家庭的避风港;然而,许多教堂目前没有支持痴呆症家庭的计划。Alter™的成立是为了帮助信仰社区满足这些家庭的需求,并成为促进他们健康和福祉的可行资源。Alter™通过三管齐下的方法实现这一目标:(1)开展教育课程,(2)将黑人教堂改造成痴呆症包容性空间,(3)提供持续的支持。Alter™的主要目标是为教会提供指导,使其社区适应痴呆症家庭的支持性环境。Alter™使用伙伴关系清单来鼓励将痴呆症教育机会,环境改造以及痴呆症资源和支持纳入其中的活动。本文报告了一个形成性的混合方法的评估参加Alter™的教会合作伙伴。信仰团体内的教会伙伴大使参加了评估调查(n = 8)和两个焦点小组(n = 11)。大使由教会领导任命,领导计划活动的实施。收集的数据有关的水平的帮助,困难,有用性,或实用性的检查表活动和修改和程序实施的容易性。评估亦评估了COVID-19疫情对各教会推行活动及修改的能力的影响。调查结果显示,大多数所需的伙伴关系活动和修改至少有一定的帮助。教会合作伙伴之间存在差异的一些项目(主题)包括实施活动的障碍,提供和需要的支持,以及计划资金的使用。这项评估提供了关键的见解,以考虑发展和完善以社区为基础的痴呆症友好社区(包括信仰社区)。随着执行科学的扩展和改进,评估方案执行情况的必要性继续得到强调。我们的形成性评估揭示了关键领域,在这些领域中,对我们原始方案的修改将导致方案的改进和可持续性。此外,实施我们评估中确定的修改将有助于实现Alter™的使命,以改善受痴呆症影响的老年人及其家人的福祉。其他项目将从参与类似的形成性评估工作中获得实质性好处。
Black churches have traditionally been a haven for Black American families; however, many churches do not currently have programs to support families living with dementia. Alter™ was established to assist faith communities in meeting the needs of these families and becoming a viable resource to promote their health and wellness. Alter™ achieves this aim through a three-pronged approach: (1) conducting educational sessions, (2) modifying Black churches to be dementia-inclusive spaces, and (3) providing ongoing support. The principal goal of Alter™ is to offer guidance to churches in adapting their community to reflect a supportive environment for families affected by dementia. Alter™ uses a partnership checklist to encourage activities that incorporate dementia education opportunities, environmental modifications, and dementia resources and support. This paper reports on a formative mixed-methods evaluation of church partners enrolled in Alter™. Church partner ambassadors within the faith communities participated in the evaluation survey (n = 8) and two focus groups (n = 11). Ambassadors are appointed by church leadership to lead the implementation of program activities. Data were collected concerning the levels of helpfulness, difficulty, usefulness, or utility of checklist activities and modifications and the ease of program implementation. The evaluation also assessed the COVID-19 pandemic’s impact on each church’s ability to implement activities and modifications. The survey results revealed that most required partnership activities and modifications were found to be at least moderately helpful. Some of the items (themes) that differed across church partners included barriers to implementing activities, the support provided and needed, and the use of program funding. This evaluation provides key insights to consider in developing and refining community-based, dementia-friendly communities (including faith communities). As implementation science expands and improves, the need to evaluate the implementation of programs continues to be highlighted. Our formative evaluation shed light on key areas in which modifications to our original programming would lead to program improvement and sustainability. Additionally, implementing the modifications identified in our evaluation will facilitate the achievement of the mission of Alter™ to improve the well-being of older adults affected by dementia and their families. Other programs would reap substantial benefits from engaging in similar formative evaluation efforts.
Alter计划:针对非裔美国人信仰社区和患有痴呆症的家庭的护士领导的,痴呆症的计划。
DOI: 10.1097/naq.0000000000000506
发表时间: 2022-01-01
影响因子: --
作者:
Epps F;Moore M;Chester M;Gore J;Sainz M;Adkins A;Clevenger C;Aycock D
通讯作者: Aycock D
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发表时间: 2020-09
期刊: Public health nursing (Boston, Mass.)
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