EVALUATION OF CAREGIVING SUPPORT PROGRAM

在#年，向老年人提供的长期护理主要由家庭提供。 这个家。然而，许多家庭成员几乎没有准备好接受 关于照顾老年人的责任。长期目标 这项研究的目的是改善护士对受损老年人的护理 个人及其家庭照顾者通过提供个性化的计划 向照顾者提供支持，以补充目前的居家护理水平。这个 照护支持计划(C-S-P)由三部分组成：1) 准备关爱，2)关爱建议热线，3) 保持联系系统。建议的研究是在我们先前工作的基础上进行的，以及 有两个具体目标：1)确定C-S-P是否有 对照顾者、照顾者、家庭和健康的有益影响 维护组织，以及2)探索C-S-P 与个人和家庭特征相互作用，影响 照顾的结果。 我们将在大规模健康维护的背景下进行这项研究 太平洋西北部的一个组织。我们将使用400个二元体的样本 (65岁或以上的伤残人士及其家庭成员或 关心他/她的朋友)。我们会在看护的时候进入二元组 其中一名接待员因需要长期帮助而出院 或更多以下领域：个人护理、行为管理、 保护，或医疗管理。双星将被随机分配给一个 有两种治疗条件。控制条件包括至少一个 家庭健康护士的家访，以及符合以下条件的额外探访 保健组织家庭健康机构目前的护理实践。实验性的 条件包括可与 控制条件加个体化干预方案 照顾者被称为C-S-P。 我们将从参与者那里收集访谈和问卷数据，地址为 五个时间点：在护理接受者出院前一天或两天 出院后，大约1、5、9和18个月 出院。这项研究的因变量包括以下概念： 照顾者的角色压力、照顾的回报和准备 照顾他人。我们为这些和其他方面制定并预先测试了措施 我们感兴趣的概念，在我们之前的研究中包括 照顾者救济研究。我们将使用多变量方差分析和 用协方差方法比较对照组和实验组在测量上的差异 因变量之间的关系。

Families provide the majority of long-term care given to older persons in the home. Many family members, however, have little preparation for taking on the responsibility of caring for older persons. The long-term objective of this study is to improve the care provided by nurses to impaired older persons and their family caregivers by offering an individualized program of support to caregivers to supplement current levels of in-home care. The Caregiving Support Program (C-S-P) contains three components: 1) Preparation for Caregiving, 2) the Caregiving Advice Line, and 3) the Keep-in-Touch System. The proposed study builds on our previous work, and has two specific objective : 1) to determine whether the C-S-P has beneficial effects for the caregiver, care receiver, family, and health maintenance organization, and 2) to explore the extent to which the C-S-P interacts with individual and family characteristics in affecting the outcome of caregiving. We will conduct the study within the context of a large health maintenance organization in the Pacific Northwest. We will use a sample of 400 dyads (an impaired person 65 years of age or older and the family member or friend who cares for him/her). We will access the dyads when the care receiver is discharged from the hospital in need of prolonged help in one or more of the following areas: personal care, behavior management, protection, or medical management. Dyads will be randomly assigned to one of two treatment conditions. The control condition includes at least one home visit by a home health nurse, and additional visits consistent with current nursing practice in the HMO's home health agency. The experimental condition includes home health care comparable to that provided in the control condition plus the program of individualized interventions for the caregiver called the C-S-P. We will collect interview and questionnaire data from the participants at five points in time: a day or two prior to the care receiver's discharge from the hospital, and approximately 1, 5, 9, and 18 months following discharge. Dependent variables for the study include such concepts as: caregiver role strain, rewards of caregiving, and preparation for caregiving. We developed and pretested measures for these, and for other concepts of interest to us, in our previous research including the Caregiver Relief Study. We will use multivariate analysis of variance and covariance to compare the control and experimental groups on the measures of the dependent variables.