Hepburn Kenneth W, Lewis Marsha, Sherman Carey Wexler, Tornatore Jane
School of Nursing, 6-169 Weaver-Densford Hall, University of Minnesota, 308 Harvard St. SE, Minneapolis, MN 55455, USA.
Gerontologist. 2003 Dec;43(6):908-15. doi: 10.1093/geront/43.6.908.
This article reports on the development and field testing of the Savvy Caregiver Program, the transformation of a successful, academic-based caregiver psychoeducational program into a self-contained program that can be adopted in other locations.
Program development began with a prototype of a 12-hr course with the aims of introducing family caregivers to the caregiving role, providing them with the knowledge, skills, and attitudes needed to carry out that role, and alerting them to self-care issues. Results from initial field trials dictated a substantial revision of the workshop materials. The next version was field tested in multiple sites in southern rural Minnesota, Colorado, and Alaska. In this expanded testing, participants evaluated the program, and cross-group comparisons were conducted by use of well-established caregiver well-being scales.
Virtually all respondents reported increased skill, knowledge, and confidence, and all would recommend the program to others. A preintervention versus postintervention analysis indicates that caregivers' reaction to the overall behavior of the persons for whom they provide care (i.e., "total reaction"), their self-reported burden, and their beliefs about caregiving (emotional enmeshment) changed significantly in directions indicating better caregiver well-being.
Results suggest that it is feasible to translate a research-based caregiver intervention into a packaged program that can be adopted in other settings without the direct involvement of the program initiators.
本文报告了“精明照顾者计划”的开发与实地测试情况,即把一个成功的、基于学术的照顾者心理教育计划转变为一个可在其他地方采用的独立计划。
计划开发始于一个12小时课程的原型,目的是向家庭照顾者介绍照顾角色,为他们提供履行该角色所需的知识、技能和态度,并提醒他们关注自我照顾问题。初步实地试验的结果促使对工作坊材料进行大幅修订。下一版本在明尼苏达州南部农村、科罗拉多州和阿拉斯加的多个地点进行了实地测试。在这次扩大测试中,参与者对该计划进行了评估,并使用成熟的照顾者幸福感量表进行了跨组比较。
几乎所有受访者都表示技能、知识和信心有所提高,并且都愿意向他人推荐该计划。干预前与干预后的分析表明,照顾者对他们所照顾的人的总体行为的反应(即“总体反应”)、他们自我报告的负担以及他们对照顾的信念(情感纠葛)朝着表明照顾者幸福感提高的方向发生了显著变化。
结果表明,将基于研究的照顾者干预措施转化为一个可在其他环境中采用的打包计划是可行的,无需计划发起者的直接参与。