Hochgraeber Iris, Bartholomeyczik Sabine, Holle Bernhard
German Center for Neurodegenerative Diseases (DZNE), Witten, Germany.
BMC Res Notes. 2012 Jun 21;5:317. doi: 10.1186/1756-0500-5-317.
Low-threshold support services are a part of the German health care system and help relieving family caregivers. There is limited information available on how to construct and implement low-threshold support services for people with dementia and their families in Germany. Some studies describe separately different perspectives of experiences and expectations, but there is no study combining all the different perspectives of those involved and taking the arrangements and organisation as well as their opinions on supporting and inhibiting factors into consideration.
This protocol describes the design of the study on low-threshold support services for families with a person with dementia in two German regions. The aim is to develop recommendations on how to build up these services and how to implement them in a region. A quantitative as well as a qualitative approach will be used. The quantitative part will be a survey on characteristics of service users and providers, as well as health care structures of the two project regions and an evaluation of important aspects derived from a literature search. Group discussions and semi-structured interviews will be carried out to get a deeper insight into the facilitators and barriers for both using and providing these services. All people involved will be included, such as the people with dementia, their relatives, volunteers, coordinators and institution representatives.
Results of this study will provide important aspects for policymakers who are interested in an effective and low-threshold support for people with dementia. Furthermore the emerging recommendations can help staff and institutions to improve quality of care and can contribute to developing health and social care structures in Germany.
低门槛支持服务是德国医疗保健系统的一部分,有助于减轻家庭照顾者的负担。关于如何在德国为痴呆症患者及其家人构建和实施低门槛支持服务,目前可用信息有限。一些研究分别描述了不同的经验和期望视角,但尚无研究综合考虑所有相关人员的不同视角,并兼顾服务的安排与组织以及他们对支持和阻碍因素的看法。
本方案描述了在德国两个地区针对有痴呆症患者的家庭开展低门槛支持服务研究的设计。目的是就如何建立这些服务以及如何在一个地区实施这些服务提出建议。将采用定量和定性两种方法。定量部分将是一项关于服务使用者和提供者的特征、两个项目地区的医疗保健结构的调查,以及对文献检索得出的重要方面的评估。将开展小组讨论和半结构化访谈,以更深入地了解使用和提供这些服务的促进因素和障碍。所有相关人员都将被纳入,包括痴呆症患者、他们的亲属、志愿者、协调员和机构代表。
本研究结果将为有兴趣为痴呆症患者提供有效且低门槛支持的政策制定者提供重要方面的信息。此外,所提出的建议可帮助工作人员和机构提高护理质量,并有助于发展德国的卫生和社会护理结构。