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“这对我来说非常有意义……”:老年志愿者实施回忆与创意活动干预的经历

"It Was Very Rewarding for Me …": Senior Volunteers' Experiences With Implementing a Reminiscence and Creative Activity Intervention.

作者信息

Allen Rebecca S, Azuero Casey B, Csikai Ellen L, Parmelee Patricia A, Shin Hae Jung, Kvale Elizabeth, Durkin Daniel W, Burgio Louis D

机构信息

Center for Mental Health and Aging, The University of Alabama, Tuscaloosa. Department of Psychology, The University of Alabama, Tuscaloosa.

Center for Mental Health and Aging, The University of Alabama, Tuscaloosa. School of Social Work, The University of Alabama, Tuscaloosa.

出版信息

Gerontologist. 2016 Apr;56(2):357-67. doi: 10.1093/geront/gnu167. Epub 2015 Feb 11.

Abstract

PURPOSE OF THE STUDY

To describe the experience of recruiting, training, and retaining retired senior volunteers (RSVs) as interventionists delivering a successful reminiscence and creative activity intervention to community-dwelling palliative care patients and their caregivers.

DESIGN AND METHODS

A community-based participatory research framework involved Senior Corps RSV programs. Recruitment meetings and feedback groups yielded interested volunteers, who were trained in a 4-hr session using role plays and real-time feedback. Qualitative descriptive analysis identified themes arising from: (a) recruitment/feedback groups with potential RSV interventionists; and (b) individual interviews with RSVs who delivered the intervention.

RESULTS

Themes identified within recruitment/feedback groups include questions about intervention process, concerns about patient health, positive perceptions of the intervention, and potential characteristics of successful interventionists. Twelve RSVs achieved 89.8% performance criterion in treatment delivery. Six volunteers worked with at least one family and 100% chose to work with additional families. Salient themes identified from exit interviews included positive and negative aspects of the experience, process recommendations, reactions to the Interventionist Manual, feelings arising during work with patient/caregiver participants, and personal reflections. Volunteers reported a strong desire to recommend the intervention to others as a meaningful volunteer opportunity.

IMPLICATIONS

RSVs reported having a positive impact on palliative care dyads and experiencing personal benefit via increased meaning in life. Two issues require further research attention: (a) further translation of this cost-effective mode of treatment delivery for palliative dyads and (b) further characterization of successful RSVs and the long-term impact on their own physical, cognitive, and emotional functioning.

摘要

研究目的

描述招募、培训和留住退休老年志愿者(RSV)作为干预者的经验,这些干预者为社区居家姑息治疗患者及其照护者提供成功的回忆与创意活动干预。

设计与方法

基于社区的参与性研究框架涉及老年服务队RSV项目。招募会议和反馈小组产生了感兴趣的志愿者,他们通过角色扮演和实时反馈在4小时的课程中接受培训。定性描述性分析确定了以下方面产生的主题:(a)与潜在RSV干预者的招募/反馈小组;(b)对实施干预的RSV进行的个人访谈。

结果

在招募/反馈小组中确定的主题包括对干预过程的疑问、对患者健康的担忧、对干预的积极看法以及成功干预者的潜在特征。12名RSV在治疗实施中达到了89.8%的绩效标准。6名志愿者与至少一个家庭合作,100%选择与更多家庭合作。离职访谈中确定的突出主题包括该经历的积极和消极方面、流程建议、对《干预者手册》的反应、与患者/照护者参与者合作期间产生的感受以及个人反思。志愿者报告强烈希望将该干预推荐给他人,作为一个有意义的志愿者机会。

启示

RSV报告称对姑息治疗二元组有积极影响,并通过增加生活意义获得个人益处。有两个问题需要进一步的研究关注:(a)进一步将这种具有成本效益的姑息治疗二元组治疗模式进行推广;(b)进一步明确成功的RSV的特征及其对自身身体、认知和情感功能的长期影响。

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