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将照顾者联系起来提供支持:从 VA 照顾者支持计划中吸取的经验教训。

Connecting Caregivers to Support: Lessons Learned From the VA Caregiver Support Program.

机构信息

Durham VA Medical Center, NC, USA.

Duke University School of Medicine, Durham, NC, USA.

出版信息

J Appl Gerontol. 2020 Apr;39(4):368-376. doi: 10.1177/0733464818825050. Epub 2019 Jan 18.

Abstract

Development and evaluation of supportive caregiver interventions has become a national priority. This study's aim was to evaluate how caregivers participating in the Department of Veterans Affairs (VA) Caregiver Support Program (CSP) use and value supportive services. Qualitative semi-structured interviews ( = 50 caregivers) were the core of a mixed-methods design, and surveys ( = 160) were supplemental. Caregivers who had used CSP services valued emotional, functional, and health care navigational support, calling support groups and the program coordinator their "lifeline." However, many described a lack of connection with the program-not knowing about or successfully engaging in program services-and needed more information about available resources. Caregivers in rural areas or caring for individuals with specific diseases reported needing tailored services to meet their unique needs. Policy makers and practitioners should proactively promote supportive services for caregivers. Future research should explore strategies for reducing barriers to accessing tailored support to meet the needs of a diverse caregiver population.

摘要

制定和评估支持性照料者干预措施已成为国家重点。本研究旨在评估参与美国退伍军人事务部(VA)照料者支持计划(CSP)的照料者如何使用和重视支持性服务。定性半结构式访谈(=50 名照料者)是混合方法设计的核心,补充了调查(=160 名)。使用过 CSP 服务的照料者重视情感、功能和医疗保健导航支持,称支持小组和计划协调员为他们的“生命线”。然而,许多人表示与该计划缺乏联系——不知道或未能成功参与计划服务——并需要更多关于可用资源的信息。来自农村地区或照顾特定疾病患者的照料者报告说,需要量身定制的服务来满足他们的独特需求。政策制定者和从业者应积极为照料者提供支持性服务。未来的研究应探索减少获取量身定制支持的障碍的策略,以满足多样化照料者群体的需求。

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