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定性研究及其在干预措施适应中的重要性。

Qualitative Research and Its Importance in Adapting Interventions.

机构信息

University of Alberta, Edmonton, Alberta, Canada.

University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

出版信息

Qual Health Res. 2020 Aug;30(10):1605-1613. doi: 10.1177/1049732320920229. Epub 2020 May 27.

Abstract

Systematic approaches are essential when adapting interventions, so the adapted intervention is feasible, acceptable, and holds promise for positive outcomes in the new target population and/or setting. Qualitative research is critical to this process. The purpose of this article is to provide an example of how qualitative research was used to guide the adaptation a web-based intervention for family carers of persons with dementia residing in long-term care (LTC) and to discuss challenges associated with using qualitative methodologies in this regard. Four steps are outlined: (a) choosing an intervention to adapt, (b) validating the conceptual framework of the intervention, (c) revising the intervention, and (d) conducting a feasibility study. Challenges with respect to decontextualization and subjective reality are discussed, with suggestions provided on how to overcome them. The result of this process was a feasible and acceptable web-based intervention to support family carers of persons with dementia residing in LTC.

摘要

当需要对干预措施进行调整时,系统的方法至关重要,这样调整后的干预措施在新的目标人群和/或环境中才具有可行性、可接受性,并有望产生积极的结果。定性研究对于这一过程至关重要。本文的目的是提供一个示例,说明如何使用定性研究来指导对为居住在长期护理(LTC)机构中的痴呆症患者的家庭照顾者的基于网络的干预措施进行调整,并讨论在这方面使用定性方法学所面临的挑战。概述了四个步骤:(a)选择要调整的干预措施,(b)验证干预措施的概念框架,(c)修改干预措施,(d)进行可行性研究。讨论了与去情境化和主观现实相关的挑战,并就如何克服这些挑战提出了建议。这一过程的结果是一个可行且可接受的基于网络的干预措施,以支持居住在 LTC 机构中的痴呆症患者的家庭照顾者。

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