University of Alberta, Edmonton, Alberta, Canada.
University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Qual Health Res. 2020 Aug;30(10):1605-1613. doi: 10.1177/1049732320920229. Epub 2020 May 27.
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.
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。