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心理健康与 COVID-19:为成年智障和发育障碍者家属提供的虚拟课程的影响。

Mental health and COVID-19: The impact of a virtual course for family caregivers of adults with intellectual and developmental disabilities.

机构信息

Azrieli Adult Neurodevelopmental Centre, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada.

Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.

出版信息

J Intellect Disabil Res. 2022 Aug;66(8-9):677-689. doi: 10.1111/jir.12965. Epub 2022 Aug 1.

Abstract

BACKGROUND

The COVID-19 pandemic has significantly impacted family caregivers of adults with intellectual and developmental disabilities (IDD). This study evaluated a virtual course for family caregivers from across Canada, focused on supporting the mental health and well-being of adults with IDD and their families. The evaluation examined the feasibility and acceptability of the course, as well as the impact of the intervention on participants' overall health and well-being.

METHODS

The 6-week virtual course, informed by a parallel Extension for Community Healthcare Outcomes (ECHO) course for service providers, combined didactic instruction with applied activities. A total of 126 family caregiver course participants consented to be part of the research evaluation delivered over three cycles between October 2020 and April 2021. Attendance was measured at each weekly session. Satisfaction was assessed weekly and post-program. Learning, self-efficacy, and well-being were assessed pre- and post-course, and again at follow-up (8 weeks post-course). Mixed-effects models assessed changes between and within individuals across time.

RESULTS

Participants had consistent attendance, low-dropout rates, and reported high satisfaction, with 93% of participants reporting that their expectations for the course were met. Compared with pre-course, participants reported improved self-efficacy and well-being post-course, which were maintained at follow-up.

CONCLUSIONS

An interactive and applied virtual education course delivered to a large group of family caregivers of adults with IDD was both feasible and acceptable. It positively impacted participants' well-being by offering much needed mental health support and creating a peer-led community of practice.

摘要

背景

COVID-19 大流行对成年智障人士(IDD)的家庭照顾者产生了重大影响。本研究评估了一项针对加拿大各地家庭照顾者的虚拟课程,该课程侧重于支持 IDD 成年人及其家庭的心理健康和幸福感。该评估考察了该课程的可行性和可接受性,以及干预对参与者整体健康和幸福感的影响。

方法

为期 6 周的虚拟课程以针对服务提供者的平行社区医疗保健成果扩展(ECHO)课程为基础,将理论教学与应用活动相结合。共有 126 名家庭照顾者课程参与者同意参加 2020 年 10 月至 2021 年 4 月期间进行的三轮研究评估。每周会议都会衡量出勤率。满意度每周和课程结束后进行评估。学习、自我效能和幸福感在课程开始前和结束后进行评估,并在 8 周课程结束后进行跟进评估。混合效应模型评估了个体在时间内的变化。

结果

参与者的出勤率稳定,辍学率低,满意度高,93%的参与者报告说他们对课程的期望得到了满足。与课程开始前相比,参与者报告说课程结束后自我效能感和幸福感得到了提高,并且在跟进时保持不变。

结论

向大量成年智障人士的家庭照顾者提供的互动式和应用式虚拟教育课程是可行且可接受的。它通过提供急需的心理健康支持并创建一个同行领导的实践社区,积极影响了参与者的幸福感。

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