Wittek Maren, Voß Henrike, Kiefer Anna, Wiloth Stefanie, Schmitt Eric
Institute of Gerontology, Ruprecht-Karls-University of Heidelberg, Bergheimer Straße 20, 69115 Heidelberg, Germany.
Z Gesundh Wiss. 2022 Aug 12:1-11. doi: 10.1007/s10389-022-01744-w.
Although caring relatives of people with dementia are a mainstay of many care systems, the availability of support services for them within the municipal community shows deficiencies. Adopting the Theoretical Domains Framework (TDF) this study aims to investigate 1) which of the TDF domains adapted to gerontology show up in public dialogue, and 2) the results that public dialogues produce in terms of support services for caring relatives.
The data consists of town hall meetings and focus groups from 14 municipal communities in Germany. Participants were caring relatives and stakeholders of the communities. A qualitative content analysis was conducted, focusing on the assessment of three TDF domains, namely , and as well as outcomes of care optimisation.
With regard to domain , it was evident that in every community there were actors aware of the situation and relevance of carers and their relatives. Only some actors mentioned for optimising the care of the target group. The is often addressed through statements about incomplete requirements.
Overall, a relation between the discussion about the domains in public dialogues and changes in supporting carers of people with dementia can be assumed. The results indicate that an increased discussion about the domains within town hall meetings influences the actors and their statements with regard to the improvement of support services for caring relatives of people with dementia. Since the domains were not developed exclusively for the outlined context, this approach can also be applied to other areas of care.
The online version contains supplementary material available at 10.1007/s10389-022-01744-w.
尽管痴呆症患者的亲属是许多护理系统的支柱，但市政社区内为他们提供的支持服务存在不足。本研究采用理论领域框架（TDF），旨在调查1）适用于老年医学的TDF领域中哪些出现在公共对话中，以及2）公共对话在为亲属护理提供支持服务方面产生的结果。
数据包括德国14个市政社区的市政厅会议和焦点小组。参与者是亲属护理人员和社区利益相关者。进行了定性内容分析，重点评估TDF的三个领域，即以及护理优化的结果。
关于领域，很明显在每个社区都有行为者意识到护理人员及其亲属的情况和相关性。只有一些行为者提到了优化目标群体护理的问题。通常通过关于不完整需求的陈述来解决。
总体而言，可以假设公共对话中关于这些领域的讨论与痴呆症患者护理人员支持方面的变化之间存在关联。结果表明，市政厅会议中对这些领域的讨论增加会影响行为者及其关于改善痴呆症患者亲属护理支持服务的陈述。由于这些领域并非专门针对上述背景而制定，这种方法也可应用于其他护理领域。
在线版本包含可在10.1007/s10389-022-01744-w获取的补充材料。
