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社区孤独老年人非正规家庭护理支持干预方案的设计、实施和评估:一项可行性研究方案。

Design, implementation and evaluation of informal home care support intervention program for lonely older adults in the community: Protocol for a feasibility study.

机构信息

Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Health Education and Promotion, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

PLoS One. 2022 Aug 31;17(8):e0273924. doi: 10.1371/journal.pone.0273924. eCollection 2022.

DOI:10.1371/journal.pone.0273924
PMID:36044533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9432751/
Abstract

BACKGROUND

Providing lonely older adults with informal home care services is important to improving their health and quality of life. The study aims to evaluate the feasibility of design, implementation and evaluation of an informal home care support intervention program (HoSIP) for community-dwelling lonely older adults in Gorgan, Iran.

METHOD/DESIGN: This feasibility study is a mixed-method with a concurrent nested design. Lonely older adults will be enrolled as the HoSIP intervention group and will receive 12-weeks of informal home care service by peer supporters. The purpose of this feasibility study is to determine the recruitment capability and resulting sample characteristics, data collection procedure and outcome measures, the acceptability and suitability of the intervention and study procedures, the resource and ability to manage the study and intervention, and preliminary evaluation of participant response to intervention. Primary outcomes including participant feelings of loneliness, quality of life, general health, social network, social support, and self-care ability, will be assessed at baseline and post-intervention for the intervention and control groups. Semi-structured interviews will be conducted immediately after the intervention using content qualitative approach to describe participants' experiences with HoSIP.

DISCUSSION

Through this study we will examine the feasibility of delivering informal home care services to community-dwelling lonely older adults in a developing country through employing a concurrent nested mixed-method design.

TRIAL REGISTRATION

IRCT20190503043455N.

摘要

背景

为孤独的老年人提供非正式的家庭护理服务对于改善他们的健康和生活质量非常重要。本研究旨在评估在伊朗戈尔甘为社区居住的孤独老年人设计、实施和评估非正式家庭护理支持干预计划(HoSIP)的可行性。

方法/设计:这是一项混合方法的可行性研究,采用并行嵌套设计。孤独的老年人将作为 HoSIP 干预组参与研究,并由同伴支持者提供 12 周的非正式家庭护理服务。本可行性研究的目的是确定招募能力和由此产生的样本特征、数据收集程序和结果测量、干预和研究程序的可接受性和适宜性、管理研究和干预的资源和能力,以及初步评估参与者对干预的反应。主要结局指标包括干预组和对照组的孤独感、生活质量、一般健康状况、社会网络、社会支持和自我护理能力。将在基线和干预后对参与者进行评估。干预结束后,将采用内容定性方法立即进行半结构化访谈,描述参与者对 HoSIP 的体验。

讨论

通过这项研究,我们将通过采用并行嵌套混合方法设计,在发展中国家检验向社区居住的孤独老年人提供非正式家庭护理服务的可行性。

试验注册

IRCT20190503043455N。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c31/9432751/5deb9d8cd23b/pone.0273924.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c31/9432751/e5edb3e0f8ee/pone.0273924.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c31/9432751/4b31ec229012/pone.0273924.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c31/9432751/5deb9d8cd23b/pone.0273924.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c31/9432751/e5edb3e0f8ee/pone.0273924.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c31/9432751/4b31ec229012/pone.0273924.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c31/9432751/5deb9d8cd23b/pone.0273924.g003.jpg

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本文引用的文献

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Older adults' perspectives regarding peer-to-peer support programs and maintaining independence.老年人对同伴支持计划和保持独立性的看法。
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Abstraction and interpretation during the qualitative content analysis process.
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Preferences Regarding and Communication About End-of-Life Care Among Older Iranian-American Adults.伊朗裔美国老年人对临终关怀的偏好及相关沟通
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