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一项关于在线护理者福祉与联系项目影响的混合方法评估。

A mixed-methods evaluation of the impacts of an online Carer wellbeing and connection program.

作者信息

Coe Amy, Bibb Jennifer, Kritharidis Roxanne, O'Mara Mary, Lautman Rebekah, Densley Konstancja, Kovarik Sarah, Kaylor-Hughes Catherine, Lewis Matthew, Palmer Victoria J

机构信息

The Department of General Practice and Primary Care, The University of Melbourne, Melbourne, Australia.

The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Melbourne, Australia.

出版信息

PEC Innov. 2023 Sep 20;3:100218. doi: 10.1016/j.pecinn.2023.100218. eCollection 2023 Dec 15.

Abstract

OBJECTIVE

To evaluate a facilitated, 90-min session, delivered for four weeks, Online Carer Wellbeing and Connection Program in Victoria, Australia.

METHODS

One hundred and three carers took part in the evaluation. Eighty-six completed both pre- and post-program surveys evaluating program impacts on psychological distress, perceived loneliness, and social support. Qualitative interviews were conducted ( = 76) post-program for experiential data.

FINDINGS

Paired samples -tests showed significant decreases between pre- and post-program for psychological distress ( = 25.10,  = 7.08;  = 22.00,  = 6.57; (85) = 4.88,  = 0.000), perceived loneliness ( = 6.69,  = 1.89;  = 6.14,  = 1.76; (85) = 3.45,  = 0.000) and perceived social support ( = 8.31,  = 2.48;  = 8.83,  = 2.21; (85) = -2.54,  = 0.013). Thematic analysis identified positive experiences and the mechanisms of action (or the ingredients for program success) as: 1. Delivery by a trained facilitator; 2. Provision of respite for person being cared for during meetings; 3. Technical assistance; 4. Online modality; 5. Inclusivity; 6. Diversity of experience; 7. Shared understanding; 8. Safety; 9. Emotional release; 10. Reflection, and; 11. Self-care practices.

INNOVATION

A model illustrating the mechanisms of action based on the findings of the mixed-methods evaluation is presented to support wider implementation and translation.

CONCLUSION

The online program effectively reduced psychological distress and loneliness and improved carer wellbeing.

摘要

目的

评估在澳大利亚维多利亚州开展的为期四周、每次90分钟的在线护理者福祉与联系促进项目。

方法

103名护理者参与了评估。86人完成了项目前后的调查,评估项目对心理困扰、感知到的孤独感和社会支持的影响。项目结束后进行了定性访谈(n = 76)以获取经验数据。

结果

配对样本t检验显示,项目前后心理困扰(M = 25.10,SD = 7.08;M = 22.00,SD = 6.57;t(85) = 4.88,p = 0.000)、感知到的孤独感(M = 6.69,SD = 1.89;M = 6.14,SD = 1.76;t(85) = 3.45,p = 0.000)和感知到的社会支持(M = 8.31,SD = 2.48;M = 8.83,SD = 2.21;t(85) = -2.54,p = 0.013)均有显著下降。主题分析确定了积极体验和作用机制(或项目成功的要素)为:1. 由训练有素的促进者提供服务;2. 在会议期间为被照顾者提供喘息机会;3. 技术支持;4. 在线模式;5. 包容性;6. 经验多样性;7. 共同理解;8. 安全性;9. 情绪释放;10. 反思;11. 自我护理实践。

创新点

基于混合方法评估结果,提出了一个说明作用机制的模型,以支持更广泛的实施和推广。

结论

该在线项目有效减轻了心理困扰和孤独感,改善了护理者的福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82e6/10522856/9eb58822ba70/gr1.jpg

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