da Silva Oliveira Baião Vitorino, Rodrigues Alexandre Marques, Alvarelhão José Joaquim Marques, Ferré-Grau Carme
Alto Ave Health Centre Group / Care Unit, Northern Regional Health Administration, Largo Padre João Gomes Oliveira Guimarães nº 182 - Mascotelos, 4835-130, Guimarães, Portugal.
University of Aveiro, Aveiro, Portugal.
BMC Health Serv Res. 2025 Mar 5;25(1):339. doi: 10.1186/s12913-025-12213-x.
An Interdisciplinary Intervention Plan (IIP) for the informal caregiver (IC) aims to primarily assess the health and social needs felt by the IC in caring for the person being cared for. Consequently, after the development and implementation of the IIP, as a result, professionals may intervene, trying to meet these needs and allow a higher quality of life for both. The study aims to assess the IIP implementation process and content validity.
i) Analyse the perception of the professionals who use the IIP and ii) Assess the users' agreement concerning the IIP items.
The IIP consists of a first part characterizing the IC and the person being cared for, and then, a second part consisting of 49 items divided into 6 domains. The implementation of the IIP was carried out by an interdisciplinary team in each municipality of the Autonomous Region of the Azores that includes professionals from the health and social areas. A mixed approach was used to analyze professionals' perceptions, using focus group content analysis for qualitative research, a Content Validity Index (I-CVI), and a modified k for quantitative research.
In the Clinical Professional Perceptions of IIP, two dimensions emerged from the content analysis. The first was "The IIP implementation process" where the categories "Need for logistical support" and "Reinforced interdisciplinarity" emerged. The second dimension "The functional content and organization of the IIP" where the categories: "Responses to the needs of IC", "Need to manage the expectations of the caregivers", "Opportunities for improvement in the content of the IIP " and "Computerization of the IIP" emerged. The analysis of the professionals' agreement, demonstrated that most items were rated as "Excellent" for their relevance (91.8%) and their formulation (95.9%), being assumed their comprehensibility. Concerning relevance two items were classified as "poor": "Information and Communication Technologies" and "Accessibility to another division". Another 2 items were rated as "reasonable": "Promote participation in socialization activities" and "Volunteering".
The results show the validation of the IIP, proceeding with the necessary changes according to the results obtained, to become a tool available to professionals in the home care context.
针对非正式照护者的跨学科干预计划（IIP）主要旨在评估非正式照护者在照顾被照护者时所感受到的健康和社会需求。因此，在IIP制定并实施后，专业人员可能会进行干预，试图满足这些需求并提高双方的生活质量。本研究旨在评估IIP的实施过程和内容效度。
i）分析使用IIP的专业人员的看法；ii）评估用户对IIP项目的认同度。
IIP第一部分描述非正式照护者和被照护者的特征，第二部分由49个项目组成，分为6个领域。亚速尔自治区各市政府的跨学科团队实施IIP，该团队包括卫生和社会领域的专业人员。采用混合方法分析专业人员的看法，定性研究使用焦点小组内容分析法，定量研究使用内容效度指数（I-CVI）和修正的k值。
在IIP的临床专业人员看法中，内容分析出现了两个维度。第一个是“IIP实施过程”，出现了“后勤支持需求”和“加强跨学科性”类别。第二个维度是“IIP的功能内容和组织”，出现了以下类别：“对非正式照护者需求的回应”、“管理照护者期望的必要性”、“IIP内容改进的机会”和“IIP的计算机化”。对专业人员认同度的分析表明，大多数项目在相关性（91.8%）和表述（95.9%）方面被评为“优秀”，被认为具有可理解性。在相关性方面，有两个项目被评为“差”：“信息和通信技术”以及“进入另一个部门的便利性”。另外两个项目被评为“一般”：“促进参与社交活动”和志愿服务。
结果表明IIP得到了验证，根据所得结果进行必要的修改，使其成为家庭护理环境中专业人员可用的工具。
