Gurteen Helen, Toomey Melinda, Franco Bronwyn, Bennett Rebecca, Cenin Dayna R, El-Saifi Najwan, Ferguson Melanie, Gu Yuanyuan, Heine Chyrisse, Keay Lisa, Kumaran Sheela, Lenzen Sabrina, Leroi Iracema, Lowthian Judy A, Meyer Carly J, Mitchell Leander K, Newall John, Pachana Nancy A, Piano Marianne, Raichand Smriti, Scanlan Emma, Sohrabi Hamid R, Dawes Piers
Centre for Hearing Research, School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia.
National Acoustic Laboratories, Sydney, Australia.
Health Expect. 2025 Jun;28(3):e70305. doi: 10.1111/hex.70305.
A field trial of a home-delivered hearing and vision support intervention will assess its impact on the quality of life and well-being of home care recipients with hearing and/or vision impairment and their care partners.
This paper outlines the protocol for a process evaluation of the field trial. The process evaluation aims to identify discrepancies between expected and actual outcomes, understand contextual influences, assess implementation fidelity and evaluate the feasibility, appropriateness and acceptability of the intervention.
Data will be collected from 87 home care recipients with hearing/vision impairment, their care partner and the sensory therapist who will deliver the intervention at multiple points during the 3-month intervention. Likert-scale ratings for feasibility, appropriateness and acceptability will be gathered. Proxy measures of fidelity, such as intervention session completion rates, will be obtained to ascertain whether the intervention was delivered as designed. Post-intervention, 20% of participants will complete semi-structured interviews to explore contextual and causal factors. Data analysis will include descriptive statistics, regression analysis and thematic qualitative analysis.
The process evaluation will elicit the perspectives of home care recipients and their care partners regarding the intervention experience.
Older adults with lived experience with dementia and hearing and/or vision will contribute to the proposed research by shaping the interview topic guide to ensure its appropriateness and relevance for the target population. Their insights will result in a more rigorous study and improve the likelihood of the final intervention meeting real-world needs.
一项关于上门提供听力和视力支持干预措施的现场试验，将评估其对有听力和/或视力障碍的家庭护理接受者及其护理伙伴的生活质量和幸福感的影响。
本文概述了该现场试验过程评估的方案。该过程评估旨在识别预期结果与实际结果之间的差异，了解背景影响因素，评估实施的保真度，并评估干预措施的可行性、适宜性和可接受性。
将从87名有听力/视力障碍的家庭护理接受者、他们的护理伙伴以及在为期3个月的干预期间多个时间点提供干预措施的感官治疗师处收集数据。将收集关于可行性、适宜性和可接受性的李克特量表评分。将获取干预保真度的替代指标，如干预课程完成率，以确定干预措施是否按设计实施。干预结束后，20%的参与者将完成半结构化访谈，以探讨背景和因果因素。数据分析将包括描述性统计、回归分析和主题定性分析。
过程评估将引出家庭护理接受者及其护理伙伴对干预体验的看法。
有痴呆症以及听力和/或视力方面实际生活经验的老年人将通过制定访谈主题指南来为拟议的研究做出贡献，以确保其对目标人群的适宜性和相关性。他们的见解将使研究更加严谨，并提高最终干预措施满足实际需求的可能性。
