Xiao Lily, Cheng Ada, Xie Candy, Chiu Kam, Yu Ying, Ullah Shahid, Wang Jing, Hu Rujun, Xu Dingxin, Pan Xiaoying, Zhang Angela Rong Yang
College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Australian Nursing Home Foundation Limited, Sydney, New South Wales, Australia.
Australas J Ageing. 2025 Sep;44(3):e70072. doi: 10.1111/ajag.70072.
To: (1) compare the effectiveness of the 'Usual iSupport' and 'Tailored iSupport' programs on carers' quality of life (QoL); self-efficacy; and their care recipients' QoL; and (2) explore carers' acceptance of and adherence to the programs, satisfaction with the support, recruitment and retention rates, and staff training rate in a 6-month trial.
An internal pilot randomised controlled trial nested in a large effectiveness implementation trial.
In total, 78 carers enrolled in the trial. Most carers were female (66% or 85%), with a mean age of 65.6 years. We detected a statistically significant difference of mean score in mental health-related QoL (3.44 [95% CI: .53, 6.35]; p = .02); self-efficacy for responding to changed behaviours (9.02 [95% CI: 1.24, 16.81], p = .02); and self-efficacy for controlling upsetting thoughts (8.83 [95% CI: 1.14, 16.51]; p = .03) between the 'Usual iSupport' group and the 'Tailored iSupport' group at 6 months post-intervention. The recruitment and retention rates were 17% and 100%, respectively. Carers in the 'Tailored iSupport' group completed 16.5 iSupport units, attended 4.5 peer support meetings and rated their satisfaction with the support highly. The staff training rate was 36%.
This internal pilot study identified improved mental health-related QoL, self-efficacy for controlling upsetting thoughts, and for responding to changed behaviours in the 'Tailored iSupport' group. The recruitment rate was low, but the retention rate was high, and carers showed adherence to the intervention.
（1）比较“常规i支持”和“定制i支持”项目对护理人员生活质量（QoL）、自我效能感以及他们所照顾对象的生活质量的影响；（2）在一项为期6个月的试验中，探究护理人员对这些项目的接受度和依从性、对支持的满意度、招募率和留存率以及工作人员培训率。
一项内部试点随机对照试验，嵌套于一项大型有效性实施试验中。
共有78名护理人员参与了该试验。大多数护理人员为女性（66%或85人），平均年龄为65.6岁。在干预后6个月时，我们发现“常规i支持”组和“定制i支持”组在与心理健康相关的生活质量平均得分（3.44[95%CI：0.53，6.35]；p=0.02）、应对行为改变的自我效能感（9.02[95%CI：1.24，16.81]，p=0.02）以及控制烦扰想法的自我效能感（8.83[95%CI：1.14，16.51]；p=0.03）方面存在统计学上的显著差异。招募率和留存率分别为17%和100%。“定制i支持”组的护理人员完成了16.5个i支持单元，参加了4.5次同伴支持会议，并对支持给予了高度评价。工作人员培训率为36%。
这项内部试点研究发现，“定制i支持”组在与心理健康相关的生活质量、控制烦扰想法的自我效能感以及应对行为改变的自我效能感方面有所改善。招募率较低，但留存率较高，且护理人员对干预表现出了依从性。
