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JC备用护理服务:采用混合方法准实验设计的家庭喘息服务模式的开发与评估:研究方案。

JC Stand-by-U- development and evaluation of an in-home respite service model using mixed-method quasi-experimental design: study protocol.

作者信息

Hui Nga-Yan, Wang Linda Dong-Ling, Yiu Jeff, Feng Matthew Guocheng, Lu Peiyi, Lou Vivian W Q

机构信息

Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong, China.

Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong, China.

出版信息

BMC Geriatr. 2025 Aug 27;25(1):665. doi: 10.1186/s12877-025-06294-w.

Abstract

BACKGROUND

In an ageing society, most older adults who require long-term care are still living in their homes and communities. Their families are burdened by caregiving duties, but their unique needs are often overlooked. In response to the increasing needs of respite care, the Jockey Club Stand-by-U (JC Stand-by-U) Caregivers Community Support Project aims to study the family caregivers' needs and how to best support them in the context of Hong Kong.

METHODS

The caregivers and their care recipients are evaluated by a comprehensive assessment before and after the intervention and followed up in 3, 6, 12 months, separately. Caregivers are divided into four needs levels and provided by different types of services, delivered by either trained volunteers or substitute caregivers. A mixed-method quasi-experimental study with a comparison group of non-users of in-home respite will be conducted to evaluate the in-home respite model designed in this project. Questionnaire data will be used to evaluate the effect of the service model quantitatively, while the service records will be used to analyse the quality of service and the mechanism of service effect qualitatively.

DISCUSSION

Caregivers are expected to show improvement in their mental wellbeing after the respite. The intervention follows a screening-guided approach which balances the resource supply and the needs of the caregiver, optimising the effectiveness and sustainability of the in-home respite programme. In the long-run, policymakers can ultilise the result from this study when designing long-term care plan in this ageing society.

TRIAL REGISTRATION

Clinicaltrials.gov Identifier NCT06981117, 20 May 2025, retrospectively registered.

摘要

背景

在老龄化社会中,大多数需要长期护理的老年人仍居住在自己家中和社区。他们的家人承担着照顾的重担,但他们的独特需求却常常被忽视。为应对喘息护理需求的不断增加,赛马会“时刻为您待命”(JC Stand-by-U)照顾者社区支持项目旨在研究香港家庭照顾者的需求以及如何在香港的背景下为他们提供最佳支持。

方法

在干预前后分别对照顾者及其照顾对象进行全面评估,并在3个月、6个月、12个月时进行随访。照顾者被分为四个需求级别,并由经过培训的志愿者或替代照顾者提供不同类型的服务。将开展一项混合方法的准实验研究,设立一个非居家喘息服务使用者的对照组,以评估本项目设计的居家喘息服务模式。问卷数据将用于定量评估服务模式的效果,而服务记录将用于定性分析服务质量和服务效果机制。

讨论

预计照顾者在获得喘息服务后心理健康状况会有所改善。该干预采用筛查指导方法,平衡资源供应与照顾者的需求,优化居家喘息服务项目的有效性和可持续性。从长远来看,政策制定者在设计这个老龄化社会的长期护理计划时可以利用本研究的结果。

试验注册

Clinicaltrials.gov标识符NCT06981117,2025年5月20日,追溯注册。

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