Katangwe-Chigamba Thando, Guy Margaret, Oyebode Jan R, Poland Fiona M, May Carl, Fox Chris, Morse Helen, Cross Jane L
Faculty of Medicine and Health Sciences, University of East Anglia, Norwich NR4 7TJ, UK.
Centre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, Bradford BD7 1DP, UK.
Behav Sci (Basel). 2025 Aug 5;15(8):1058. doi: 10.3390/bs15081058.
CareCoach seeks to enhance self-efficacy in family caregivers of people living with dementia and has been feasibility tested in a multicentre randomised controlled trial. The intervention offers two face-to-face sessions with a trained coach and access to an online platform with nine modules. This paper reports findings from an embedded qualitative process evaluation assessing implementation from the implementer's ('coach's') (n = 8) perspective using individual interviews and implementer group discussions. Qualitative data were transcribed verbatim, inductively coded and analysed using Normalisation Process Theory. Implementers demonstrated (1) 'Coherence' by seeking to understand how CareCoach compared to current practice, highlighting the importance of supporting coaches to differentiate and identify boundaries between their new 'coach role' and usual practice; (2) 'Cognitive Participation' by reviewing training and resources to understand their role own responsibilities and facilitate delivery of coaching sessions; group supervision and peer support were also emphasised; (3) 'Collective Action' through interactions with carers to deliver key behavioural aspects such as goal setting, problem solving, and providing feedback; and (4) 'Reflexive Monitoring' by appraising the intervention to gain useful insights that could facilitate refinement of CareCoach training and delivery. This study provides a theoretically informed understanding of the implementation of CareCoach for caregivers of people living with dementia and provides recommendations to enhance training for coaches, intervention delivery and carer engagement.
CareCoach旨在提高痴呆症患者家庭护理人员的自我效能感，并已在一项多中心随机对照试验中进行了可行性测试。该干预措施包括与一名经过培训的教练进行两次面对面的课程，并可访问一个包含九个模块的在线平台。本文报告了一项嵌入式定性过程评估的结果，该评估从实施者（“教练”）（n = 8）的角度，通过个人访谈和实施者小组讨论来评估实施情况。定性数据逐字转录，采用归纳编码，并运用规范化过程理论进行分析。实施者表现出：（1）“连贯性”，即试图了解CareCoach与当前实践的比较情况，强调支持教练区分并确定其新“教练角色”与常规实践之间界限的重要性；（2）“认知参与”，即通过回顾培训和资源来了解自己的角色和责任，并促进辅导课程的开展；还强调了小组监督和同伴支持；（3）“集体行动”，即通过与护理人员互动，提供目标设定、问题解决和反馈等关键行为方面的内容；以及（4）“反思性监测”，即通过评估干预措施来获得有用的见解，以促进对CareCoach培训和实施的改进。本研究从理论上深入理解了CareCoach在痴呆症患者护理人员中的实施情况，并为加强教练培训、干预实施和护理人员参与提供了建议。
