How Tailoring Led to Variation in Care Issues, Dosage, and Outcomes: Part 1: Secondary Analysis of the PREP Trial for Frail Older Adults and Family Caregivers
-
Published:2023-03
Issue:2
Volume:16
Page:57-70
-
ISSN:1940-4921
-
Container-title:Research in Gerontological Nursing
-
language:en
-
Short-container-title:Research in Gerontological Nursing
Author:
Hagen Carla M.,Archbold Patricia G.,Miller Lois L.,Valanis Barbara G.,Hornbrook Mark C.,O'Keeffe-Rosetti Maureen,Hiatt Shirin O.,Stewart Barbara J.
Abstract
In family caregiving interventions for adults with health problems, tailoring has become the norm. Studies that evaluate tailored interventions, however, have rarely included intentional variation in dosage or explored the dosage-outcome association. In this Part 1 secondary analysis, we examine dosage and outcomes in intervention families (
N
= 116) who participated in the Oregon Health & Science University/Kaiser Permanente Northwest Region Family Care Study. The Family Care Study was a randomized controlled trial to evaluate the preparedness, skill, enrichment, and predictability (PREP) intervention with caregiving families of frail older adults referred for skilled home health. Tailoring of PREP began with assessment by the PREP nurse. Families then identified and selected care-related issues to work on with their PREP nurse; family needs and preferences guided the number and timing of nurse visits and calls. Families selected a median of 3 (range = 0 to 10) care-related issues in five categories: direct care (chosen by 57% of families), transitions (40%), caregiver strain and health (40%), arranging care (33%), and enrichment (22%). The number of issues strongly predicted number of PREP nurse visits and calls, whereas nurse visits in turn predicted caregivers' reports of improved family care and usefulness of home health assistance, highlighting the importance of visits for achieving outcomes. [
Research in Gerontological Nursing, 16
(2), 57–70.]
Subject
Geriatrics and Gerontology,Health Policy,Gerontology,General Nursing
Reference39 articles.
1. Impact of Parent-Caring on Women 2. Development of The Family Care Inventory 3. Mutuality and preparedness as predictors of caregiver role strain 4. Archbold, P. G., Stewart, B. J., Hornbrook, M. C., Leo, M., Lyons, K. S., Tetz, K., Miller, L. L., Hiatt, S. O., O'Keeffe-Rosetti, M., Hagen, C., & Messecar, D. (2005, November 18–22). Does PREP strengthen family care by improving caregiver role enactment, mutuality, rewards, preparedness, and predictability? Presented at the 58th Annual Scientific Meeting of The Gerontological Society of America, Orlando, FL. 5. The PREP system of nursing interventions: A pilot test with families caring for older members
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|