Mandated Caregiver Training in the Veterans Health Administration: Caregiver Inquiry Informs National Dissemination

Author:

Sperber Nina R12ORCID,Boucher Nathan13,Hughes Jaime M14,Bruening Rebecca1,Zullig Leah L12,Decosimo Kasey1,Tucker Matthew1,Christensen Leah A5,Allen Kelli D16,Hastings Susan N17,Van Houtven Courtney H12

Affiliation:

1. Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System , Durham, North Carolina , USA

2. Department of Population Health Sciences, Duke University , Durham, North Carolina , USA

3. Sanford School of Public Policy, Duke University , Durham, North Carolina , USA

4. Department of Implementation Science, Wake Forest School of Medicine , Winston-Salem, North Carolina , USA

5. Veteran’s Health Administration Central Office , Washington, District of Columbia , USA

6. Thurston Arthritis Research Center, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina , USA

7. Division of Geriatrics, Department of Medicine, Duke University School of Medicine , Durham, North Carolina , USA

Abstract

Abstract Background and Objectives A minority of family caregivers receive training, with implications for their own and their recipient’s outcomes. Federal policy has supported the implementation and expansion of caregiver training and support. The Department of Veterans Affairs (VA) has developed a national Caregiver Support Program and collaborated with VA health services researchers to explore caregivers’ acceptance of an evidence-based training program in preparation for system-wide dissemination. Research Design and Methods This approach entailed a convergent mixed-methods design, which involved separate analyses of quantitative and qualitative data. Survey questions based on the Kirkpatrick model for training evaluation measured caregivers’ reaction and learning, and interview questions elicited caregivers’ reports about the value of the program for them. Results Most caregivers reported satisfaction with the training when responding to survey questions, although qualitative interviews revealed caveats suggesting need to hone the best timing and specific group of caregivers for maximal benefit. Discussion and Implications Our findings indicate that understanding program–user fit may be particularly critical when implementing training for caregivers as they come to the program at different points along their caregiving journey, needing differing types and intensities of support. While a general program may appeal to policymakers aiming to scale caregiver training within a large, heterogeneous system, there may be shortcomings in terms of end-user acceptance and subsequent downstream outcomes such as reach and ultimately program effectiveness. Good, iterative communication flow between program developers and policymakers facilitates this understanding and, in turn, decisions about scaling.

Funder

Quality Enhancement Research Initiative

VA Caregiver Support Program

Center of Innovation to Accelerate Discovery and Practice Transformation

U.S. Department of Veterans Affairs

Veterans Health Administration

Office of Research and Development

Research Career Scientist Program

Publisher

Oxford University Press (OUP)

Subject

Geriatrics and Gerontology,Gerontology,General Medicine

Reference40 articles.

1. Advancing a conceptual model of evidence-based practice implementation in public service sectors;Aarons;Administration and Policy in Mental Health,2011

2. Replicating an effective VA program to train and support family caregivers: A hybrid type III effectiveness-implementation design;Boucher;BMC Health Services Research,2021

3. Connecting caregivers to support: Lessons learned from the VA caregiver support program;Bruening;Journal of Applied Gerontology,2020

4. Understanding the implementation of evidence-informed policies and practices from a policy perspective: A critical interpretive synthesis;Bullock;Implementation Science,2021

5. Factors associated with receipt of training among caregivers of older adults;Burgdorf;JAMA Internal Medicine,2019

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

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3