A Methodological Approach for Documenting Multi-Component Interventions Targeting Family Caregivers

被引:3
|
作者
Griffin, Joan M. [1 ,2 ]
Vanderboom, Catherine E. [3 ]
Gustavson, Allison M. [4 ]
Kaufman, Brystana G. [5 ]
Ingram, Cory [6 ]
Wild, Ellen [7 ]
Dose, Ann Marie [3 ]
Mandrekar, Jay [8 ]
Holland, Diane E. [3 ]
机构
[1] Mayo Clin, Div Hlth Care Delivery Res HCDR, 200 1st St SW, Rochester, MN 55905 USA
[2] Mayo Clin, Kern Ctr Sci Hlth Care Delivery, 200 1st St SW, Rochester, MN 55905 USA
[3] Mayo Clin, Div Hlth Care Policy & Res, Rochester, MN 55905 USA
[4] Univ Minnesota, Hlth Care Syst, Ctr Care Delivery & Outcomes Res, Dept Med, Box 736 UMHC, Minneapolis, MN 55455 USA
[5] Duke Univ, Populat Hlth Sci, Durham, NC USA
[6] Mayo Clin, Family Med & Palliat Med, Rochester, MN 55905 USA
[7] Mayo Clin, Dept Community Internal Med Geriatr & Palliat Car, Rochester, MN 55905 USA
[8] Mayo Clin, Dept Quantitat Hlth Sci, Div Biomed Stat & Informat, Rochester, MN 55905 USA
基金
美国国家卫生研究院;
关键词
family caregivers; randomized controlled trials; SMART trials; data collection; fidelity; CARE; TRANSITIONS; PATIENT;
D O I
10.1177/07334648221137882
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Managing the complex care needs of seriously ill patients transitioning from hospital to home can have detrimental effects on family caregivers (FCG). Multi-component interventions tailored to FCG needs are most effective at reducing caregiver burden, distress, and depression. However, gaps exist in determining best methods to assess, document, and analyze intervention components for FCGs. Common methods used to capture patient data during transitions in care may not be appropriate or allowed for FCG needs. As such, we present a methodological approach for electronically capturing, reporting, and analyzing multiple intervention components. This approach uses a standardized terminology and pathway for tailoring intervention components in real time while evaluating intervention effects across time. We use examples from a randomized controlled trial to illustrate the benefits of the current approach for analyzing the effectiveness of multi-component interventions in the context of caregiving research.
引用
收藏
页码:487 / 492
页数:6
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