Developing a complex intervention programme for informal caregivers of stroke survivors: The Caregivers' Guide.
Background Stroke affects the entire family system. Failure to meet the needs of caregivers leads to physical and mental overburdening. Stroke caregivers may benefit from professional support. The literature reviews have shown that there is still no clarity concerning the most appropriate set-up of...
| Publicado en: | Scandinavian Journal of Caring Sciences Vol. 31; no. 1; pp. 146 - 157 |
|---|---|
| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2017
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121443502&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121443502 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02839318 BD4 jtl: Scandinavian Journal of Caring Sciences issn: 02839318 maglogo: Y pubinfo: dt: Mar2017 vid: 31 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 121443502 121443502 121443502 10.1111/scs.12344 121443502 ppf: 146 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Developing a complex intervention programme for informal caregivers of stroke survivors: The Caregivers' Guide. aug: au: Krieger, Theresia Feron, Frans Dorant, Elisabeth affil: Institute for Health Research and Social Psychiatry, Catholic University of Applied Sciences North‐Rhine Westphalia, Aachen Germany sug: subj: Caregivers Education Counseling Stroke Rehabilitation Survivors Program Development Support, Psychosocial Germany Human Needs Assessment Qualitative Studies Naturalistic Inquiry Exploratory Research Observational Methods Professional-Patient Relations Semi-Structured Interview Multicenter Studies Concept Formation Content Analysis Snowball Sample Family Attitudes Evaluation Attitude of Health Personnel Evaluation Thematic Analysis Communication Triangulation ab: Background Stroke affects the entire family system. Failure to meet the needs of caregivers leads to physical and mental overburdening. Stroke caregivers may benefit from professional support. The literature reviews have shown that there is still no clarity concerning the most appropriate set-up of a support programme. In Germany, there is no stroke caregiver support programme that operates throughout the course of rehabilitation. Aim The aim was to develop a complex intervention programme for stroke caregivers in North-Rhine Westphalia, Germany. Methods A naturalistic enquiry approach, using a mixed-methods design, was applied. Within one overarching qualitative study, three separate, explorative, inductive, qualitative substudies were conducted: (i) seven explorative interviews with experienced stroke caregivers, (ii) six semi-structured interviews with professionals working within stroke rehabilitation and (iii) seventeen participant observations with focus on professional-caregiver interactions. Regional stroke units, rehabilitation centres, outpatient services and the home environment of caregivers were included. By means of a four-step qualitative content analysis, all three data sets were coded, categorised and subsequently condensed into subthemes, clustered into main themes, and finally translated into 'Conceptual Building Blocks' of the programme. Results The need for a personalised, holistic and multicomponent caregiver support programme emerged from all three substudies. Fourteen themes were condensed from the subthemes. Caregivers should be approached directly after stroke using outreach counselling. Support should be provided by a specially trained focal person across the entire patient's rehabilitation trajectory. The newly developed support programme consists of five flexible 'Conceptual Building Blocks': Content, Human Resources, Personalised Approach, Timing and Setting. Conclusion Through a qualitative mixed-methods design, an in-depth contextual understanding of stroke caregiver needs within the rehabilitative support system was reached. This allowed the development of a context tailored comprehensive caregiver support programme consisting of five 'Conceptual Building Blocks'. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|