Implementing Resourcefulness Training © with Parent Caregivers of Children Dependent on Medical Technology During the COVID-19 Pandemic: Lessons Learned from a Randomized Controlled Trial.
Parent caregivers of children requiring life-saving medical technology (e.g., mechanical ventilation) report higher levels of stress and poorer health than other caregivers, often neglecting health-promoting behaviors for themselves. This article describes an iterative implementation science strateg...
| Publicado en: | Clinical Nursing Research Vol. 34; no. 1; pp. 58 - 67 |
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| Autores principales: | , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Sage Publications Inc.
Jan2025
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| 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=181802340&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181802340 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10547738 CNR jtl: Clinical Nursing Research issn: 10547738 maglogo: Y pubinfo: dt: Jan2025 vid: 34 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 181802340 180813474 181802340 181802340 10.1177/10547738241296704 181802340 ppf: 58 ppct: 9 formats: tig: atl: Implementing Resourcefulness Training © with Parent Caregivers of Children Dependent on Medical Technology During the COVID-19 Pandemic: Lessons Learned from a Randomized Controlled Trial. aug: au: Toly, Valerie Boebel Russell, Katie N. Shi, Sophie Zauszniewski, Jaclene A. affil: Case Western Reserve University, Cleveland, OH, USA sug: subj: Caregivers Education Parents Education Child, Medically Fragile COVID-19 Pandemic Respiration, Artificial Education Implementation Science Telehealth Cognitive Therapy Human Female Male Randomized Controlled Trials Random Assignment Pilot Studies Control Group Quality of Life Depression Symptoms Stress, Psychological Caregiver Burden Technology, Medical Self-Management Vignettes Comparative Studies Descriptive Statistics Funding Source Female Male ab: Parent caregivers of children requiring life-saving medical technology (e.g., mechanical ventilation) report higher levels of stress and poorer health than other caregivers, often neglecting health-promoting behaviors for themselves. This article describes an iterative implementation science strategy used to improve intervention delivery for a randomized controlled trial testing a telehealth, cognitive-behavioral resourcefulness intervention with this population during the COVID-19 pandemic. This process consisted of reflective team meetings and content analysis. Initial adjustments were made after content analysis of pilot study materials before intervention delivery including an intervention script, checklist, online daily log, Health Insurance Portability and Accountability Act (HIPAA)-compliant texting option, training material access, and fidelity checks. In vivo adjustments were implemented in four areas: recruitment/engagement, participation and use of resources, in-person delivery, and virtual delivery. Our efforts to streamline intervention delivery were enhanced by incorporating an iterative implementation science strategy including analysis and adjustment of intervention delivery procedures to decrease participant burden and promote intervention adherence. Reflective team meetings and a collaborative, problem-solving approach to resolve the various barriers and challenges with the randomized controlled trial were integral components of intervention delivery. This study informs future intervention research by providing details of barriers faced, pragmatic adjustments made to intervention implementation, and lessons learned (NCT0410524; www.clinicaltrials.gov). pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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