Evaluating the Implementation Fidelity of a Motivational Health Coaching Intervention to Improve Self-Care for Caregivers of Persons Living With Dementia.

Frontotemporal degeneration (FTD) is one of the leading causes of early-onset dementia, causing a progressive deterioration in patient cognition and function. These changes often lead to increased caregiver burden and health self-care neglect due to increased focus on the needs of the person living...

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Detalles Bibliográficos
Publicado en:Journal of Applied Gerontology Vol. 44; no. 12; pp. 1999 - 2006
Autores principales: Fisher, Lauren, Massimo, Lauren, Riegel, Barbara, Walser, Tracie J., Hirschman, Karen B.
Formato: Artículo
Publicado: Sage Publications Inc. Dec2025
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Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Frontotemporal degeneration (FTD) is one of the leading causes of early-onset dementia, causing a progressive deterioration in patient cognition and function. These changes often lead to increased caregiver burden and health self-care neglect due to increased focus on the needs of the person living with FTD. This study aimed to evaluate implementation of an evidence-based virtual health coaching intervention designed to improve self-care of FTD caregivers. Guided by the Consolidated Framework for Intervention Fidelity, adherence to the intervention (exposure and content) was measured with a total score ranging from 6 (low adherence) to 18 (high adherence). Overall, about half the sessions were deemed high adherence, with a gradual decrease in total adherence over time, primarily due to decreases in exposure adherence. Our results reflect the anticipated variation in sessions to maintain person-centered care. Overall, a virtual health coaching intervention for FTD caregivers can be delivered with relatively high adherence.