scholarly journals Implementing and Sustaining Family Care Programs in Real-World Settings: Barriers and Facilitators

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 269-269
Author(s):  
Nancy Hodgson
Keyword(s):  
Family Caregiver ◽  
Family Care ◽  
Implementation Strategies ◽  
Evidence Based ◽  
Caregiver Support ◽  
Care Gap ◽  
New Family ◽  
The Family ◽  
Specific Implementation ◽  
Theory Base

Abstract This presentation will summarize the extant published studies on the translation of proven family care programs for dementia in different care settings. This review is the first to our knowledge to examine the specific implementation efforts deployed in care settings for different family caregiver programs. In this review, we sought to answer three basic questions: (1) What theory base(s) or conceptual framework(s) guided the implementation of evidence-based family care programs?; (2) What implementation strategies were used to support translation into practice?; and (3) What were the identified drivers of and barriers to organizational change required for adoption of an evidence-based program? Understanding the frameworks and strategies deployed in translational studies published to date can help guide future translation efforts, inform the design of new family caregiver support programs that optimize their implementation potential, and ultimately help to minimize the “family care gap.”

Public health perspectives on the family care gap

2021 ◽  
pp. 3-41
Author(s):  
Erin D. Bouldin ◽  
Elena M. Andresen ◽  
Valerie J. Edwards ◽  
Justin P. Kearley ◽  
Nia Reed ◽  
...  
Keyword(s):  
Public Health ◽  
Family Care ◽  
Care Gap ◽  
The Family

Implementation Science

2020 ◽  
Author(s):  
Enola Proctor ◽  
Alicia Bunger
Keyword(s):  
Social Work ◽  
Implementation Science ◽  
Implementation Strategies ◽  
Work Practice ◽  
Social Work Practice ◽  
Research Translation ◽  
Evidence Based ◽  
Implementation Studies ◽  
Specific Implementation ◽  
Key Terms

Implementation science seeks to inform how to deliver evidence-based interventions, programs, and policies in real-world settings so their benefits can be realized and sustained. The aim of implementation science is building a base of evidence about the most effective processes and strategies for improving service delivery. Implementation research builds upon effectiveness research and then seeks to discover how to use specific implementation strategies and to move interventions into specific settings, extending their availability, reach, and benefits to clients and communities. This article provides an overview of implementation science as a component of research translation with an emphasis on traditional social work practice settings. The article begins by defining key terms, including implementation and evidence-based interventions. To inform conceptualization of implementation studies, the article continues with an overview of guiding implementation theories, models, and frameworks that explain the role of the multi-level practice context for implementation. Next, the article defines implementation strategies, identifies sources of implementation strategies, and provides recommendations for specifying and describing strategies that allow for replication. The article then describes methodological issues, including variable measurement, research design, and stakeholder engagement. Given the importance of designing implementation studies that optimize both internal and external validity, there is special attention to creative alternatives to traditional randomized controlled trials, and the potential for participatory and systems approaches. Finally, the article concludes with a discussion of future directions for implementation science in social work.

scholarly journals Family Caregiver Support of Patient Self-Management During Chronic, Life-Limiting Illness: A Qualitative Metasynthesis

2020 ◽  
pp. 107484072097718
Author(s):  
Dena Schulman-Green ◽  
Shelli L. Feder ◽  
J. Nicholas Dionne-Odom ◽  
Janene Batten ◽  
Victoria Jane En Long ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Family Caregiver ◽  
Personal Characteristics ◽  
Self Management ◽  
Caregiver Support ◽  
Factors Affecting ◽  
The Family ◽  
Integral Role ◽  
Caregiver Role ◽  
Search Quality

Family caregivers play an integral role in supporting patient self-management, yet how they perform this role is unclear. We conducted a qualitative metasynthesis of family caregivers’ processes to support patient self-management of chronic, life-limiting illness and factors affecting their support. Methods included a systematic literature search, quality appraisal of articles, data abstraction, and data synthesis to produce novel themes. Thirty articles met inclusion criteria, representing 935 international family caregivers aged 18 to 89 years caring for patients with various health conditions. Three themes characterized family caregivers’ processes to support patient self-management: “Focusing on the Patient’s Illness Needs,” “Activating Resources to Support Oneself as the Family Caregiver,” and “Supporting a Patient Living with a Chronic, Life-Limiting Illness.” Factors affecting family caregivers’ support included Personal Characteristics, Health Status, Resources, Environmental Characteristics, and the Health Care System. The family caregiver role in supporting patient self-management is multidimensional, encompassing three processes of care and influenced by multiple factors.

scholarly journals Implementing IG Best Practices in Community-Based Settings: A Pre-Implementation Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 733-733
Author(s):  
Lisa Juckett ◽  
Shannon Jarrott ◽  
Jill Naar ◽  
Rachel Scivano ◽  
Alicia Bunger
Keyword(s):  
Best Practices ◽  
Implementation Strategies ◽  
Routine Practice ◽  
Evidence Based ◽  
Valuable Insight ◽  
Small Community ◽  
Community Settings ◽  
Intergenerational Program ◽  
Specific Implementation ◽  
Intergenerational Programming

Abstract Programs that intentionally engage unrelated young and old persons often lead to mutual benefits; however, specific implementation strategies that support the use of evidence-based intergenerational programming in community settings are understudied. With strong demand for training resources among intergenerational program providers, this pilot study examined how a multifaceted training strategy facilitated the implementation of 14 distinct evidence-based intergenerational best practices. Intergenerational programming was implemented with nine staff from two small community sites using three implementation strategies including educational meetings, ongoing consultation, and routine practice reminders. Observational analysis of video recorded intergenerational program sessions indicated that staff adopted an average of 81.7% of intergenerational best practices suggesting the feasibility of implementing IG in community settings. Findings yield valuable insight that can inform training refinements, and selection of strategies for improving implementation. Next steps include aligning specific practices with participant outcomes.

scholarly journals Perspectives on Dementia Service Use and Family Caregiving Among the Oneida Nation of Wisconsin

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 710-710
Author(s):  
Mary Wyman ◽  
Nickolas Lambrou ◽  
Debra Miller ◽  
Sunshine Wheelock ◽  
Florence Petri ◽  
...  
Keyword(s):  
Family Caregiver ◽  
Family Caregiving ◽  
Service Use ◽  
Care Service ◽  
Qualitative Interviews ◽  
Community Based Participatory Research ◽  
Dementia Care ◽  
Community Based ◽  
Caregiver Support ◽  
The Family

Abstract Prevalence of dementia among American Indian/Alaska Natives (AI/AN) is higher than in white populations, and AI/AN communities experience dementia care service gaps. This study explored perspectives within AI/AN communities regarding dementia, the family caregiver role, and home and community-based service use. Using tenets of Community-Based Participatory Research, qualitative interviews and a brief survey were conducted with 22 members of the Oneida Nation of Wisconsin (mean age 71 years, 73% female). Of the sample, 63.6% identified as a past or current family caregiver for a loved one with dementia. Awareness of services varied; 82% were aware of memory cafes, 75% knew of the caregiver support group, and 43% were familiar with dementia care specialist services. Thematic analysis revealed shared values of involving the family and community in dementia care, and offer guidance to support greater engagement in services. Implications for culturally-tailored service provision within AI/AN communities are discussed.

scholarly journals Delirium and the Family Caregiver: The Need for Evidence-based Education Interventions

2014 ◽  
Vol 55 (3) ◽  
pp. 345-352 ◽  
Author(s):  
Meredith K. Carbone ◽  
Marilyn R. Gugliucci
Keyword(s):  
Family Caregiver ◽  
Evidence Based ◽  
The Family ◽  
Education Interventions
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