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Pidgeon, Tanya M., Claire E. Johnson, Leanne Lester, David Currow, Patsy Yates, Samuel F. Allingham, Sonia Bird, and Kathy Eagar. "Perceptions of the care received from Australian palliative care services: A caregiver perspective." Palliative and Supportive Care 16, no. 2 (March 30, 2017): 198–208. http://dx.doi.org/10.1017/s1478951517000177.
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ABSTRACTBackground:Caregiver satisfaction and experience surveys help health professionals to understand, measure, and improve the quality of care provided for patients and their families.Objective:Our aim was to explore caregiver perceptions of the care received from Australian specialist palliative care services.Method:Caregivers of patients receiving palliative care in services registered with Australia's Palliative Care Outcomes Collaboration were invited to participate in a caregiver survey. The survey included the FAMCARE–2 and four items from the Ongoing Needs Identification: Caregiver Profile questionnaire.Results:Surveys were completed by 1,592 caregivers from 49 services. Most respondents reported high satisfaction and positive experiences. Caregivers receiving care from community-based palliative care teams were less satisfied with the management of physical symptoms and comfort (odds ratio [OR] = 0.29; 95% confidence interval [CI95%] = 0.14, 0.59), with patient psychological care (OR = 0.56; CI95% = 0.32, 0.98), and with family support (OR = 0.52; CI95% = 0.35, 0.77) than caregivers of patients in an inpatient setting. If aged over 60 years, caregivers were less likely to have their information needs met regarding available support services (OR = 0.98; CI95% = 0.97, 0.98) and carer payments (OR = 0.99; CI95% = 0.98, 1.00). Also, caregivers were less likely to receive adequate information about carer payments if located in an outer regional area (OR = 0.41; CI95% = 0.25, 0.64). With practical training, caregivers receiving care from community services reported inadequate information provision to support them in caring for patients (OR = 0.60; CI95% = 0.45, 0.81).Significance of Results:While our study identified caregivers as having positive and satisfactory experiences across all domains of care, there is room for improvement in the delivery of palliative care across symptom management, as well as patient and caregiver support, especially in community settings. Caregiver surveys can facilitate the identification and evaluation of both patients' and caregivers' experiences, satisfaction, distress, and unmet needs.
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Schultz, Cynthia L., Kosmas X. Smyrnios, Carolyn F. Grbich, and Noel C. Schultz. "Caring for Family Caregivers in Australia: A Model of Psychoeducational Support." Ageing and Society 13, no. 1 (March 1993): 1–25. http://dx.doi.org/10.1017/s0144686x00000623.
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ABSTRACTThe present paper describes and traces the emergence of an innovative psychoeducational model of support for family caregivers of dependent elderly persons, its associated systematic evaluation and leadership training process, provides details of a small group programme and its underlying philosophy, and reports on outcome evaluation research ascertained from both quantitative and qualitative data analyses. Details of these analyses are presented within the context provided by a three-level model of support, which recruits and trains professionals from a range of disciplines to help families in caregiving situations. The 72 treatment and 29 waiting-list control subjects were assessed at pretreatment and at posttest on measures of anxiety and psychological well-being. Statistically significant differences emerged between the treatment and waiting-list control groups on these measures. Positive changes for programme participants were further demonstrated by contextual analysis of evaluative responses. Implications for practitioners, educators, and policy specialists, as well as for research and programme development are discussed.
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Aoun, Samar M., Julian Abel, Bruce Rumbold, Kate Cross, Jo Moore, Piari Skeers, and Luc Deliens. "The Compassionate Communities Connectors model for end-of-life care: a community and health service partnership in Western Australia." Palliative Care and Social Practice 14 (January 2020): 263235242093513. http://dx.doi.org/10.1177/2632352420935130.
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Background: There is an international drive towards increasing provision of community-led models of social and practical support for people living with advanced illness. Aim: This feasibility project aims to develop, implement and evaluate a model of community volunteers, identified as Compassionate Communities Connectors, to support people living with advanced life limiting illnesses/palliative care needs. The aims also include the development and evaluation of a training programme for volunteers and assessment of the feasibility, acceptability and preliminary effectiveness of this model of care. Methods: The approach seeks to map and mobilise people’s personal networks of care through the Connectors enlisting Caring Helpers (community volunteers). Up to 10 Connectors will be trained to work with at least 30 families selected by the palliative care service as requiring support. The primary outcome is the effect of the intervention on social connectedness. Secondary outcomes are the intervention’s effect on unplanned hospital utilisation, caregiver support needs, advance care plans and satisfaction with intervention for patients/carers, volunteers and service providers. Conclusion: It is expected that this intervention will enhance patient, carer and family social, psychological and practical support and reduce the need for dying people to be admitted to a hospital.
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Armstrong, Elizabeth, Juli Coffin, Deborah Hersh, Judith M. Katzenellenbogen, Sandra Thompson, Leon Flicker, Meaghan McAllister, et al. "Healing Right Way: study protocol for a stepped wedge cluster randomised controlled trial to enhance rehabilitation services and improve quality of life in Aboriginal Australians after brain injury." BMJ Open 11, no. 9 (September 2021): e045898. http://dx.doi.org/10.1136/bmjopen-2020-045898.
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IntroductionDespite higher incidence of brain injury among Aboriginal compared with non-Aboriginal Australians, suboptimal engagement exists between rehabilitation services and Aboriginal brain injury survivors. Aboriginal patients often feel culturally insecure in hospital and navigation of services post discharge is complex. Health professionals report feeling ill-equipped working with Aboriginal patients. This study will test the impact of a research-informed culturally secure intervention model for Aboriginal people with brain injury.Methods and analysisDesign: Stepped wedge cluster randomised control trial design; intervention sequentially introduced at four pairs of healthcare sites across Western Australia at 26-week intervals.Recruitment: Aboriginal participants aged ≥18 years within 4 weeks of an acute stroke or traumatic brain injury.Intervention: (1) Cultural security training for hospital staff and (2) local, trial-specific, Aboriginal Brain Injury Coordinators supporting participants.Primary outcome: Quality-of-life using EuroQOL-5D-3L (European Quality of Life scale, five dimensions, three severity levels) Visual Analogue Scale score at 26 weeks post injury. Recruitment of 312 participants is estimated to detect a difference of 15 points with 80% power at the 5% significance level. A linear mixed model will be used to assess the between-condition difference.Secondary outcome measures: Modified Rankin Scale, Functional Independence Measure, Modified Caregiver Strain Index, Hospital Anxiety and Depression Scale at 12 and 26 weeks post injury, rehabilitation occasions of service received, hospital compliance with minimum care processes by 26 weeks post injury, acceptability of Intervention Package, feasibility of Aboriginal Brain Injury Coordinator role.Evaluations: An economic evaluation will determine the potential cost-effectiveness of the intervention. Process evaluation will document fidelity to study processes and capture changing contexts including barriers to intervention implementation and acceptability/feasibility of the intervention through participant questionnaires at 12 and 26 weeks.Ethics and disseminationThe study has approvals from Aboriginal, university and health services human research ethics committees. Findings will be disseminated through stakeholder reports, participant workshops, peer-reviewed journal articles and conference papers.Trial registration numberACTRN12618000139279.
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Liu, Mandong, Jinli Wu, Geng Zhang, and Iris Chi. "A BODY-MIND-SPIRIT CAREGIVER SELF-MANAGEMENT PROGRAM FOR CHINESE AMERICANS: PROGRAM DESIGN." Innovation in Aging 3, Supplement_1 (November 2019): S546. http://dx.doi.org/10.1093/geroni/igz038.2011.
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Abstract The aging society presents a growing demand for formal and informal caregivers. Literature review reveals that cultural practices and immigration challenges compound the caregiving burden in Chinese American caregivers. The team designed a culturally sensitive and linguistically appropriate training program targeting the overall well-being of Chinese caregivers. The intervention pivots on the Body-Mind-Sprit model, a health model rooted in Chinese traditional philosophies and integrating three components into an inseparable unity. We designed the in-person training to be four 3-hour sessions and incorporated modalities, which include mini lectures, skill training, discussion, exercise videos, homework activities, and a website. We pilot tested the intervention among 11 Chinese caregivers, followed by two focus group discussions and formative evaluation. Participants provided positive feedback in program evaluation survey, while analysis of focus group revealed three major topics: program benefits, barriers to receiving training and applying its content, and suggestions.
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Guerrero, Lourdes R., Regina Richter Lagha, Amy Shim, Daphna Gans, Heather Schickedanz, Lisa Shiner, and Zaldy Tan. "Geriatric Workforce Development for the Underserved: Using RCQI Methodology to Evaluate the Training of IHSS Caregivers." Journal of Applied Gerontology 39, no. 7 (June 5, 2018): 770–77. http://dx.doi.org/10.1177/0733464818780635.
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Caregivers play an important role in the in-home care of community dwelling older adults living with Alzheimer’s disease or related dementias (ADRD); however, many of these caregivers lack training in caring for this vulnerable population. In 2015, we developed and implemented an interactive, community-based, knowledge and skills-based training program for In-Home Supportive Services (IHSS) caregivers. This report shares the results of a process evaluation of this training program as it evolved over the course of three training sessions in Riverside County, California. Our iterative evaluation process reveals the unique needs of training and assessing a population of demographically diverse adult learners and provides guidance for those planning to implement similar training in underserved communities. Factors such as reliance on self-reported abilities, language readability level, and test anxiety may have confounded attempts to capture learner feedback and actual knowledge gains from our caregiver training program.
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de l'Etoile, Shannon K. "An In-Service Training Program in Music for Child-Care Personnel Working with Infants and Toddlers." Journal of Research in Music Education 49, no. 1 (April 2001): 6–20. http://dx.doi.org/10.2307/3345806.
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The purpose of this study was to develop, implement, and evaluate an in-service training program in music for child-care personnel working with infants and toddlers. Results of a needs assessment determined that most child-care centers offer music activities and that caregivers would be interested in receiving training. Training materials were developed, pilot-tested, and revised. For the final training program, caregivers in a university-based child-care program attended three in-service training sessions. Evaluation of the program revealed that caregivers made significant improvements in their attitude toward and knowledge about music activities for young children. Additionally, caregivers increased their use of 9 out of 11 behaviors considered necessary for successful music activity implementation. The children in their care also increased the amount of time they were visually, vocally, and physically engaged during music activities. These results suggest that a music training program can benefit both caregivers and children.
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Powers, Sara, Rachel Cannon, David Bass, Lauren Pongan, Ocean Le, and Nina Darby. "CARING FOR THOSE WHO CARE: EVALUATION OF A COMPREHENSIVE CULTURAL COMPETENCY TRAINING CURRICULUM." Innovation in Aging 6, Supplement_1 (November 1, 2022): 634–35. http://dx.doi.org/10.1093/geroni/igac059.2352.
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Abstract By 2030, nearly 3 in 10 older Americans will identify as a member of a diverse or underrepresented group. To better support diverse, aging communities and help professionals meet the growing needs of family and friend caregivers, the Diverse Elders Coalition developed a comprehensive cultural competency training curriculum that, in the first year of development, engaged over 2,500 healthcare and social service providers. To evaluate the short and long-term impact of the training curriculum, this paper focuses on two types of anonymous evaluations that were electronically distributed to training attendees: 1) Subjective knowledge post-tests (n=162), and 2) 3-month post-training follow-ups (n=232). Majority of participants identified as female, White/Caucasian, and earned at least a college degree. Upon completion of the trainings, participants reported improved subjective knowledge about diverse communities, more confidence and preparedness to meet diverse caregivers’ needs, and also indicated that because of the training they would engage in a variety of diversity related actions (e.g., use more inclusive language, share training resources with colleagues, attend additional diversity trainings). At the 3-month follow-up, 91.8% of respondents reported they engaged in two or more diversity related actions since attending the training. Respondents (73.8%) also indicated that their organization engaged in one or more diversity-related actions since attending the training (e.g., provided staff additional diversity-related trainings, translated materials). Discussion will focus on ways to improve healthcare and social service providers’ advocacy efforts and awareness surrounding the needs of older adults and caregivers from diverse communities.
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Gibbs, Anita. "An evidence-based training and support course for caregivers of children with foetal alcohol spectrum disorder (FASD) in New Zealand." Advances in Dual Diagnosis 12, no. 1/2 (February 18, 2019): 73–84. http://dx.doi.org/10.1108/add-10-2018-0013.
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PurposeThe purpose of this paper is to outline the development of an evidence-based training and support course for caregivers of children with foetal alcohol spectrum disorder (FASD) in New Zealand, and a brief evaluation undertaken. The seven-week caregiver training course takes an empowerment and advocacy orientation, and the aim is to assist caregivers who are caring for children with, or suspected to have FASD, develop greater resilience and strategies to help their families live successfully with impairments in a disabling society.Design/methodology/approachA total of 13 parents and caregivers received a seven times two-hour weekly group programme of talks, exercises and case study discussions focused on the following objectives: an increased knowledge of FASD; an increased knowledge of successful strategies and interventions that can be used to help families; and having an opportunity to foster strong peer-support relationships with others who share the lived experience of FASD. A brief interview-based evaluation was undertaken to ascertain caregivers’ views of the course, its benefits and limitations.FindingsCaregivers valued both the content and process of the training course. They highlighted that strength of the training was the delivery by experienced, professionally trained caregivers of children with FASD. They valued the opportunity to spend time with peers in similar circumstances who understood the challenges of parenting a child with FASD.Originality/valueA short evidence-based specialist training course for parents and caregivers with an empowerment and peer-support orientation is beneficial to parenting children with FASD.
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Awan, Boshra, Suzanne Wicks, and Amy E. Peden. "A qualitative examination of causal factors and parent/caregiver experiences of non-fatal drowning-related hospitalisations of children aged 0–16 years." PLOS ONE 17, no. 11 (November 23, 2022): e0276374. http://dx.doi.org/10.1371/journal.pone.0276374.
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Fatal and non-fatal drowning is a significant public health issue, which disproportionately impacts children and young people. In Australia, the highest fatal and non-fatal drowning rates occur in children under five years of age. To date, little qualitative research has been conducted on non-fatal drowning, with causal factor analysis generally conducted using coronial and hospital data. This study’s aim was to identify causal factors in hospital treated cases of non-fatal drowning in children as qualitatively self-reported by parents and caregivers. Cases of unintentional child (0–16 years) non-fatal drowning admissions and Emergency Department presentations to three tertiary care paediatric hospitals in New South Wales, Australia were identified via International Classification of Diseases (ICD) coding. Parents and caregivers of drowning patients were invited to participate in a semi-structured interview. Data were thematically coded using an inductive approach, with a focus on causal factors and recommendations for preventive approaches. Of 169 incidents, 86 parents/caregivers were interviewed. Children hospitalised for drowning were more often male (59.3%), aged 0–4 years (79.1%) and 30.2% were from household who spoke a language other than English. Qualitative incident descriptions were coded to five themes: lapse of supervision, unintended access (commonly in home swimming pools), brief immersion (usually young children bathing), falls into water and ongoing impacts. Drowning prevention recommendations were grouped under supervision, pool barriers and maintenance, cardiopulmonary resuscitation (CPR) training and emergency response, drowning is quick and silent, and learning swimming. Parents and caregivers of young children require ongoing education regarding supervision distractions and pool barrier compliance. Additional challenges are faced by those in rental properties with pools, parents/caregivers who cannot swim, and parents/caregivers from culturally and linguistically diverse backgrounds. Affordable, accessible, and culturally appropriate swimming lessons, water safety education and CPR training should be made more available for adult caregivers, particularly in languages other than English.
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Pond, Brittney, Leslie Ross, Jarmin Yeh, Brooke Hollister, Tiffany Cheang, Susie Yu, and Corinne Eldridge. "Implementing a Community-Based Collaborative Project During the COVID-19 Pandemic: A Process Evaluation." Innovation in Aging 5, Supplement_1 (December 1, 2021): 761–62. http://dx.doi.org/10.1093/geroni/igab046.2821.
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Abstract In-Home Supportive Services (IHSS) caregivers are critical linchpins in our long-term care system, but little research exists to examine the strategies for enhancing their role working in the homes of persons living with dementia (PLWD). The aim of the IHSS+ Alzheimer’s Disease and Related Dementias Training Project (IHSS+ ADRD Training Project) is to implement a competency-based dementia training program for 600 IHSS caregivers and their consumers; and evaluate the training program’s impact on caregiving, long-term services and supports, and health systems. This project is a partnership between the University of California, San Francisco, Institute for Health & Aging; Center for Caregiver Advancement, a nonprofit organization founded by home care workers; and Alameda Alliance for Health, a non-profit managed care plan created by and for residents of Alameda County, California. The research design and funding of the project was established just prior to the COVID-19 pandemic. As the pandemic evolved, the IHSS+ ADRD Training Project underwent many revisions and pivoted to remote strategies to ensure progress could be made toward the aims. This poster describes a process evaluation of how various challenges were addressed and subsequent changes were made to the methodology. Using a community-based participatory research and program evaluation hybrid model, this project remained nimble, configuring an online dementia training program and evaluation methods that accommodated safety needs of community partners. Benefits and limitations of implementing the IHSS+ ADRD Training Project, using remote strategies, to ensure IHSS caregivers and their consumers could continue receiving education and support, are highlighted.
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Wilson, Nathan J., Tiffany Patterson-Norrie, Cheryl Bedford, Natalie Bergstedt, Lia Marri Mendoza, Amy R. Villarosa, Ajesh George, and Avanti Karve. "Evaluation of Smiles for Life: A Caregiver Focused Oral Health Education Programme." Disabilities 2, no. 4 (September 23, 2022): 564–74. http://dx.doi.org/10.3390/disabilities2040040.
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Background: People with an intellectual and/or developmental disability are at increased risk of adverse oral health outcomes and often require support from caregivers to assist in maintaining or seeking treatment for their oral health needs. However, caregivers and support workers are often family members with limited formal oral health training. Hence, the aim of this pilot study was to review the outcomes of the ‘Smiles for Life’ oral health education workshop with reference to their knowledge, attitudes, and practices of caregivers of people with an intellectual or developmental disability. Methods: A single group pre-test post-test intervention design was used to explore the preliminary effectiveness and appropriateness of the Smiles for Life oral health education workshop. Results: A total of 244 participants completed both the pre and post knowledge test. Oral health literacy scores decreased following the post test. Those with higher levels of education achieved higher post-training knowledge scores. Overall, caregivers reported satisfaction on the material presented however, it could be improved with more practical demonstrations. Conclusion: Providing an oral health education tool that caters to the diverse caregiver audience presents a unique set of challenges, despite oral health education in this professional group being vital. Future studies may benefit from reviewing the efficacy of a more tailored educational intervention.
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Nascimento Pinho, Jéssica do, Edivania Anacleto Pinheiro, Cristiane Munaretto Ferreira, Erica Freire de Vasconcelos-Pereira, Tatiane Contin, Vanessa Marcon de Oliveira, and Vanessa Terezinha Gubert de Matos. "Therapeutic Ride: Health Service Evaluation and Satisfaction of Patients and Their Caregivers." Global Journal of Health Science 12, no. 12 (October 4, 2020): 1. http://dx.doi.org/10.5539/gjhs.v12n12p1.
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Objective: To evaluate the health service and the satisfaction of patients and their caregivers in relation to the therapeutic ride, in Integrated Continuous Care. Methods: Cross-sectional, descriptive study, conducted between January 2017 and January 2018, using a specific form for data collection and interview conducted before hospital discharge. Results: The study included 23 patients and 27 caregivers. Regarding the evaluation of the service related to the therapeutic ride, 95.6% (22/23) of the patients and 70.4% (19/27) of the caregivers confirmed that they understood the objectives of this practice. The duration of the therapeutic ride was considered sufficient by 69.6% (16/23) of patients and 70.4% (19/27) of caregivers. Most patients (52.2%) and caregivers (70.4%) declared to be very satisfied with the result of the therapeutic ride. Conclusion: The therapeutic ride demonstrates its differential aspect by adding training, contributing greatly to the safe transition from the hospital to the home.
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Suprajitno, Suprajitno, Arif Mulyadi, and Rachmi Aidah. "The Training of Developmental Stimulation on Children with Autism Syndrome Disorder in Autism Center of Blitar City." Journal of Community Service for Health 1, no. 1 (October 21, 2020): 026–32. http://dx.doi.org/10.26699/jcsh.v1i1.art.p026-032.
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Children with Autism Syndrome Disorder (ASD) have the same developmental tasks and must be stimulated from an early age. Stimulation can be performed by parents or caregivers. This community service aimed to provide parents or caregivers with the ability to stimulate the development of children with ASD. The training was conducted on 40 parents or caregivers using the Book of Autistic Children's Activity Guide at Home: A Guide for Parents (Buku Bina Aktivitas Anak Autis di Rumah: Panduan Bagi Orang Tua) ISBN: 978-602-6397-32-4. Training conducted twice by therapists in Autism Center of Blitar City. The training evaluation used a checklist consisting of 17 abilities. The changes were known from the mean increase in ability of 15.4 and the standard deviation decreased to 7.94. After the training, there was a change in the ability to perform developmental stimulation of children with ASD and parents or caregivers said they were very satisfied because they had the guidelines to be used at home.
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Walker, Katherine, Matthew Johnson, William Dunlop, Margaret Staples, Hamish Rodda, Ian Turner, and Michael Ben-Meir. "Feasibility evaluation of a pilot scribe-training program in an Australian emergency department." Australian Health Review 42, no. 2 (2018): 210. http://dx.doi.org/10.1071/ah16188.
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Objective Medical scribes have an emerging and expanding role in health, particularly in Emergency Medicine in the US. Scribes assist physicians with documentation and clerical tasks at the bedside while the physician consults with his or her patient. Scribes increase medical productivity. The aim of the present study was to examine the feasibility of a pilot hospital-administered scribe-training program in Australia and to evaluate the ability of an American training course (Medical Scribe Training Systems) to prepare trainee scribes for clinical training in an emergency department in Australia. Methods The present study was a pilot, prospective, observational cohort study from September 2015 to February 2016 at Cabrini Emergency Department, Melbourne. Scribe trainees were enrolled in the pre-work course and then trained clinically. Feasibility of training scribes and limited efficacy testing of the course was undertaken. Results The course was acceptable to users and demand for training exists. There were many implementation tasks and issues experienced and resources were required to prepare the site for scribe implementation. Ten trainees were enrolled for preclinical training. Six candidates undertook clinical training, five achieved competency (required seven to 16 clinical shifts after the preclinical course). The training course was helpful and provided a good introduction to the scribe role. The course required adaptation to a non-US setting and the specific hospital setting. In addition, it needed more detail in some common emergency department topics. Conclusion Training scribes at a hospital in Australia is feasible. The US training course used can assist with preclinical training. Course modification is required. What is known about the topic? Scribes increase emergency physician productivity in Australia. There is no previous work on how to train scribes in Australia. What does this paper add? We show that implementing a scribe-training program is feasible and that a training package can be purchased from the US to train scribes in Australia and that it is useful. We also show the adaptation that the course may require to meet Australian emergency department needs. What are the implications for practitioners? Scribes could become an additional member of the emergency department team in Australia and can be trained locally.
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Roberts, Toni. "Simulation to Teach Safe Patient Handling and Mobility for Home Caregivers." Home Health Care Management & Practice 32, no. 4 (June 1, 2020): 206–10. http://dx.doi.org/10.1177/1084822320925801.
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Safe patient handling and mobility (SPHM) programs are needed in the home care environment. As patient-lifting technology and devices become more widely available for use in the home setting, caregivers need opportunities to learn how to properly use these devices. Nonmedical caregivers employed by personal support services agencies (PSSAs) and home caregivers have very limited access to opportunities for SPHM training in rural areas of Tennessee. Safe patient handling and mobility training utilizing simulation with an interprofessional approach was developed and provided to 17 nonmedical and family home caregivers. The training was evaluated utilizing Kirkpatrick’s Four-Level Training Evaluation Model. Participants completed anonymous surveys immediately following the training and 4 to 6 weeks after the training. Survey I (n = 17): Respondents indicated increased knowledge of safe patient handling (94%) and applied knowledge of safe patient handling in training (90%). Survey II (n = 6): Most respondents (67%) indicated that they had applied the knowledge and skills that they had learned in the training. Two respondents (33%) indicated that they had not yet had the opportunity to apply the knowledge and skills they learned. The survey also showed that all respondents believed that the knowledge and skills they had learned helped to decrease the risk of personal injury and injury to patients. Safe patient handling and mobility training utilizing simulation with an interprofessional approach was effective in promoting safety of nonmedical and family caregivers in the home setting. Based on the success of this program, more training opportunities should be implemented to improve patient and caregiver safety.
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Radha Prabhu, V., Armita Hanley, and Sue Kearney. "Evaluation of a hospital volunteer program in rural Australia." Australian Health Review 32, no. 2 (2008): 265. http://dx.doi.org/10.1071/ah080265.
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A voluntary survey questionnaire that assessed experience with and perception of the volunteering program was mailed to 62 current and 9 former volunteers and 47 staff members of Latrobe Regional Hospital (LRH). Sixty-one completed questionnaires were returned. The nature of hospital work attracted volunteers (57%) and most volunteers felt oriented to the hospital, supervised and supported. The volunteers enjoyed working with patients and felt they contributed to better services and staff and patient support. There was a need felt that more training and development, recognition, orientation and supervision would be beneficial. Overall, most volunteers rated their experience as good (60%) to excellent (25%). Staff rated the contribution from volunteers as good (41%) to excellent (47%). Volunteers identified several areas of improvement, including opportunities for further training and supervision. Volunteers play a crucial role within the health care system. There is tremendous scope for further development of the volunteer role and increasing opportunities for training and development, recognition and encouragement.
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Hosseini, Shera, Lorraine Carter, Donna Thomson, and Michelle Howard. "EVALUATING THE EFFECTIVENESS OF AN ONLINE TRAINING COURSE FOR MEETING NEEDS ASSOCIATED WITH CAREGIVING BURDEN." Innovation in Aging 6, Supplement_1 (November 1, 2022): 438–39. http://dx.doi.org/10.1093/geroni/igac059.1720.
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Abstract Informal caregivers make up a critical part of long-term support in the communities due to their important role in caring for older adults living at home. Modern-day caregivers are facing greater responsibility and burden for managing their care recipients. The present study aimed to explore the effect of a caregiving training program in alleviating caregiver burden. This program included four standalone online modules each with specific foci. Completion of activities across the modules allowed for the creation of a Caregiver Action Plan which offered a personal and practical resource to the informal caregivers. This evaluation study was qualitative and a used thematic analysis method of data analysis. Data stemmed from semi-structured interviews with the caregivers and their reflections on the program’s discussion board. Most caregivers provided care for persons with dementia. Interviews with the family caregivers were conducted, transcribed, and thematically analyzed. Themes were identified through constant comparison and in an iterative process. The family caregivers demonstrated consensus on the efficacy of the program in raising competence and confidence and contributing to ameliorating burden levels. Important themes were identified in association with areas for which the caregivers needed support: Early dementia education, planning for future care, learning about navigating healthcare systems, peer support, enhancing self-care, and coping with emotional burden and self-blame. The findings will be informative in shaping the program based on the caregiver’s identified needs through addressing those areas that they would need support. These findings may offer recommendations to other programs designed to support the family caregivers.
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Sanchez-Reilly, Sandra, Paula Reilly, Elizabeth Reilly, Isabella Silva, Lyda Arevalo, and Gabriela Zaragoza. "A DEMENTIA IMMERSION SIMULATION EXPERIENCE AS A TRAINING TOOL FOR HEALTH CARE PROFESSIONALS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 766. http://dx.doi.org/10.1093/geroni/igac059.2777.
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Abstract Background Dementia, a progressive, devastating and incurable disease affects millions of older Americans and their caregivers. Effective dementia-training programs for caregivers and healthcare professionals (HP) can lead to improved patient outcomes. Simulation-educational experiences are innovative with long-lasting impact. Currently, there are no simulation hands-on experiences focused on dementia care to train HP or hired caregivers (HC). Objective: To evaluate the educational effectiveness of a Dementia Immersion Simulation Experience (DISE) intervention among HP and HC. Methods DISE is a face-to-face 2-hour intervention that includes virtual reality, hands-on simulation with multiple sensory experiences, group debriefing led by dementia-caregiving expert. Program evaluation and pre/post knowledge assessments were administered. Results Nf110. HP, Nf72; HC, Nf25. Pre/post mean score of knowledge assessment (scale 0–12) for all was 8.3/9.7 (p < 0.0001). Participants were also grouped by whether they were “well-informed” (achieving 10 or better on knowledge assessment) or had “knowledge gap” (9 or fewer). 25% were well-informed on dementia before DISE; 63% after DISE (p < 0.0001). DISE program evaluation showed 98% participants highly rated experience across all categories. Evaluation scores further support an effective program. Furthermore, number of clinical referrals seeking expertise from a dementia specialist/team increased by 50% two months post-intervention. Conclusion DISE is a successful tool to teach, support and empower HP and HC, effectively changing care provided to individuals with dementia by using hands-on simulation training. Further studies are needed to evaluate the effectiveness of DISE in improving behavioral symptoms, training family caregivers, and decreasing other dementia-related undesirable outcomes such as nursing home placement.
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Chi, Iris, and Walter Boot. "INTEREST GROUP SESSION—CHINESE GERONTOLOGY STUDIES: DEVELOPING A BODY-MIND-SPIRIT CAREGIVER SELF-MANAGEMENT PROGRAM AND A MOBILE APPLICATION FOR CHINESE AMERICANS." Innovation in Aging 3, Supplement_1 (November 2019): S546. http://dx.doi.org/10.1093/geroni/igz038.2010.
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Abstract Caregivers of older adults are at risk for poor physical and mental health outcomes. Chinese American caregivers, especially those who are recent immigrants, are at risks for developing health symptoms while less likely to seek outside help and utilize caregiver resources due to cultural barriers, low health literacy, and limited-English proficiency. This symposium will introduce the Caregiver Self-Management Program (CSMP), a training program based on the Body-Mind-Spirit model to equip Chinese immigrant caregivers with self-care knowledge, skills, and self-efficacy. We designed the in-person training to be four 3-hour sessions and pilot tested it among 11 Chinese caregivers. The training was well-received by participants; however, the caregivers’ duties and their working status, compounded with transportation barriers, leave them little time to participate in the intervention. To address these challenges, we further employed a user participatory approach to design, prototype, and pilot-test a CSMP mobile application (app) to meet the needs of Chinese immigrant caregivers. App functions included interactive multi-media lessons and practice, scheduling of coaching sessions for problem solving, extended readings, community resources, etc. We co-designed the app with seven caregiver co-designers, alpha-tested the app prototype with 12 caregivers, and beta-tested the app in real-life settings with 20 caregivers. Four presentations in the symposium will discuss the CSMP in-person training design and evaluation, influence of Chinese culture on caregiving and impacts of CSMP, user-participatory approach used in co-design and alpha-testing of the app prototype, and preliminary results from the beta-testing to assess external user acceptance and feasibility of the CSMP app.
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Howell, Britteny M., Arianna Piech, and Cohen Wolfe. "Pilot of a Communication Program for Dementia Caregivers Using Improvisational Techniques." Gerontology and Geriatric Medicine 8 (January 2022): 233372142211237. http://dx.doi.org/10.1177/23337214221123733.
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Background/Objectives: This paper is a brief report on a novel pilot program called Improv to Improve for family dementia caregivers to build resilience, communication skills, and improve social caregiving situations in order to reduce caregiver burden and low mood. Methods: We conducted a 6-week improv training for family caregivers including pre- and post-program evaluation of caregiver mood utilizing the Beck Depression Inventory and the Zarit Burden Interview and care-recipient symptoms with the Neuropsychiatric Inventory Questionnaire. Results: Six family caregivers participated in the pilot project and reported small improvements ( d = 0.28) in caregiver’s mood and significant improvements in care-recipient’s symptom severity and distress ( d = 0.50). Participants all reported agreeing or strongly agreeing with program satisfaction questions and found the training to be useful. Conclusions: These findings have implications for broader implementation of improvisational techniques for educating family dementia caregivers.
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Pleasant, Michelle L., Victor Molinari, John V. Hobday, Sam Fazio, Nancy Cullen, and Kathryn Hyer. "An evaluation of the CARES® Dementia Basics Program among caregivers." International Psychogeriatrics 29, no. 1 (October 3, 2016): 45–56. http://dx.doi.org/10.1017/s1041610216001526.
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ABSTRACTBackground:In 2014, the state of Oregon established Oregon Care Partners to provide high quality, free training to all dementia caregivers. This study evaluated participants’ changes in knowledge, sense of competency in dementia caregiving, and ability to identify person-centered caregiving techniques after completing CARES® Dementia Basics online program, one of the educational resources available through this initiative.Methods:A convenience sample of informal and formal caregivers (N = 51) provided data at three points in time; pre-test, post-test, and a follow-up test after an additional 30-day period to determine sustained changes in knowledge, sense of competency, and person-centered care.Results:From pre-test to post-test, modest improvements were detected in sense of competence in performing dementia care (ps < 0.01) and dementia-based knowledge, F(2, 150) = 7.71, p < 0.001, a multivariate effect size of w2 = 0.09. Even though improvements in sense of competency were not universal, three out of five individual items demonstrated positive growth from pre-test to post-test as well as four out of the five items from pre-test to follow-up test. Importantly, gains observed in dementia-based knowledge from pre-test to post-test were largely maintained at the 30-day follow-up. No significant changes were found in the correct identification of person-centered techniques after the training F(5, 150) = 1.63, p = 0.19.Conclusions:Future research should investigate how best to maintain educational interventions within the caregiving environment and to assess subsequent skill change.
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Lersilp, Suchitporn, Supawadee Putthinoi, Theeratorn Lersilp, Kewalin Panyo, and Autchariya Punyakaew. "Training Program to Modify Manual Wheelchairs to Simplified Power Wheelchairs for Community Dwelling Elderly People and Caregivers." Occupational Therapy International 2022 (March 10, 2022): 1–12. http://dx.doi.org/10.1155/2022/5594598.
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Mobility aids, particularly power wheelchairs, are necessary for elderly individuals who have health problems and disabilities. However, there is a limitation in providing power wheelchairs for such people in the community. The objectives of this study were to develop a prototype for a simplified power wheelchair and develop and evaluate a training program that has the potential to encourage evaluation and modification of the wheelchair for the elderly and their caregivers in the community. Twenty-four participants consist of elderly people and caregivers who were interested in the training program that comprised two sessions: theory and fieldwork experience. Results showed that the elderly people and caregivers, who had no knowledge or experience of wheelchair modification, were able to learn and provide suggestions for wheelchair users in their community. Two themes emerged from evaluating the training program, which included “benefits from the training program” and “improvement of the training program in the future.” Key concepts were elicited and considered in six categories: sufficient knowledge and practical learning to build confidence, values of fieldwork experiences, team support, organizational support, expansion of various contexts, and system of continued connection and services after training.
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Currie, Matthew R., Catherine E. Wood, Benedict Williams, and Glen W. Bates. "Aggression Replacement Training (ART) in Australia: A Longitudinal Youth Justice Evaluation." Psychiatry, Psychology and Law 19, no. 4 (August 2012): 577–604. http://dx.doi.org/10.1080/13218719.2011.615807.
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Carroll, Peter R., Yihua Chen, Pechdau Vicheth, Patrick Webber, and Jane R. Hanrahan. "Evaluation of a vaccination training program for pharmacy graduands in Australia." Currents in Pharmacy Teaching and Learning 12, no. 7 (July 2020): 850–57. http://dx.doi.org/10.1016/j.cptl.2020.02.016.
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Shirai, Yumi, Kathleen Bishop, and Melissa Kushner. "National Dementia Capable Care Training: A Model Implementation and Evaluation." Intellectual and Developmental Disabilities 59, no. 5 (September 22, 2021): 422–35. http://dx.doi.org/10.1352/1934-9556-59.5.422.
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Abstract With a growing need for specialized training for direct caregivers and support staff of persons with intellectual and developmental disabilities (IDD) affected by dementia, the National Task Group on Developmental Disabilities and Dementia Practices (NTG) developed a comprehensive evidence-informed Dementia Capable Care Training (DCCT). To overcome the challenge of the training length and cost, and to extend its dissemination, the Sonoran Center developed a shorter version of the NTG-DCCT while retaining its core components, and implemented it in seven cities in the U. S. Southwest (N = 368). The pre- and post-training evaluation (n =260) demonstrated that the short version of the NTG-DCCT is effective in significantly improving participants' knowledge and/or confidence in dementia capable care. The follow-up semi-structured interviews of participants (n = 7) provide some insights.
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Hestyanti, Yohana Ratrin, Penny Handayani, Abriyanti Riyanti, Sylvidire Maharani, Nelson Zelig, Alyssa Abidin, Tjong Michaella, and Stephanie Anggun. "Application of Learned Optimism and Mindful Parenting for Caregivers of Putra Utama 03 Ceger Orphanage." Journal of Innovation and Community Engagement 1, no. 1 (March 10, 2021): 33–48. http://dx.doi.org/10.28932/jice.v1i1.3357.
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There used to be a gap between ideal and actual condition in the pattern of parenting at Panti Sosial Asuhan Anak (PSAA) Putra Utama 03 Ceger, an orphanage. The gap was caused by some factors namely the environment facilities, high levels of problematic behavior among adolescents, the system, insufficient number of caregivers, and cultural factors of parenting that have been going on for a long time in the orphanage. The gap could lead to learned helplessness of the caregivers in parenting pattern on children at the orphanage. A team was formed to create an intervention through community service activity to overcome the problem, by applying learned optimism and mindful parenting for the caregivers at the orphanage. This intervention program was aimed to increase the caregiver’s knowledge and motivation through training of learned optimism and mindful parenting. Therefore, the caregivers can be more optimistic and wholehearted in carrying out their role as caregivers. The approach used in this intervention is based on the Bioecological Model Theory from Bronfenbrenner, the Experiential Learning from Bandura, and the Change Theory by Lewin. The steps taken in this intervention program were a preliminary study using a problem tree, Fishbone Analysis, and SWOT analysis. After a preliminary study, the team prepared an intervention design consisting of preparation, training, monitoring, and evaluation of the intervention. The expected targets of this intervention program were an increasing knowledge in learned optimism training and caregivers’ motivation in applying the training materials. These indicators have been achieved well through the activities provided.
Keywords: learned helplessness; learned optimism; mindful parenting; orphanage
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Vidal, Marieberta, David Hui, Janet L. Williams, Gary B. Chisholm, Julio Allo, and Eduardo Bruera. "A prospective study: Hypodermoclysis performed by caregivers in the home setting." Journal of Clinical Oncology 32, no. 31_suppl (November 1, 2014): 128. http://dx.doi.org/10.1200/jco.2014.32.31_suppl.128.
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128 Background: Decreased oral intake is very common at the end of life. Dehydration can aggravate symptoms like fatigue, myoclonus, and confusion. Intravenous (iv) hydration at home can be uncomfortable and expensive. Hypodermoclysis (HDC) is a comfortable and inexpensive but rarely used way to provide hydration at the end of life in the home setting. The purpose of this study was to evaluate a program of HDC at home by the caregivers. Methods: All caregivers underwent a 45 minute training session on HDC administration and assessment of infusion site delivered by a specially trained nurse. Caregivers received daily calls and on site evaluation on day 8. Results: A total of 21 patient/caregivers dyads were admitted to this preliminary study: 10 (47%) female patients and 16 (76%) female caregivers. All patients had advanced cancer receiving hospice care at home. All caregivers who received training were able to start the infusion. Side effects were minimal with 1 (5%) care of the needle difficulty and leakage. Conclusions: This preliminary study suggests that subcutaneous hydration can be administered by caregivers at home with minimal burden. It can be easily done by just gravity or weight. It will avoid the use of expensive iv pump devices or need of special technical support. [Table: see text]
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Wei, Xiaolin, Simin Deng, Victoria Haldane, Claire Blacklock, Wei Zhang, Zhitong Zhang, John D. Walley, et al. "Understanding factors influencing antibiotic prescribing behaviour in rural China: a qualitative process evaluation of a cluster randomized controlled trial." Journal of Health Services Research & Policy 25, no. 2 (January 27, 2020): 94–103. http://dx.doi.org/10.1177/1355819619896588.
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Objectives We conducted a qualitative process evaluation embedded in a cluster randomized controlled trial in rural Guangxi China, which successfully reduced antibiotic use for children upper respiratory tract infections. This study aims to report on the factors that influenced behaviour change among providers and caregivers in the intervention arm, and to explore contextual considerations which may have influenced trial outcomes. Methods A total of 35 in-depth interviews were carried out with hospital directors, doctors, and caregivers of children. Participants were recruited from six purposively selected facilities, including two higher performing and two lower performing facilities per trial results. Interviews were conducted in Chinese and translated to English. We also observed guideline training sessions and prescription peer review meetings. Data were analysed using framework analysis. Results Intervention-arm doctors described that training sessions improved their knowledge, skills and confidence in appropriate prescribing. This was contrasted by control arm participants who did not receive training and reported less agency in reducing prescribing rates. Prescription peer review meetings were seen as an opportunity for further education, action planning and goal setting, particularly in high performing hospitals, where these meetings were led by senior doctors who were perceived to have relevant clinical experience. Caregiver participants reported that intervention educational materials were helpful but they identified information from doctors was more useful. Providers and caregivers also described contextual health system factors, including hospital competition, short consultation times, and antibiotic availability without prescription, which shaped care preferences. Conclusions This qualitative process evaluation identified a range of factors that may have influenced behaviour among providers and caregivers leading to observed changes in reducing inappropriate antibiotic prescribing in China. Future interventions to reduce antibiotic prescribing should consider system level and wider contextual factors to better understand behaviours and patient care preferences.
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Parent, Roger, and Stanley Varnhagen. "Qualitative evaluation of semiotic-based intercultural training." Sign Systems Studies 41, no. 1 (May 17, 2013): 116–39. http://dx.doi.org/10.12697/sss.2013.41.1.07.
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This second of a two-part series of articles on applied semiotics and intercultural training provides a qualitative evaluation of the research initiative Tools for Cultural Development. The discussion will firstly centre on several theoretical and methodological challenges inherent to the qualitative research paradigm and then relate these shifting concerns to convergent findings in poststructuralist (and postcolonial) semiotics, especially with respect to phenomenology and pragmatics. Analysis of four focus group interviews in France and Australia will examine and evaluate the 2007 training experience in light of the culture-specific contexts and stakeholder groups involved. Of particular concern will be the capacity of qualitative evaluative processes to account for the "local meanings" and "voices" within the trainee narratives so as to highlight their perceptions as to the use of semiotics for designing culturally significant practices in education and praxis.
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Messemaker, Anne, Arthur Schall, Julia Haberstroh, and Johannes Pantel. "MultiTANDEM." GeroPsych 30, no. 4 (December 2017): 165–75. http://dx.doi.org/10.1024/1662-9647/a000178.
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Abstract. The MultiTANDEM system trains management staff at outpatient nursing facilities to be TANDEM trainers (i.e., multiplicators for social-skills training) of professional and family caregivers for people with dementia. We used a pre-post-1-post-2 follow-up design to evaluate intervention and implementation success. Results showed a significant increase in the communication skills of caregivers and a significant reduction in family caregiver burden. Analyses of the implementation showed high acceptability among multiplicators and a high penetration of TANDEM trainings among their fellow staff members. An evaluation of the sustainability yielded heterogeneous results. Evaluation of impeding factors showed a reluctance among family caregivers to participate. Further studies with larger sample sizes and including all implementation outcomes are recommended.
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Kosari, Sam, Vera H. Buss, Gregory M. Peterson, Kwang Choon Yee, Mark Naunton, Mary Bushell, Leroy Chiu, and Jackson Thomas. "Evaluation of Pharmaceutical Compounding Training in the Australian Undergraduate Pharmacy Curricula." Pharmacy 8, no. 1 (February 26, 2020): 27. http://dx.doi.org/10.3390/pharmacy8010027.
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Introduction: In recent decades the role of the Australian community pharmacist has evolved to focus primarily on pharmaceutical care provision. Despite this, compounding remains an important product service offered by pharmacists. The aim of this study was to qualitatively describe the current integration of training in compounding within Bachelor of Pharmacy courses in Australia. Methods: The Australian Health Practitioner Regulatory Agency website was searched to identify eligible university courses. Subsequently, the educational providers’ homepages were consulted, and Bachelor of Pharmacy handbooks and curricula perused. All relevant information regarding training in compounding was extracted. Results: In total, 16 Bachelor of Pharmacy courses were identified. All of these contain compounding training in their curricula, including laboratory classes. Most curricula have units specifically dedicated to compounding and drug formulation. Three universities offer a curriculum which is organ-systems based, and include compounding relevant to the individual organ systems. Discussion and Conclusions: In Australia, the training in compounding is well integrated into pharmacy curriculum and is more emphasised than in many other developed countries. This is congruent with the International Pharmaceutical Federation’s needs-based approach to local pharmacy education. In Australia there is a need for pharmacists to routinely dispense simple compounded products. Further research is required to evaluate Australian pharmacy graduates’ compounding abilities and how best to promote the achievement of the required knowledge and skills to enable simple compounding.
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Northcote, Jeremy, and Peter J. Hancock. "Differences in Satifaction Ratigns of Carer-Respite Services between Carer Types: Results of a Western Australian Evaluation." Australian Journal of Primary Health 11, no. 3 (2005): 88. http://dx.doi.org/10.1071/py05047.
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Respite care offers caregivers a temporary relief from the duties of their caring role. This study examines whether caregivers' satisfaction ratings of the agencies that coordinate respite care services vary according to their relationship to the care-receiver. One hundred and seventy-seven clients of Australian Red Cross Carer Respite Centres in Western Australia were surveyed by telephone to determine their satisfaction levels with the information and referral services they received. Those caring for children - although expressing a generally high level of satisfaction - indicated significantly lower levels of satisfaction than other carer groups on two specific criteria: the initial provision of information and the ability of the centre to cater to all their needs. It is recommended that service providers, health practitioners and researchers alike pay close attention to different carer types in the design, implementation and evaluation of respite programs.
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Coombs, Tim, Tom Trauer, and Kathy Eagar. "Training in Routine Mental Health Outcome Assessment: an evaluation of the Victorian experience." Australian Health Review 25, no. 3 (2002): 74. http://dx.doi.org/10.1071/ah020074.
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This paper evaluates training in the use of measures of outcomes and casemix provided to four pilot agencies in Victoria, Australia. The training program is outlined along with key evaluation findings. The knowledge and skills of participants developed during training is described. Deficiencies in the training program are identified and opportunities for improvement outlined.
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Akhtar, Noshad, Syed Shahzad Hasan, and Zaheer-Ud-Din Babar. "Evaluation of general practice pharmacists’ role by key stakeholders in England and Australia." Journal of Pharmaceutical Health Services Research 13, no. 1 (March 1, 2022): 31–40. http://dx.doi.org/10.1093/jphsr/rmac002.
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Abstract Objectives This study aims to measure expectations and perceptions about the general practice pharmacists’ (GPPs) roles in England and Australia. Methods The study is based on the interviews conducted with key stakeholders from England and Australia, including general practitioners, nurses, GPPs, organizational lead and academics. There were a total of 14 participants, 7 each from England and Australia. The participants were involved in a semi-structured, audio-recorded interview, which was later transcribed verbatim, coded and underwent a thematic analysis to extract the general themes, raised by participants’ views and experiences about GPPs’ role. Key findings From the transcribed data, the main themes extracted were initial expectations and reservations by key stakeholders, barriers and facilitators, working collaboration, GPPs’ skillset, views on key performance indicators (KPIs), patients’ feedback and the stakeholders’ views on the future of GPPs in England and Australia. The participants from both England and Australia did acknowledge the growing role of GPPs. Few concerns were raised by some participants about aspects like role description, training pathways, prescribing protocols and funding. Despite these concerns, all participants strongly believed that by taking steps to overcome main barriers like funding in Australia and training pathways in England, GPPs could be an ideal professional to bridge the gaps in the general practice framework. Conclusions GPPs could be an ideal professional to bridge the gaps in the general practice framework, but steps need to be taken to overcome barriers. Based on the comparative data, recommendations were made on funding structure, role description, prescribing qualification, training pathways and KPIs. These recommendations can be used as guidance for both England and Australia while implementing relative policies in these countries.
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Mellor, David, Marita McCabe, Lina A. Ricciardelli, Susan Brumby, Alexandra Head, Catherine Mercer-Grant, and Alison Kennedy. "Evaluation of an alcohol intervention training program for nurses in rural Australia." Journal of Research in Nursing 18, no. 6 (November 21, 2012): 561–75. http://dx.doi.org/10.1177/1744987112465883.
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Mills, Shaylee, Lynne Emmerton, and Tin F. Sim. "Immunization training for pharmacy students: a student-centered evaluation." Pharmacy Practice 19, no. 3 (August 29, 2021): 2427. http://dx.doi.org/10.18549/pharmpract.2021.3.2427.
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Background: Persistent and emerging public health challenges mean Pharmacy students require training in immunization services. Curtin University, Australia, integrated blended-delivery immunization training into the final-year Bachelor of Pharmacy (Hons) and graduate-entry Master of Pharmacy curricula in 2019 and 2020, utilizing materials licenced from the Pharmaceutical Society of Australia.
Objective: This study evaluated changes in students’ attitude, confidence, self-perceived knowledge and self-perceived skills pre- and post-training delivered in 2020.
Methods: Pre- and post-training questionnaires featured 42 opinion statements grouped under headings ‘Attitudes’, ‘Confidence’, ‘Self-Perceived Knowledge’ and ‘Self-Perceived Skills’, and answered using five-point Likert scales (1 = strongly disagree to 5 = strongly agree). Completed pre- and post-training questionnaires were matched using respondent-generated codes. Data were subjected to descriptive and multivariate regression analysis to test pre-post changes and associations and changes in mean scores.
Results: 128 (95.5%) and 132 (98.5%) students completed the pre- and post-training questionnaires, respectively. Immunization training resulted in significant (p<0.05) improvement in students’ mean Confidence score (3.33 vs 3.96), Self-Perceived Knowledge score (3.08 vs 4.47) and Self-Perceived Skills score (2.81 vs 4.55). Improvement in students’ mean Attitude score was also statistically significant (4.45 vs 4.61), yet more positively skewed pre-training. No significant pre-post differences were found between the Bachelor and Master students. Post-training, all respondents agreed that the training program increased their attitude, confidence, perceived knowledge and perceived skills, rating the training experience as either Excellent (91.6%) or Good (8.4%).
Conclusions: Immunization training integrated into final-year BPharm (Hons) and MPharm curricula improved Attitudes, Confidence, Self-Perceived Knowledge and Self-Perceived Skills, all key to further role development in public health. This method is recommended to other Pharmacy schools to determine the impact and acceptability of immunization training programs amongst students.
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Kootker, Joyce A., Caroline M. van Heugten, Bart Kral, Sascha MC Rasquin, Alexander C. Geurts, and Luciano Fasotti. "Caregivers’ effects of augmented cognitive-behavioural therapy for post-stroke depressive symptoms in patients: secondary analyses to a randomized controlled trial." Clinical Rehabilitation 33, no. 6 (March 7, 2019): 1056–65. http://dx.doi.org/10.1177/0269215519833013.
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Objective: To investigate the concomitant effects of two patient-directed interventions for post-stroke depressive symptoms on caregivers’ well-being. Design: Secondary analyses of the results of a randomized controlled trial. Subjects: Fifty caregivers of stroke patients receiving outpatient rehabilitation. Interventions: Stroke patients and their caregivers were randomly allocated to either cognitive-behavioural therapy augmented with movement or occupational therapy ( n = 23) or computerized cognitive training ( n = 27) to alleviate depressive symptoms in patients. Main measures: Emotional burden (Involvement Evaluation Questionnaire), practical burden (Caregiver Strain Index), mental health (General Health Questionnaire) and emotional complaints (Hospital Anxiety and Depression Scale). Results: Caregivers of patients who received cognitive-behavioural therapy reported significantly higher mental health levels (mean difference (MD) = 1.78, 95% confidence interval (CI) = 0.43–3.13, P = 0.01) and less worrying about patients’ well-being (MD = 1.9, 95% CI = 0.56–3.24, P < 0.01). In addition, there were positive time effects on the Involvement Evaluation Questionnaire for Brain Injury, particularly the subscales Worrying, Supervision and Tension. Conclusion: The results suggest that augmented cognitive-behavioural therapy aimed at improving patients’ emotional, behavioural and social functioning positively affects some aspects of caregivers’ well-being.
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Muhammad Ayaz, Hajra Sarwar, Adnan Yaqoob, and Mumtaz Ali Khan. "Enhancing Knowledge of Family Caregivers and Quality of Life of Patients with Ischemic Stroke." Pakistan Journal Of Neurological Surgery 25, no. 4 (February 1, 2022): 558–68. http://dx.doi.org/10.36552/pjns.v25i4.625.
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Objectives: A Quasi-Experimental study was conducted to determine the impact of Attend-trial-based interventions on the knowledge of the caregivers and the quality of life of Ischemic stroke survivors.
Material and Methods: The study was conducted in the acute care hospital located in the rural area, Khyber Pukhtoonkha. A sample of 115 patients and informal caregivers participated in a multifaceted intervention including educational sessions, training and demonstration, and post-training discussion via WhatsApp. A pre-post evaluation of the quality of life, stroke knowledge, functioning, and activities of daily living was completed using validated tools. All information was collected using predesign pro forma and questionnaire.
Results: The interventions significantly improved all four outcomes in caregivers and patients. The mean score for the WHOQOL-BREF pre-intervention was 2.91 ± 1.10 which was increased to 4.18 ± 0.86. The pre-knowledge scores were 34.00 which increased to 39.95. There was a statistically significant change between pre and post knowledge scores [t (114) = -3.394, p = 0.001].
Conclusion: The study contributed towards the usefulness of multifaceted education intervention to enhance the rehabilitation efforts of patients and their caregivers in community settings.
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Glueckauf, Robert, Nik Lampe, Michelle Kazmer, Alexandra Nowakowski, Yuxia Wang, Naomi Thelusma, Dominique Williams, and Cordy McGill-Scarlett. "AFRICAN-AMERICAN ALZHEIMER’S CAREGIVER TRAINING AND SUPPORT PROJECT 2 PILOT STUDY: OUTCOMES ANALYSIS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 744–45. http://dx.doi.org/10.1093/geroni/igac059.2709.
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Abstract The purpose of this study was to conduct an initial evaluation of the quantitative and qualitative outcomes of the African-American Alzheimer’s Caregiver Training and Support Project 2 (ACTS2). Quantitative objectives focused on assessing changes in caregiver depression and health status, as well as the severity of caregiving and self-care problems from pre- to post-intervention. Secondary quantitative analyses examined post-treatment changes in social support and caregiver burden. Qualitative objectives included examining caregivers’ perceptions of the effectiveness of in-session training activities, quality of relationships among participants and their facilitator, and appraisals of spiritual elements of the program. Nine African American family caregivers of older adults with dementia completed the ACTS2 lay pastoral care facilitator-led, telephone cognitive-behavioral intervention. The twelve-week training program included 7 skills-building groups and 5 individual problem-solving sessions. Significant improvements were found on the majority of dependent measures, including caregiver depression, health status, problem severity, and social support. Qualitative analysis highlighted the value caregivers placed on relationships with their co-participants and group facilitators, the role of spirituality within the program, and the importance of goal setting in improving caregiver distress and self-care. Convergence was found between quantitative and qualitative findings, particularly improvements in the domains of caregiver distress, health status, and social support. Overall, the findings of the pilot study were promising. Replication using a randomized controlled design with a larger sample size is needed to test the reliability of the findings. Benefits of tailoring intervention to caregivers’ sociocultural preferences and spiritual values are also addressed.
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Degeneffe, Charles Edmund. "Families of veterans with traumatic brain injury in Australia and the United States: Implications for rehabilitation counselors." Australian Journal of Rehabilitation Counselling 27, no. 2 (December 2021): 137–47. http://dx.doi.org/10.1017/jrc.2021.5.
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AbstractStarting with World War I, Australia and the United States have been allies in military operations. Since then, both countries have been challenged by meeting the needs of military personnel incurring traumatic brain injury (TBI), especially during recent operations in Iraq and Afghanistan. TBI impacts all members of the veteran’s family. This paper articulates the shared responsibility both countries assume in meeting the support needs faced by families of military veterans with TBI and how TBI in the military is different than in the civilian population. The paper describes how both countries differently address the needs of family caregivers of veterans with TBI and outlines areas for rehabilitation counselor collaborations in research and training.
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Wan, Victor. "The Enterprise Workshop Programme in Australia." International Small Business Journal: Researching Entrepreneurship 7, no. 2 (January 1989): 23–34. http://dx.doi.org/10.1177/026624268900700202.
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D R. VICTOR WAN is with the Department of Accountancy and Legal Studies at the University of Wollongong, New South Wales, Australia. The Enterprise Workshop Programme was established in Australia in 1981 as an initiative of the Australian government. Its objective is to provide entrepreneurship training with the main emphasis being placed on the development of business planning skills. To date, the workshop programme has been established in every state in Australia. The workshop programme is currently being funded jointly by the government and private sector organisations. The purpose of this paper is to analyse the nature and effectiveness of the enterprise workshop programme. Data from a recent survey were analysed under the headings of (1) evaluation by past participants, (2) economic benefits of the programme, and (3) comments from sources other than past participants. Within the limitations discussed in the paper, the results of the survey and other sources of evidence are indicative of community support and favourable perceptions of the programme results by the various groups involved. It is concluded that the enterprise workshop programme has been effective in fulfilling its training objective, particularly in the training of business planning skills. However, its effectiveness could be enhanced if more emphasis in the training is placed on the development of personal qualities, rather than concentrating largely on the development of business planning skills. Overall, the workshop programme is seen as having an important demonstrative role to play in entrepreneurship training in Australia, especially in the light of the dearth of entrepreneurship training facilities in the country.
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Gerritsen, Debby L., Raymond T. C. M. Koopmans, Veerle Walravens, and Deliane van Vliet. "Using Video Feedback at Home in Dementia Care: A Feasibility Study." American Journal of Alzheimer's Disease & Other Dementiasr 34, no. 3 (October 23, 2018): 153–62. http://dx.doi.org/10.1177/1533317518808021.
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Video feedback at home (VFH) aims to improve the well-being of informal caregivers and persons with dementia by training the caregiver to communicate successfully. This feasibility study had 2 aims: (1) to investigate possible effects regarding VFH, caregiver self-efficacy and the burden experienced, and the frequency of challenging behavior in persons with dementia, and (2) to perform a process evaluation of barriers and facilitators regarding the use of VFH. The respondents were caregivers of home-dwelling persons with dementia participating in VHF (N = 10), a group of caregivers who declined participating in VFH (N = 18), stakeholders (N = 6), and field experts (N = 55). The assessments performed were Positive and Negative Affect Scales, Cohen-Mansfield Agitation Inventory, Sense of Competence Scale, semistructured interviews, and questionnaires. Results demonstrated that caregivers were satisfied with VFH and that various (sub)scores on questionnaires improved. Caregivers mentioned a reluctance toward being filmed and both caregivers and referrers were unfamiliar with VFH. Recommendations have been made for health-care professionals and researchers to overcome these barriers.
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Gregg, Gregg. "Initial Counseling With Parents of Preschoolers who Stutter: Enhancing Graduate Students’ Skills Using Simulated Caregivers." Perspectives on Fluency and Fluency Disorders 23, no. 1 (May 2013): 21–29. http://dx.doi.org/10.1044/ffd23.1.21.
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No other therapeutic approach to stuttering in general has achieved the consensus of support given to parental involvement in the clinical management of early childhood stuttering. In most cases, this involvement begins with and is based on information received during the initial evaluation. This extremely important initial step in the therapeutic process often can prove difficult for beginning clinicians, especially because of the current landscape of graduate clinical training opportunities. In this manuscript, I will provide a framework for the use of simulated caregivers in the process of enhancing the parent counseling skills during an initial evaluation of graduate students in communication sciences and disorders. Though the field of communication disorders has come late to the idea of using simulated patients, there is a rich and varied literature on this teaching tool in other healthcare fields (e.g., nursing, medicine, psychology). What follows is a review of: (a) the factors affecting graduate training in fluency, (b) the need for better training in parent counseling during the preliminary stages of working with preschool CWS, and (c) a possible framework for this incorporating this training in a tightly-controlled clinical opportunity.
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Ashcroft, K., and B. Insua-Summerhays. "Interim results of remotely provided, one-on-one, tailored psycho-education and skills training to caregivers of patients with mental health difficulties." European Psychiatry 33, S1 (March 2016): s281—s282. http://dx.doi.org/10.1016/j.eurpsy.2016.01.755.
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In the past several decades, considerable evidence has emerged on the efficacy of caregiver and family interventions in the treatment of severe and enduring mental health disorders, particularly schizophrenia. Studies have demonstrated benefits of these interventions with regard to both reduced rates of burden in caregivers, and a reduction in relapse and improvement in symptoms of the person with psychosis. However, many caregivers who may benefit from such interventions are unable to access them, due to limited resources and geographical factors. Additionally, concerns about stigma and time constraints may deter caregivers from accessing support. The following study is among the first to address these barriers using a remotely delivered, one-on-one caregiver intervention. Caregivers (n = 93) of patients with severe and enduring mental health difficulties took part in a tailored psychoeducation and skills training intervention, consisting of weekly 40 minute videoconference or telephone sessions with a trained clinician. Caregivers completed the Involvement Evaluation Questionnaire (IEQ) and General Health Questionnaire (GHQ-12) at baseline, and eight sessions (mid treatment). It was hypothesized that caregivers would show a reduction of distress and burden in response to the intervention. Interim comparison of pre- versus 8th session measures demonstrated a highly significant reduction in GHQ scores (P < 001), as well as a highly significant reduction in IEQ scores (P < 001). Results suggest that remotely provided, one-on-one, tailored psycho-education and skills training may be an effective and accessible intervention to improve the well-being of, and decrease burden in, caregivers of mental health patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Janca, Aleksandar, and Donelle Gillam. "Development and evaluation of an ICD-10 telepsychiatry training programme in Western Australia." Journal of Telemedicine and Telecare 8, no. 2 (April 2002): 120–22. http://dx.doi.org/10.1258/1357633021937497.
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Freshwater, Dawn. "Review: Evaluation of an alcohol intervention training program for nurses in rural Australia." Journal of Research in Nursing 18, no. 6 (November 21, 2012): 576–77. http://dx.doi.org/10.1177/1744987112466016.
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Bahn, Susanne, and Llandis Barratt-Pugh. "Evaluation of the mandatory construction induction training program in Western Australia: Unanticipated consequences." Evaluation and Program Planning 35, no. 3 (August 2012): 337–43. http://dx.doi.org/10.1016/j.evalprogplan.2011.11.006.
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Ross, Victoria, Neil Caton, Sharna Mathieu, Jorgen Gullestrup, and Kairi Kõlves. "Evaluation of a Suicide Prevention Program for the Energy Sector." International Journal of Environmental Research and Public Health 17, no. 17 (September 3, 2020): 6418. http://dx.doi.org/10.3390/ijerph17176418.
Full textAbstract:
There is evidence indicating that traditionally male-dominated occupations are associated with greater risk of suicide. In Australia, MATES in Construction was developed as an occupational health initiative to prevent suicides in the industry. The program has recently been applied to the energy industry; however, little is known regarding exposure to suicide and suicide prevention interventions in this sector. The study aimed to examine the effectiveness of MATES in Energy general awareness training (GAT), and estimate the prevalence of recent suicidal ideation and exposure to suicidal behaviors in workers. A before and after design was used to examine the effectiveness of GAT training. Data were collected from 4887 participants undertaking GAT training at energy sites across Queensland, Australia. In total, 2% (97) of participants reported recent suicidal thoughts, 65% of participants reported they had known someone who had attempted suicide, and 69% had known someone who died by suicide. Significant improvements were found on all suicide literacy items after GAT training. Younger people were more likely to be positively affected by the intervention. The results indicate that the MATES in Energy program is successfully transitioning from the construction industry, and offers the first empirically supported suicide intervention tailored to the energy sector.
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Hill, Anne, Railton Hill, and Susan Moore. "Product Evaluation in a Social Marketing and Community Development Context: A Case Study and Initial Report." Social Marketing Quarterly 15, no. 2 (May 22, 2009): 92–104. http://dx.doi.org/10.1080/15245000902957318.
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We provide an initial report and case study of product evaluation for social marketing undertaken specifically within a “community development” context. Starting Points is a highly differentiated not-for-profit development program targeting parents/caregivers of 0—4-year-olds. Parents/caregivers self select to participate in four highly interactive two-hour sessions, usually across a number of weeks, located within their own communities. The project was developed in Melbourne, Australia, and is being delivered in many communities across the nation. The service product evaluated is essentially the enhancement of parental confidence, achieved through parental/caregiver participation in the community-based programs which are initiated, marketed, and delivered by peer facilitators. The article locates such evaluation within the program evaluation and marketing audit literatures, describes the product evaluation component of the research design, and reports preliminary empirical results. These suggest that the Starting Points product is perceived both by participant parents and their partners as resulting in significant increases in parental confidence, sustained well past the immediate postparticipation period. These results provide one critical empirical element of a thorough service evaluation, itself a step toward a thorough-going social marketing auditing process.