Document Detail

Fidelity and acceptability of an adaptive intervention for caregivers: an exploratory study.
MedLine Citation:
PMID:  22943746     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: There has been growing interest in providing tailored or adaptive interventions to family caregivers as a way of addressing their heterogeneity of risk factors and other needs. A particular challenge in an adaptive study is to implement the individualized intervention protocol as planned (program fidelity). This study explores the fidelity of implementation of an adaptive intervention for family caregivers of persons with dementia and its acceptability to caregivers.
METHOD: Using a sample of 35 caregivers of person with dementia who participated in a program development study, we gathered information on acceptability and fidelity of the program from multiple sources, including caregiver and counselor reports and ratings of recordings of sessions.
RESULTS: Findings show that caregivers have high levels of acceptance of the intervention plan and high ratings of satisfaction with the program. Ratings of satisfaction and counselor competence were not associated with the amount of treatment provided. Ratings by counselors and independent raters found good fidelity for two of the three program domains.
DISCUSSION: The results demonstrate that trained counselors can follow a tailored intervention plan and that caregivers' experience of the program did not differ depending on how much intervention was provided. A next step is to determine how an adaptive protocol would affect caregiver outcomes.
Steven H Zarit; Jeong E Lee; Mary J Barrineau; Carol J Whitlatch; Elia E Femia
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-09-04
Journal Detail:
Title:  Aging & mental health     Volume:  17     ISSN:  1364-6915     ISO Abbreviation:  Aging Ment Health     Publication Date:  2013  
Date Detail:
Created Date:  2013-02-12     Completed Date:  2013-08-05     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  9705773     Medline TA:  Aging Ment Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  197-206     Citation Subset:  IM    
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MeSH Terms
Adaptation, Physiological*
Aged, 80 and over
Caregivers* / education,  psychology
Consumer Satisfaction
Counseling / methods*
Dementia / psychology*
Emotional Intelligence
Health Services Accessibility
Middle Aged
Patient Acceptance of Health Care
Program Development / methods
Social Adjustment
Social Support*
Treatment Outcome
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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