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Two-level multi-methodological evaluation of a new complex primary support programme for stroke care-givers in Germany

Bibliographic Data

ID11199529
AuthorsTheresia Krieger (0000-0002-7414-7318, Maastricht University, corresponding author), Frans Feron (0000-0002-9633-7921, Catholic University of Applied Sciences), Elisabeth Dorant (0000-0002-7376-4779, Catholic University of Applied Sciences)
Year2022
Volume42
Issue1
Pages1-31
Publication date2022-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAgeing and Society (JOURNAL)
Journal identifiersISSN: 0144-686X • E-ISSN: 1469-1779
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0144686x20000665
OpenAlexW3035703082
LanguageEN
Citations received1
References cited56

Family care-givers are the backbone of the long-term support system for care receivers at home. Care for stroke survivors after rehabilitation primarily rests on the shoulders of family members, often of older age themselves. We report the outcomes of a new complex support programme, the Care-givers’ Guide, on both individual and system levels. Psycho-social support and personalised information were the main ingredients of this intervention. A two-level multi-methodological approach was needed, with two concurrent interconnected studies. Family care-givers reflected on outcomes at an individual level in a quant-QUAL study with a pre–post quantitative questionnaire and a post-intervention qualitative semi-structured interview. Practitioners participated in a QUAL-QUAL study ex post interview, reflecting on the outcomes on the care-givers and on their own stroke care system. Individual family care-givers showed an increase in health literacy and level of psycho-social health. Qualitative analysis revealed improvement in knowledge, capability to act and individual empowerment; and stabilisation of sense of certainty, life balance and emotional wellbeing. Practitioners observed an optimisation of the stroke support system by improving professionals’ daily routine, augmenting the institutional support offer, securing the quality of patient care and increasing inter-institutional co-operation attempts. Positive outcomes of the support programme were observed on both evaluation levels: family care-givers showed improved health literacy and psycho-social health, whereas the professionals noticed an optimisation of the support system

Empowerment · Family support · Health care · Intervention (counseling) · Physical therapy · Qualitative research · Social support · Clinical practice guidelines implementation · Dementia and Cognitive Impairment Research · Medicine · Nursing · Patient Satisfaction in Healthcare · Psychology · Rehabilitation · Social Psychology

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    Klaus Krippendorff•Content analysis•1980

  • Qualitative Content Analysis in Practice

    Margrit Schreier•Qualitative Content Analysis in…•2012

  • Qualitative evaluation and research methods

    Open Access•David Ellis•International Journal of…•1990

  • Caregiver Burden

    Ronald D Adelman, Lyubov L Tmanova et al.•JAMA•2014

  • Designing and evaluating complex interventions to improve health care

    Open Access•Neil Campbell, Neil C Campbell et al.•BMJ•2007

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  • Achieving Research Impact Through Co‐creation in Community‐Based Health Services

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  • Designing A Mixed Methods Study In Primary Care

    Open Access•John W Creswell•The Annals of Family Medicine•2004

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  • Consolidated criteria for reporting qualitative research (Coreq)

    A Jaure, A Tong et al.•International Journal for Quality…•2007

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  • Support for family caregivers

    Open Access•Guat Tin Ng•Health & Social Care in the…•2009

  • Health literacy of caregivers of adult care recipients

    Open Access•Eva Yn Yuen, Eva Y N Yuen et al.•Health & Social Care in the…•2016

  • Challenges to evaluating complex interventions

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  • Critical Analysis of Strategies for Determining Rigor in Qualitative Inquiry

    Open Access•Janice M Morse•Qualitative Health Research•2015

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    Open Access•Janice M Morse, Julianne Cheek•Qualitative Health Research•2014

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    Open Access•Hsiu-Fang Hsieh, Sarah E Shannon•Qualitative Health Research•2005

  • Using Mixed-Methods Sequential Explanatory Design

    Open Access•Nataliya V Ivankova, John W Creswell et al.•CAM•2006

  • Ethics, Reflexivity, and "Ethically Important Moments" in Research

    Open Access•Marilys Guillemin, Lynn Gillam•Qualitative Inquiry•2004

Unique citing works1
Citations per year0.5
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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