دورية أكاديمية

The Care Ecosystem: Promoting self-efficacy among dementia family caregivers

التفاصيل البيبلوغرافية
العنوان: The Care Ecosystem: Promoting self-efficacy among dementia family caregivers
المؤلفون: Merrilees, Jennifer J, Bernstein, Alissa, Dulaney, Sarah, Heunis, Julia, Walker, Reilly, Rah, Esther, Choi, Jeff, Gawlas, Katherine, Carroll, Savannah, Ong, Paulina, Feuer, Julie, Braley, Tamara, Clark, Amy M, Lee, Kirby, Chiong, Winston, Bonasera, Stephen J, Miller, Bruce L, Possin, Katherine L
المساهمون: U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services
المصدر: Dementia ; volume 19, issue 6, page 1955-1973 ; ISSN 1471-3012 1741-2684
بيانات النشر: SAGE Publications
سنة النشر: 2018
الوصف: Objectives To illustrate specific psychosocial interventions aimed at improving self-efficacy among family caregivers enrolled in the Care Ecosystem, a model of navigated care designed to support persons with dementia and their primary caregivers. Enrolled family caregivers work with unlicensed care team navigators who are trained in dementia care and provide information, linkages to community resources, and emotional support by phone and email. Method We conducted focus groups and interviews with the care team navigators to identify the approaches they used to target caregiver self-efficacy. We assessed mean self-efficacy scores in a sample of 780 family caregivers and selected three exemplary cases in which the caregivers had low self-efficacy scores at baseline with significantly higher scores after six months of participation in the Care Ecosystem intervention. Results Multiple psychosocial strategies were utilized by care team navigators working with patients with dementia and their family caregivers. Using thematic coding we identified three categories of Care Team Navigator intervention: emotional, informational, and instrumental support. These are consistent with a psychosocial approach to building self-efficacy. Discussion Self-efficacy represents a family caregiver’s knowledge and preparedness in managing the challenges of care. Psychosocial support shows benefit in improving caregiver self-efficacy that in turn, may positively influence caregiver health and well-being. The findings in this manuscript demonstrate how a model of navigated care can positively impact self-efficacy among dementia family caregivers.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1177/1471301218814121
الإتاحة: https://doi.org/10.1177/1471301218814121Test
حقوق: http://journals.sagepub.com/page/policies/text-and-data-mining-licenseTest
رقم الانضمام: edsbas.392DCFD
قاعدة البيانات: BASE