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Replicating an effective VA program to train and support family caregivers: a hybrid type III effectiveness-implementation design.
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- Author(s): Boucher NA;Boucher NA;Boucher NA;Boucher NA;Boucher NA;Boucher NA; Zullig LL; Zullig LL; Zullig LL; Shepherd-Banigan M; Shepherd-Banigan M; Shepherd-Banigan M; Decosimo KP; Decosimo KP; Dadolf J; Dadolf J; Choate A; Choate A; Mahanna EP; Mahanna EP; Sperber NR; Sperber NR; Sperber NR; Wang V; Wang V; Wang V; Wang V; Allen KA; Allen KA; Allen KA; Hastings SN; Hastings SN; Hastings SN; Hastings SN; Hastings SN; Van Houtven CH; Van Houtven CH; Van Houtven CH; Van Houtven CH
- Source:
BMC health services research [BMC Health Serv Res] 2021 May 06; Vol. 21 (1), pp. 430. Date of Electronic Publication: 2021 May 06.- Publication Type:
Clinical Study; Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
- Publication Information: Original Publication: London : BioMed Central, [2001-
- Subject Terms:
- Abstract: Background: Caring for a growing aging population using existing long-term care resources while simultaneously supporting and educating family caregivers, is a public health challenge. We describe the application of the Replicating Effective Programs (REP) framework, developed by the Centers for Disease Control Prevention and used in public health program implementation, to scale up an evidence-based family caregiver training intervention in the Veterans Affairs (VA) healthcare system.
Methods: From 2018 to 2020, clinicians at eight VA medical centers received REP-guided implementation including facilitation, technical assistance, and implementation tools to deliver the training program. The project team used the REP framework to develop activities across four distinct phases - (1) pre-conditions, (2) pre-implementation, (3) implementation, and (4) maintenance and evolution - and systematically tracked implementation facilitators, barriers, and adaptations.
Results: Within the REP framework, results describe how each medical center adapted implementation approaches to fit local needs. We highlight examples of how sites balanced adaptations and intervention fidelity.
Conclusions: The REP framework shows promise for national expansion of the caregiver training intervention, including to non-VA systems of care, because it allows sites to adapt while maintaining intervention fidelity.
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- Contributed Indexing: Keywords: Aging; Caregiving; Health services research; Implementation research; Long term care
- Molecular Sequence: ClinicalTrials.gov NCT03474380
- Publication Date: Date Created: 20210506 Date Completed: 20210514 Latest Revision: 20240402
- Publication Date: 20240402
- Accession Number: PMC8099701
- Accession Number: 10.1186/s12913-021-06448-7
- Accession Number: 33952263
- Source:
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