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Replicating an effective VA program to train and support family caregivers: a hybrid type III effectiveness-implementation design

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 Dis...

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Autores principales: Boucher, N. A., Zullig, L. L., Shepherd-Banigan, M., Decosimo, K. P., Dadolf, J., Choate, A., Mahanna, E. P., Sperber, N. R., Wang, V., Allen, K. A., Hastings, S. N., Van Houtven, C. H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099701/
https://www.ncbi.nlm.nih.gov/pubmed/33952263
http://dx.doi.org/10.1186/s12913-021-06448-7
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author Boucher, N. A.
Zullig, L. L.
Shepherd-Banigan, M.
Decosimo, K. P.
Dadolf, J.
Choate, A.
Mahanna, E. P.
Sperber, N. R.
Wang, V.
Allen, K. A.
Hastings, S. N.
Van Houtven, C. H.
author_facet Boucher, N. A.
Zullig, L. L.
Shepherd-Banigan, M.
Decosimo, K. P.
Dadolf, J.
Choate, A.
Mahanna, E. P.
Sperber, N. R.
Wang, V.
Allen, K. A.
Hastings, S. N.
Van Houtven, C. H.
author_sort Boucher, N. A.
collection PubMed
description 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. TRIAL REGISTRATION: NCT03474380. Date registered: March 22, 2018.
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spelling pubmed-80997012021-05-06 Replicating an effective VA program to train and support family caregivers: a hybrid type III effectiveness-implementation design Boucher, N. A. Zullig, L. L. Shepherd-Banigan, M. Decosimo, K. P. Dadolf, J. Choate, A. Mahanna, E. P. Sperber, N. R. Wang, V. Allen, K. A. Hastings, S. N. Van Houtven, C. H. BMC Health Serv Res Research Article 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. TRIAL REGISTRATION: NCT03474380. Date registered: March 22, 2018. BioMed Central 2021-05-06 /pmc/articles/PMC8099701/ /pubmed/33952263 http://dx.doi.org/10.1186/s12913-021-06448-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Boucher, N. A.
Zullig, L. L.
Shepherd-Banigan, M.
Decosimo, K. P.
Dadolf, J.
Choate, A.
Mahanna, E. P.
Sperber, N. R.
Wang, V.
Allen, K. A.
Hastings, S. N.
Van Houtven, C. H.
Replicating an effective VA program to train and support family caregivers: a hybrid type III effectiveness-implementation design
title Replicating an effective VA program to train and support family caregivers: a hybrid type III effectiveness-implementation design
title_full Replicating an effective VA program to train and support family caregivers: a hybrid type III effectiveness-implementation design
title_fullStr Replicating an effective VA program to train and support family caregivers: a hybrid type III effectiveness-implementation design
title_full_unstemmed Replicating an effective VA program to train and support family caregivers: a hybrid type III effectiveness-implementation design
title_short Replicating an effective VA program to train and support family caregivers: a hybrid type III effectiveness-implementation design
title_sort replicating an effective va program to train and support family caregivers: a hybrid type iii effectiveness-implementation design
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099701/
https://www.ncbi.nlm.nih.gov/pubmed/33952263
http://dx.doi.org/10.1186/s12913-021-06448-7
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