Qualitative Evaluation of a Stress Management Intervention for Elderly Caregivers at Home: A Constructivist Approach

Qualitative Evaluation of a Stress Management Intervention for Elderly Caregivers at Home: A Constructivist Approach

Qualitative Evaluation of a Stress Management Intervention for Elderly Caregivers at Home: A Constructivist Approach

Qualitative Evaluation of a Stress Management Intervention for Elderly Caregivers at Home: A Constructivist Approachs

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Référence bibliographique [5373]

Ducharme, Francine et Trudeau, Denise. 2002. «Qualitative Evaluation of a Stress Management Intervention for Elderly Caregivers at Home: A Constructivist Approach ». Issues in Mental Health Nursing, vol. 23, no 7, p. 691-713.

Fiche synthèse

1. Objectifs


Intentions :
« The goal of this project was to evaluate qualitatively, within the context of the shift to ambulatory care, an individual home stress management intervention for family caregivers of ederly persons, based on Lazarus and Folkman’s (1984) stress-coping model. » (p. 693)
Questions/Hypothèses :
« 1) Feasibility and acceptability of the content of such an intervention for family cargivers
2) relevance of the intervention model in terms of process and structure
3) Benefits to the principal stakeholders, family, nurses and researchers. » (p. 694)

2. Méthode



Échantillon/Matériau :
Quatre femmes de plus de 55 ans, ayant sous leur responsabilité (à la maison) un époux ou un parent de plus de 65 ans

Instruments :
Un total de 11 visites (audio-enregistrées) sont faites au domicile de l’aidante, afin d’expliquer, d’implanter et d’évaluer le programme.
Type de traitement des données :
Analyse de contenu

3. Résumé


« The purpose of this project was to evaluate, using a constructivist qualitative design, an individual stress management intervention based on a stress-coping model and intended for family caregivers of elderly persons within the context of the shift to ambulatory care. This nursing intervention comprised 7 weekly encounters with caregivers following their elderly family member’s discharge from hospital and a follow-up visit one month after. The aim of the qualitative evaluation was to document the feasibility and acceptability of the content of the intervention, its relevance in terms of process and structure, and the benefits to principal stakeholders. This action research project was a case study of four participants. The assessment instruments included an intervention analysis grid, a diary, and a semistructured interview guide with the participants. Data analysis drew on Guba and Lincoln’s (1989) method which made it possible to refine the intervention. Results underscored that certain implementation conditions must be met to ensure the intervention’s acceptability and feasibility. Above all, it must remain flexible and the nurse must possess the requisite clinical skills and theoretical knowledge. It is important also to screen judiciously for caregivers likely to benefit from the intervention. The pertinence of using a circular intervention model rather than a linear approach to stress management was highlighted as well. »(p. 691)