دورية أكاديمية
أعرض في EDS

Preimplementation Evaluation of a Self-Directed Care Program in a Veterans Health Administration Regional Network: Protocol for a Mixed Methods Study.

التفاصيل البيبلوغرافية
العنوان: Preimplementation Evaluation of a Self-Directed Care Program in a Veterans Health Administration Regional Network: Protocol for a Mixed Methods Study.
المؤلفون: Tyagi P; South Florida Veteran Affairs Foundation for Research & Education, Miami, FL, United States., Bouldin ED; Division of Epidemiology, Department of Internal Medicine, University of Utah Eccles School of Medicine, Salt Lake City, UT, United States., Hathaway WA; Providence Veterans Affairs Medical Center, Providence, RI, United States., D'Arcy D; Canandaigua VA Medical Center, Department of Veterans Affairs, Canandaigua, NY, United States., Nasr SZ; VISN 8 Network Office, Department of Veterans Affairs, St. Petersburg, FL, United States., Intrator O; Department of Public Health Sciences, University of Rochester, Rochester, NY, United States.; Geriatrics and Extended Care Data Analysis Center, Canandaigua VA Medical Center, Canandaigua, NY, United States., Dang S; Miami VA GRECC, Miami VA Healthcare System, Miami, FL, United States.
المصدر: JMIR research protocols [JMIR Res Protoc] 2024 Jun 14; Vol. 13, pp. e57341. Date of Electronic Publication: 2024 Jun 14.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101599504 Publication Model: Electronic Cited Medium: Internet ISSN: 1929-0748 (Electronic) Linking ISSN: 19290748 NLM ISO Abbreviation: JMIR Res Protoc Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Toronto : JMIR Publications
مواضيع طبية MeSH: United States Department of Veterans Affairs*/organization & administration, Humans ; United States ; Veterans ; Self Care/methods ; Program Evaluation ; Caregivers
مستخلص: Background: The Veteran-Directed Care (VDC) program serves to assist veterans at risk of long-term institutional care to remain at home by providing funding to hire veteran-selected caregivers. VDC is operated through partnerships between Department of Veterans Affairs (VA) Medical Centers (VAMCs) and third-party Aging and Disability Network Agency providers.
Objective: We aim to identify facilitators, barriers, and adaptations in VDC implementation across 7 VAMCs in 1 region: Veterans Integrated Service Network (VISN) 8, which covers Florida, South Georgia, Puerto Rico, and the US Virgin Islands. We also attempted to understand leadership and stakeholder perspectives on VDC programs' reach and implementation and identify veterans served by VISN 8's VDC programs and describe their home- and community-based service use. Finally, we want to compare veterans served by VDC programs in VISN 8 to the veterans served in VDC programs across the VA. This information is intended to be used to identify strategies and propose recommendations to guide VDC program expansion in VISN 8.
Methods: The mixed methods study design encompasses electronically delivered surveys, semistructured interviews, and administrative data. It is guided by the Consolidated Framework for Implementation Research (CFIR version 2.0). Participants included the staff of VAMCs and partnering aging and disability network agencies across VISN 8, leadership at these VAMCs and VISN 8, veterans enrolled in VDC, and veterans who declined VDC enrollment and their caregivers. We interviewed selected VAMC site leaders in social work, Geriatrics and Extended Care, and the Caregiver Support Program. Each interviewee will be asked to complete a preinterview survey that includes information about their personal characteristics, experiences with the VDC program, and perceptions of program aspects according to the CFIR (version 2.0) framework. Participants will complete a semistructured interview that covers constructs relevant to the respondent and facilitators, barriers, and adaptations in VDC implementation at their site.
Results: We will calculate descriptive statistics including means, SDs, and percentages for survey responses. Facilitators, barriers, number of patients enrolled, and staffing will also be presented. Interviews will be analyzed using rapid qualitative techniques guided by CFIR domains and constructs. Findings from VISN 8 will be collated to identify strategies for VDC expansion. We will use administrative data to describe veterans served by the programs in VISN 8.
Conclusions: The VA has prioritized VDC rollout nationwide and this study will inform these expansion efforts. The findings from this study will provide information about the experiences of the staff, leadership, veterans, and caregivers in the VDC program and identify program facilitators and barriers. These results may be used to improve program delivery, facilitate growth within VISN 8, and inform new program establishment at other sites nationwide as the VDC program expands.
International Registered Report Identifier (irrid): DERR1-10.2196/57341.
(©Pranjal Tyagi, Erin D Bouldin, Wendy A Hathaway, Derek D'Arcy, Samer Zacharia Nasr, Orna Intrator, Stuti Dang. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 14.06.2024.)
References: Implement Sci. 2009 Jul 14;4:38. (PMID: 19594942)
J Am Geriatr Soc. 2004 Aug;52(8):1271-6. (PMID: 15271113)
BMC Geriatr. 2018 May 4;18(1):106. (PMID: 29728064)
J Gerontol B Psychol Sci Soc Sci. 2022 Jun 1;77(6):1094-1104. (PMID: 34951643)
J Gerontol Soc Work. 2019 Feb-Mar;62(2):129-148. (PMID: 29621432)
Dement Geriatr Cogn Disord. 2005;20(4):245-53. (PMID: 16088141)
Med Care. 2021 Jun 1;59(Suppl 3):S242-S251. (PMID: 33976073)
J Gerontol Soc Work. 2019 Feb-Mar;62(2):195-215. (PMID: 29558342)
JRSM Short Rep. 2013 May 07;4(6):2042533313479197. (PMID: 23885291)
J Am Geriatr Soc. 2023 Dec;71(12):3814-3825. (PMID: 37698336)
J Aging Health. 2019 Sep;31(8):1398-1422. (PMID: 29900802)
Health Serv Res. 2018 Dec;53 Suppl 3:5181-5200. (PMID: 29896771)
Qual Health Res. 2020 Aug;30(10):1596-1604. (PMID: 32667277)
Res Aging. 2019 Mar;41(3):241-264. (PMID: 30636556)
Implement Sci. 2022 Oct 29;17(1):75. (PMID: 36309746)
BMC Health Serv Res. 2018 Nov 29;18(1):908. (PMID: 30497450)
Implement Sci. 2009 Aug 07;4:50. (PMID: 19664226)
Health Aff (Millwood). 2019 Jun;38(6):1037-1045. (PMID: 31158026)
Health Econ. 2015 Mar;24 Suppl 1:4-17. (PMID: 25760579)
J Gerontol B Psychol Sci Soc Sci. 2022 Sep 1;77(9):1674-1685. (PMID: 34637517)
Healthc (Amst). 2022 Dec;10(4):100653. (PMID: 36108526)
J Am Geriatr Soc. 2022 May;70(5):1418-1428. (PMID: 35026056)
J Rural Health. 2016 Sep;32(4):418-428. (PMID: 27509291)
فهرسة مساهمة: Keywords: United States; barrier; barriers; caregiver; caregivers; community-based; facilitator; facilitators; home-based; homecare; institutional care; long term care; long-term institutional care; mixed-methods; nursing home; pre-implementation; quantitative data; self-directed care; unmet; veteran; veteran directed care; veterans
تواريخ الأحداث: Date Created: 20240614 Date Completed: 20240614 Latest Revision: 20240701
رمز التحديث: 20240701
مُعرف محوري في PubMed: PMC11214023
DOI: 10.2196/57341
PMID: 38875003
قاعدة البيانات: MEDLINE
الوصف
تدمد:1929-0748
DOI:10.2196/57341