Evidence map›Paper›PMID 31497935›Full record

ArticleJournal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing2020

Adaptation and Implementation of a Family Caregiver Skills Training Program: From Single Site RCT to Multisite Pragmatic Intervention.

Megan Shepherd-Banigan, Brystana G Kaufman, Kasey Decosimo, Joshua Dadolf, Nathan A Boucher, Elizabeth P Mahanna, Rebecca Bruening, Caitlin Sullivan, Virginia Wang, S Nicole Hastings and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 30 citations in OpenAlex.

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  15. Caring for Caregivers During COVID-19.Journal of the American Geriatrics Society · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Megan Shepherd-BaniganResearch Health Scientist, Durham VA Health Care System, and Assistant Professor, Department of Population Health Sciences, Duke University, Durham, NC, USA.ORCID 0000-0002-4020-8936
Brystana G KaufmanPostdoctoral Research Fellow, Margolis Center for Health Policy, Duke University, Durham, NC, USA.
Kasey DecosimoResearch Health Scientist Specialist, Durham VA Health Care System, Durham, NC, USA.
Joshua DadolfClinical Social Worker/Intervention Specialist, Durham VA Health Care System, Durham, NC, USA.
Nathan A BoucherResearch Health Scientist, Durham VA Health Care System, and Assistant Research Professor, Sanford School of Public Policy, Duke University, Durham, NC, USA.
Elizabeth P MahannaResearch Health Scientist Specialist, Durham VA Health Care System, Durham, NC, USA.
Rebecca BrueningResearch Health Scientist Specialist, Durham VA Health Care System, Durham, NC, USA.
Caitlin SullivanResearch Health Scientist Specialist, Durham VA Health Care System, Durham, NC, USA.
Virginia WangResearch Health Scientist, Durham VA Health Care System, and Associate Professor, Department of Population Health Sciences, Duke University, and Associate Professor, Division of General Internal Medicine, Department of Medicine, Duke University, Durham, NC, USA.
S Nicole HastingsResearch Health Scientist, Durham VA Health Care System, and Associate Professor, Division of Geriatrics, Department of Medicine, Duke University, and Associate Professor, Department of Population Health Sciences, Duke University, and Senior Fellow, Center for the Study of Aging, Duke University School of Medicine, Durham, NC, USA.
Kelli D AllenResearch Health Scientist, Durham VA Health Care System, Durham, NC, and Professor, Division of Rheumatology, Allergy, and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Nina SperberResearch Health Scientist, Durham VA Health Care System, and Assistant Professor, Department of Population Health Sciences, Duke University, Durham, NC, USA.
Cynthia J CoffmanResearch Health Scientist, Durham VA Health Care System, and Associate Professor, Department of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA.
Courtney H Van HoutvenCore Faculty, Margolis Center for Health Policy, Duke University, Durham, NC, USA.
Duke University · USDurham VA Health Care System · USUniversity of North Carolina at Chapel Hill · US

Funding

Optimizing Function and Independence QUERIIP1HX002258 · VA · DURHAM VA MEDICAL CENTER · PI ALLEN, KELLI D., HASTINGS, SUSAN NICOLE · 2020 to 2021
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HSRD VA I50 HX003200HSRD VA IP1 HX002258HSRD VA QUE 16-170
6 · The paper itself

Abstract

purposeWe describe an approach to rapidly adapt and implement an education and skills improvement intervention to address the needs of family caregivers of functionally impaired veterans-Helping Invested Families Improve Veterans' Experience Study (HI-FIVES).

designPrior to implementation in eight sites, a multidisciplinary study team made systematic adaptations to the curriculum content and delivery process using input from the original randomized controlled trial (RCT); a stakeholder advisory board comprised of national experts in caregiver education, nursing, and implementation; and a veteran/caregiver engagement panel. To address site-specific implementation barriers in diverse settings, we applied the Replicating Effective Programs implementation framework.

findingsAdaptations to HI-FIVES content and delivery included identifying core/noncore curriculum components, reducing instruction time, and simplifying caregiver recruitment for clinical settings. To enhance curriculum flexibility and potential uptake, site personnel were able to choose which staff would deliver the intervention and whether to offer class sessions in person or remotely. Curriculum materials were standardized and packaged to reduce the time required for implementation and to promote fidelity to the intervention.

conclusionsThe emphasis on flexible intervention delivery and standardized materials has been identified as strengths of the adaptation process. Two key challenges have been identifying feasible impact measures and reaching eligible caregivers for intervention recruitment. CLINICAL RELEVANCE: This systematic implementation process can be used to rapidly adapt an intervention to diverse clinical sites and contexts. Nursing professionals play a significant role in educating and supporting caregivers and care recipients and can take a leading role to implement interventions that address skills and unmet needs for caregivers.

Indexed as

CaregiversMulticenter Studies as TopicPragmatic Clinical Trials as TopicFamily HealthHome NursingHumansInterdisciplinary ResearchProgram DevelopmentResearch DesignUnited StatesVeteransDepartment of Veterans Affairseducation interventionfamily caregiverimplementation and disseminationveterans

Identifiers

PMID31497935
PMCPMC8457510
OpenAlexW2972546632

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.