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Stakeholder Meeting: Integrated Knowledge Translation Approach to Address the Caregiver Support Gap

Published online by Cambridge University Press:  05 January 2017

Jayna M. Holroyd-Leduc*
Affiliation:
Departments of Medicine and Community Health Sciences and Hotchkiss Brain Institute and O’Brien Institute for Public Health, University of Calgary, and Alberta Health Services Seniors Health Strategic Clinical Network
Jacqueline McMillan
Affiliation:
Department of Medicine, University of Calgary
Nathalie Jette
Affiliation:
Departments of Clinical Neurosciences and Community Health Sciences and Hotchkiss Brain Institute and O’Brien Institute for Public Health, University of Calgary
Suzette C. Brémault-Phillips
Affiliation:
Department of Occupational Therapy, University of Alberta
Wendy Duggleby
Affiliation:
Faculty of Nursing, University of Alberta
Heather M. Hanson
Affiliation:
Alberta Health Services Seniors Health Strategic Clinical Network
Jasneet Parmar
Affiliation:
Department of Family Medicine, University of Alberta, and Covenant Health Network of Excellence in Seniors’ Health and Wellness
*
La correspondance et les demandes de tirés-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Dr. Jayna Holroyd-Leduc Foothills Medical Center, South Tower Room 1104, 1403-29th St NW Calgary, AB T2N 2T9 ([email protected])

Abstract

Family caregivers are an integral and increasingly overburdened part of the health care system. There is a gap between what research evidence shows is beneficial to caregivers and what is actually provided. Using an integrated knowledge translation approach, a stakeholder meeting was held among researchers, family caregivers, caregiver associations, clinicians, health care administrators, and policy makers. The objectives of the meeting were to review current research evidence and conduct multi-stakeholder dialogue on the potential gaps, facilitators, and barriers to the provision of caregiver supports. A two-day meeting was attended by 123 individuals. Three target populations of family caregivers were identified for discussion: caregivers of seniors with dementia, caregivers in end-of-life care, and caregivers of frail seniors with complex health needs. The results of this meeting can and are being used to inform the development of implementation research endeavours and policies targeted at providing evidence-informed caregiver supports.

Résumé

Les aidants familiaux sont une partie intégrante et de plus en plus débordée du système de soins de santé. Il y a un écart entre ce que les données de recherche démontrent être bénéfique pour les soignants et ce qui est réellement fourni. À l’aide d’une approche basée sur l’application intégrée des connaissances (AC), une réunion des intervenants a inclus des chercheurs, des aidants familiaux, des associations de soignants, des cliniciens, des administrateurs de soins de santé et des décideurs. Les objectifs de la réunion étaient d’examiner les données issues des recherches en cours et de tenir un dialogue entre les intervenants multiples sur les lacunes, les facilitateurs et les obstacles à la fourniture d’un soutien aux aidants naturels. Cent vingt-trois individus ont participé à cette réunion. Trois populations cibles des aidants familiaux ont été identifiées pour discussion: soignants d’aînés atteints de démence, soignants en fin de vie et soignants d’aînés ayant des besoins de santé complexes. Les résultats de cette réunion sont et seront utilisés pour éclairer le développement des efforts visant à mettre en œuvre à la fois des recherches et des politiques afin de fournir un soutien aux aidants familiaux en se basant sur les preuves.

Type
Policy and Practice Note / Note de politique et practique
Copyright
Copyright © Canadian Association on Gerontology 2017 

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Footnotes

* Funding and Ethics: This project was funded by a Canadian Institutes of Health Research (CIHR) planning grant and by contributions from the Alberta Health Services Seniors Health Strategic Clinical Network, Covenant Health, the Alberta Caregiver Association, and the Alzheimer’s Society of Alberta and Northwest Territories. N. Jette is the holder of a Canada Research Chair Tier 2 in Neurological Health Services Research. Ethics approval was obtained from the University of Alberta Research Ethics Board.

References

Bass, D. M., McClendon, M. J., Brennan, P. F., & McCarthy, C. (1998). The buffering effect of a computer support network on caregiver strain. Journal of Aging and Health, 10(1), 2043.CrossRefGoogle ScholarPubMed
Bauer, M., Fitzgerald, L., Haesler, E., & Manfrin, M. (2009). Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence. Journal of Clinical Nursing, 18, 25392546.Google Scholar
Baumgarten, M., Lebel, P., Laprise, H., Leclerc, C., & Quinn, C. (2002). Adult day care for the frail elderly: Outcomes, satisfaction and cost. Journal of Aging and Health, 14(2), 237259.Google Scholar
Beauchamp, N., Irvine, A. B., Seeley, J., & Johnson, B. (2005). Worksite-based internet multimedia program for family caregivers of persons with dementia. The Gerontologist, 45(6), 793801.Google Scholar
Bee, P., Barnes, P., & Luker, K. A. (2008). A systematic review of informal caregivers’ needs in providing home-based end-of-life care to people with cancer. Journal of Clinical Nursing, 18, 13791393.Google Scholar
Brémault-Phillips, S., Parmar, J., Johnson, M., Tian, V., Mann, A., Huhn, A., & Sacrey, LA. (2016). The voices of family caregivers of seniors with chronic conditions: A window into their experience. SpringerPlus, 5(1), 111.Google Scholar
Candy, B., Jones, L., Drake, R., Leurent, B., & King, M. (2011). Interventions for supporting informal caregivers of patients in the terminal phase of a disease. Cochrane Database of Systematic Reviews, I6, CD007617.Google Scholar
Casper, G., Calvitti, A., Brennan, P. F., & Overholt, J. L. (1995). ComputerLink: The impact of a computer network on Alzheimer’s caregivers’ decision-making confidence and skill. Medinfo, 8, 1546.Google Scholar
Eisdorfer, C., Lowenstein, D. A., Rubert, M. P., Arguelles, S., Mitrani, V. B., & Szapocznik, J. (2003). The effect of a family therapy and technology-based intervention on caregiver depression. The Gerontologist, 43(4), 521531.CrossRefGoogle ScholarPubMed
Graham, I. D., Logan, J., Harrison, M. B., Straus, S. E., Tetroe, J., Caswell, W., & Robinson, N. (2006). Lost in knowledge translation: Time for a map? Journal of Continuing Education in the Health Professions, 26(1), 1324.Google Scholar
Godwin, K., Mills, W. L., Anderson, J. A., & Kunik, M. E. (2013). Technology-driven interventions for caregivers of persons with dementia: A systematic review. American Journal of Alzheimer’s Disease and Other Dementias, 28(3), 216222.Google Scholar
Harding, R., List, S., Epiphaniou, E., & Jones, H. (2012). How can informal caregivers in cancer and palliative care be supported? An updated systematic literature review of interventions and their effectiveness. Palliative Medicine, 26(7), 722.Google Scholar
Lopez-Hartmann, M., Wens, J., Verhoeven, V., & Remmen, R. (2012). The effect of caregiver support interventions for informal caregivers of community-dwelling frail elderly: A systematic review. International Journal of Integrated Care, 12, e133.Google Scholar
Mahoney, D., Tarlow, B. J., & Jones, R. N. (2003). Effects of an automated telephone support system on caregiver burden and anxiety: Findings from the REACH for TLC intervention study. The Gerontologist, 43(4), 556567.Google Scholar
Marziali, E., & Donahue, P. (2006). Caring for others: Internet video conferencing group intervention for family caregivers of older adults with neurodegenerative disease. The Gerontologist, 46(3), 398403.CrossRefGoogle ScholarPubMed
Mason, A., Weatherly, H., Spilsbury, K., Golder, S., Arksey, H., Adamson, J., & Drummond, M. (2007). The effectiveness and cost-effectiveness of respite for caregivers of frail older people. Journal of the American Geriatrics Society, 55(2), 290299.Google Scholar
McMillan, S. C., Small, B. J., Weitzner, M., Schonwetter, R., Tittle, M., Moody, L., & Haley, W. E. (2006). Impact of coping skills intervention with family caregivers of hospice patients with cancer. Cancer, 106(1), 214222.Google Scholar
Melis, R. J., van Eijken, M. I., van Achterberg, T., Teerenstra, S., Vernooij-Dassen, M. J., van de Lisdonk, E. H., & Rikkert, M. G. O. (2009). The effect on caregiver burden of a problem-based home visiting programme for frail older people. Age and Ageing, 38(5), 542547.CrossRefGoogle ScholarPubMed
Powell, J., Chiu, T., & Eysenbach, G. (2008). A systematic review of networked technologies supporting carers of people with dementia. Journal of Telemedicine and Telecare, 14(3), 154156.Google Scholar
Smith, T., & Toseland, R. W. (2006). The effectiveness of a telephone support program for caregivers of frail older adults. The Gerontologist, 46(5), 620629.Google Scholar
Stajduhar, K., Funk, I., Toye, C., Grande, G., Aoun, S., & Todd, C. (2010). Part 1: Home-based family caregiving at the end of life: A comprehensive review of published quantitative research (1998–2008). Palliative Medicine, 24, 573–93.Google Scholar
Toseland, R., McCallion, P., Smith, T., & Banks, S. (2004). Supporting caregivers of frail older adults in an HMO setting. American Journal of Orthopsychiatry, 74(3), 349364.Google Scholar
World Health Organization (WHO) and Alzheimer’s Disease International. (2012). Dementia: A public health priority. Geneva, Switzerland: WHO.Google Scholar
Yin, T., Zhou, Q., & Bashford, C. (2002). Burden on family members: Caring for frail elderly: A meta-analysis of interventions. Nursing Research, 51(3), 199208.Google Scholar
You, E C., Dunt, D., Doyle, C., & Hsueh, A. (2012). Effects of case management in community aged care on client and carer outcomes: A systematic review of randomized trials and comparative observational studies. BMC Health Services Research, 12, 395.Google Scholar