Mandated caregiver training in the Veterans Health Administration: Caregiver inquiry informs national dissemination.

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Sperber, Nina R

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Boucher, Nathan

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Hughes, Jaime M

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Bruening, Rebecca

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Zullig, Leah L

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Decosimo, Kasey

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Tucker, Matthew

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Christensen, Leah A

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Allen, Kelli D

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Hastings, Susan N

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Van Houtven, Courtney H

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Bowers, Barbara J

dc.date.accessioned

2023-01-03T15:52:19Z

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2023-01-03T15:52:19Z

dc.date.issued

2022-11

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2023-01-03T15:52:18Z

dc.description.abstract

Background and objectives

A minority of family caregivers receive training, with implications for their own and their recipient's outcomes. Federal policy has supported implementation and expansion of caregiver training and support. The Department of Veterans Affairs (VA) has developed a national Caregiver Support Program and collaborated with VA health services researchers to explore caregivers' acceptance of an evidence-based training program in preparation for system-wide dissemination.

Research design and methods

This approach entailed a convergent mixed-methods design, which involved separate analyses of quantitative and qualitative data. Survey questions based on the Kirkpatrick model for training evaluation measured caregivers' reaction and learning and interview questions elicited caregivers' reports about the value of the program for them.

Results

Most caregivers reported satisfaction with the training when responding to survey questions, although qualitative interviews revealed caveats suggesting need to hone the best timing and specific group of caregivers for maximal benefit.

Discussion and implications

Our findings indicate that understanding program-user fit may be particularly critical when implementing training for caregivers as they come to the program at different points along their caregiving journey, needing differing types and intensities of support. While a general program may appeal to policymakers aiming to scale caregiver training within a large, heterogeneous system, there may be shortcomings in terms of end-user acceptance and subsequent downstream outcomes such as reach and ultimately program effectiveness. Good, iterative communication flow between program developers and policymakers facilitates this understanding and, in turn, decisions about scaling.
dc.identifier

6795218

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0016-9013

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1758-5341

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https://hdl.handle.net/10161/26418

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eng

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Oxford University Press (OUP)

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The Gerontologist

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10.1093/geront/gnac162

dc.subject

Informal caregiving

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Veterans

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education and training

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qualitative methods

dc.title

Mandated caregiver training in the Veterans Health Administration: Caregiver inquiry informs national dissemination.

dc.type

Journal article

duke.contributor.orcid

Sperber, Nina R|0000-0001-6640-2510

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Boucher, Nathan|0000-0002-5732-1927

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Zullig, Leah L|0000-0002-6638-409X

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Hastings, Susan N|0000-0002-5750-8820

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Van Houtven, Courtney H|0000-0002-0783-1611

pubs.begin-page

gnac162

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Duke

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Sanford School of Public Policy

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School of Medicine

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Basic Science Departments

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Clinical Science Departments

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Institutes and Centers

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Medicine

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Medicine, General Internal Medicine

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Medicine, Geriatrics

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Duke Cancer Institute

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Institutes and Provost's Academic Units

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Center for the Study of Aging and Human Development

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Initiatives

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Population Health Sciences

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Duke - Margolis Center For Health Policy

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