Protocol for the Process Evaluation of the SENSE-Cog Sensory Support Intervention Field Trial to Improve Quality of Life for Older People Receiving Home Care in Australia

IF 3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2025-05-25 DOI:10.1111/hex.70305

Helen Gurteen, Melinda Toomey, Bronwyn Franco, Rebecca Bennett, Dayna R. Cenin, Najwan El-Saifi, Melanie Ferguson, Yuanyuan Gu, Chyrisse Heine, Lisa Keay, Sheela Kumaran, Sabrina Lenzen, Iracema Leroi, Judy A. Lowthian, Carly J. Meyer, Leander K. Mitchell, John Newall, Nancy A. Pachana, Marianne Piano, Smriti Raichand, Emma Scanlan, Hamid R. Sohrabi, Piers Dawes

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Abstract

Background

A field trial of a home-delivered hearing and vision support intervention will assess its impact on the quality of life and well-being of home care recipients with hearing and/or vision impairment and their care partners.

Aims

This paper outlines the protocol for a process evaluation of the field trial. The process evaluation aims to identify discrepancies between expected and actual outcomes, understand contextual influences, assess implementation fidelity and evaluate the feasibility, appropriateness and acceptability of the intervention.

Methods

Data will be collected from 87 home care recipients with hearing/vision impairment, their care partner and the sensory therapist who will deliver the intervention at multiple points during the 3-month intervention. Likert-scale ratings for feasibility, appropriateness and acceptability will be gathered. Proxy measures of fidelity, such as intervention session completion rates, will be obtained to ascertain whether the intervention was delivered as designed. Post-intervention, 20% of participants will complete semi-structured interviews to explore contextual and causal factors. Data analysis will include descriptive statistics, regression analysis and thematic qualitative analysis.

Discussion

The process evaluation will elicit the perspectives of home care recipients and their care partners regarding the intervention experience.

Patient or Public Contribution

Older adults with lived experience with dementia and hearing and/or vision will contribute to the proposed research by shaping the interview topic guide to ensure its appropriateness and relevance for the target population. Their insights will result in a more rigorous study and improve the likelihood of the final intervention meeting real-world needs.

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改善澳大利亚接受家庭护理的老年人生活质量的SENSE-Cog感觉支持干预现场试验的过程评估方案

背景：一项家庭提供的听力和视力支持干预的现场试验将评估其对听力和/或视力受损的家庭护理接受者及其护理伙伴的生活质量和福祉的影响。目的本文概述了田间试验过程评价的方案。过程评价旨在识别预期结果与实际结果之间的差异，了解环境影响，评估实施保真度，评估干预措施的可行性、适当性和可接受性。方法在为期3个月的干预期间，收集来自87名听力/视力障碍家庭护理对象、其护理伙伴和感觉治疗师的数据。将收集可行性、适当性和可接受性的李克特量表评分。将获得保真度的代理度量，例如干预会话完成率，以确定干预是否按设计交付。干预后，20%的参与者将完成半结构化访谈，以探索背景和因果因素。数据分析将包括描述性统计、回归分析和专题定性分析。过程评估将引出家庭护理接受者及其护理伙伴对干预体验的看法。患有痴呆症和听力或视力的老年人将通过制定访谈主题指南来为拟议的研究做出贡献，以确保其对目标人群的适当性和相关性。他们的见解将导致更严格的研究，并提高最终干预满足现实需求的可能性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.