基于网络的重症患者护理伙伴同伴支持网络(ConnectShareCare)的可行性和可用性:观察性研究

IF 2 Q3 HEALTH CARE SCIENCES & SERVICES
Aricca D Van Citters, Megan M Holthoff, Colleen Young, Sarah M Eck, Amelia M Cullinan, Stephanie Carney, Elizabeth A O'Donnell, Joel R King, Malavika Govindan, David Gustafson, Stephanie C Tomlin, Anne B Holmes, Ann D Bradley, Brant J Oliver, Matthew M Wilson, Eugene C Nelson, Amber E Barnato, Kathryn B Kirkland
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引用次数: 0

摘要

背景:虽然为患有严重疾病的人提供护理可能是有益的,但护理伙伴往往没有准备好管理和应对因疾病进展和丧亲而产生的身体和情绪压力。目的:我们的目的是评估会员注册,参与,并在一个基于网络的同伴支持网络的经验,积极的和失去亲人的照顾伙伴的严重疾病的人。方法:我们对ConnectShareCare对等网络支持网络进行了形成性评估,该网络的目标是居住在美国东北部的严重疾病患者的护理伙伴。招募方法包括营销明信片、传单、列表服务信息以及来自社区利益相关者、同行和临床医生的推荐。注册是通过一个自我指导的基于网络的过程进行的。研究参与者包括在2021年4月至2023年6月期间注册的ConnectShareCare会员。我们使用网络的分析仪表板(例如,注册、使用和通知日志)来评估会员注册和讨论参与度。我们使用对一部分成员的调查来评估经验,包括满意度,通过支持他人找到意义的能力,以及价值和改进的机会。结果:在两年多的时间里,该网络吸纳了250名会员,平均每月新增9名会员。在提供信息的193名成员中,大多数(58%,n=112)被确定为积极的护理伙伴,17% (n=33)被确定为丧亲护理伙伴,27% (n=52)选择不指定他们的角色。250名会员中有三分之二没有发帖,20% (n=50)发帖1-10次,6% (n=14)发帖11-25次,6% (n=15)发帖26-100次,3% (n=7)发帖超过100次。平均每月有19名会员发帖,因此每月有166名会员发帖。版主(1名社区经理,2名志愿者导师和2名项目团队成员)平均每月支持111个帖子。总共创建了187个讨论主题,其中42% (n=78)由成员发起,58% (n=109)由版主发起。78个讨论主题有10个或更多的帖子与之相关。最常见的讨论主题集中在“签到”和“快乐和希望的来源”上。在完成一项研究调查的18名护理伙伴成员中,69%(11/16)的人表示至少与一个人有联系,62%(10/16)的人表示ConnectShareCare通过支持他人帮助他们找到了意义和目标。大多数受访者对网络支持(12/16,75%)和信息(14/16,88%)表示满意。虽然大多数人注意到ConnectShareCare易于使用(10/ 17,59%),但受访者不太可能轻松找到他们正在寻找的信息(6/ 16,38%)。调查受访者发现了同伴联系和支持的价值,并确定了改善资源导航和成员参与的机会。结论:重症患者的护理伙伴可以使用基于网络的同伴支持网络来寻找有意义和有用的支持和信息。需要进一步的工作来确定网络对痛苦、社会联系和支持规划的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Feasibility and Usability of a Web-Based Peer Support Network for Care Partners of People With Serious Illness (ConnectShareCare): Observational Study.

Background: While it can be rewarding to provide care for a person with serious illness, care partners are often unprepared to manage and cope with the physical and emotional stresses that arise with disease progression and bereavement.

Objective: We aimed to evaluate membership enrollment, engagement, and experiences within a web-based peer support network for active and bereaved care partners of people with serious illness.

Methods: We conducted a formative evaluation of the ConnectShareCare peer-to-peer web-based support network, which targeted care partners of people with serious illness residing in the northeastern United States. Recruitment methods included marketing postcards, flyers, listserv messages, and referrals from community stakeholders, peers, and clinicians. Enrollment occurred through a self-guided, web-based process. Study participants included members enrolled in ConnectShareCare between April 2021 and June 2023. We used the network's analytics dashboard (eg, registration, usage, and notification logs) to evaluate membership enrollment and engagement in discussions. We used surveys of a subset of members to assess experiences, including satisfaction, ability to find meaning by supporting others, and value and opportunities for improvement.

Results: Over 2 years, the network enrolled 250 members, with an average of 9 new members per month. Among 193 members providing information, most (58%, n=112) identified as active care partners, 17% (n=33) identified as bereaved care partners, and 27% (n=52) chose not to specify their role. Two-thirds of the 250 members did not post, 20% (n=50) posted 1-10 times, 6% (n=14) posted 11-25 times, 6% (n=15) posted 26-100 times, and 3% (n=7) posted more than 100 times. On average, 19 members posted per month resulting in 166 member posts per month. Moderators (1 community manager, 2 volunteer mentors, and 2 project team members) supported members with an average of 111 posts/month. In total, 187 discussion topics were created, including 42% (n=78) started by members and 58% (n=109) started by moderators. Seventy-eight discussion topics had 10 or more posts associated with them. The most frequent discussion topics focused on "check-ins" and "sources of joy and hope." Among 18 care partner members who completed a research survey, 69% (11/16) reported connecting with at least 1 person and 62% (10/16) reported that ConnectShareCare helped them find meaning and purpose by supporting others. Most reported satisfaction with support (12/16, 75%) and information (14/16, 88%) through the network. Although most noted that ConnectShareCare was easy to use (10/17, 59%), respondents were less likely to easily find the information they were seeking (6/16, 38%). Survey respondents found value in peer connection and support and identified opportunities to improve navigation of resources and engagement of members.

Conclusions: Care partners of people with serious illness can use a web-based peer support network to find meaningful and useful support and information. Additional work is needed to identify the impact of the network on distress, social connectivity, and support programming.

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来源期刊
JMIR Formative Research
JMIR Formative Research Medicine-Medicine (miscellaneous)
CiteScore
2.70
自引率
9.10%
发文量
579
审稿时长
12 weeks
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