■听力损失在患有痴呆症的长期护理院(LTCH)居民(“居民”)中非常普遍,并加剧了混乱和沟通困难。居民依靠照顾者,包括家庭,与听力相关的护理。这项研究旨在了解使用行为改变轮向LTCH居民提供听力支持的家庭护理人员的驱动因素。
■这项探索性的两阶段研究以能力为指导,机会,动机-行为(COM-B)模型和理论域框架(TDF)。自我报告调查(N=87)和访谈(N=6)探讨了提供听力支持背后的驱动因素。使用描述性统计和参与者内部ANOVA分析定量数据。TDF域的演绎编码与主题分析一起用于定性数据。
■提供的听力支持是可变的。家庭照顾者心理能力的差距,确定了反思动机和身体机会。障碍包括缺乏知识,看护者责任不明确,取消优先考虑听力支持,COVID-19限制和与听力学服务的零散合作。
■为方便家庭照顾者提供听力支持的未来行为改变干预措施应包括:提高如何提供有效听力支持的知识,建立照顾者的责任,并增加LTCHs内部听力支持的资源。
帮助家庭照顾者为其患有痴呆症的亲属提供听力支持的干预措施应旨在解决能力上的差距。机会和动机,因为障碍存在于所有三个结构中。听力学家应向家庭护理人员提供有关长期护理院(LTCH)中使用的传统助听器和辅助听力设备的教育资源,并了解LTCH居民的家庭听力学预约的好处。护理人员和家人讨论听力支持的角色和责任,并在居民首次搬到LTCH时在护理计划中记录这些角色和责任,例如,陪同居民接受外部听力学预约。
UNASSIGNED: Hearing loss is highly prevalent in long-term care home (LTCH) residents with dementia (\"residents\") and exacerbates confusion and communication difficulties. Residents rely on caregivers, including family, for hearing-related care. This study aims to understand the drivers of family caregivers\' provision of hearing support to LTCH residents using the Behaviour Change Wheel.
UNASSIGNED: This exploratory two-stage study was guided by the Capability, Opportunity, Motivation-Behaviour (COM-B) model and the Theoretical Domains Framework (TDF). A self-report survey (N = 87) and interviews (N = 6) explored drivers behind the provision of hearing support. Quantitative data were analysed using descriptive statistics and a within-participants ANOVA. Deductive coding of TDF domains alongside thematic analysis was used for qualitative data.
UNASSIGNED: Provision of hearing support was variable. Gaps in family caregivers\' psychological capability, reflective motivation and physical opportunity were identified. Barriers included lacking knowledge, unclear caregiver responsibilities, deprioritising hearing support, COVID-19 restrictions and fragmented collaborations with
audiology services.
UNASSIGNED: Future behaviour-change interventions to facilitate family caregivers\' provision of hearing support to LTCH residents should include: Improving knowledge of how to provide effective hearing support, establishing caregiver responsibilities and increasing the resources for hearing support within LTCHs.
Interventions to aid family caregivers in providing hearing support for their relative with dementia should be designed to address gaps in capabilities, opportunities and motivations, as barriers are present in all three constructs.Audiologists should signpost family caregivers to educational resources about traditional hearing aids and assistive listening devices to be used within the long-term care homes (LTCH) and understand the benefits of domiciliary
audiology appointments for LTCH residents.Care staff and family to discuss roles and responsibilities for hearing support and document these in care plans when the resident first moves to the LTCH e.g., accompanying resident to external
audiology appointments.