Publications by authors named "J Dadolf"

Article Synopsis
  • The study aimed to evaluate the impact of the iHI-FIVES caregiver training program on the number of days Veterans spend away from home and the well-being of their family caregivers.
  • Involvement included 898 Veterans from 8 medical centers, comparing data from before and after implementing the program through a randomized trial.
  • Results indicated a 42% reduction in Veteran days not at home after joining iHI-FIVES, but no significant changes were found in caregiver well-being over the same period.
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Article Synopsis
  • The study aimed to evaluate the effectiveness of a team collaboration strategy called CONNECT in improving the implementation of a caregiver training program for veterans, known as iHI-FIVES.
  • It involved a stepped wedge cluster randomized trial across eight VA medical centers, comparing the outcomes of sites using CONNECT plus technical support (REP) against those using REP alone.
  • Findings showed high training fidelity (88%), but better reach (22% vs. 14%) and fidelity (95% vs. 80%) at non-CONNECT sites, indicating that CONNECT did not significantly enhance team functioning or program reach.
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Article Synopsis
  • Family caregivers, who assist loved ones with daily living activities, often face challenges like stress and isolation, heightened during the COVID-19 pandemic.
  • A study analyzed survey data from 422 caregivers, examining their experiences of loneliness before and during the pandemic using logistic regression and qualitative content analysis.
  • The results showed no significant difference in loneliness levels between the two periods, with caregivers reporting coping skills developed through caregiving that helped them manage pandemic-related challenges.
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Background: Caregivers FIRST is an evidence-based program addressing gaps in caregivers' skills. In 2020, the Veterans Health Administration Caregiver Support Program (CSP) nationally endorsed Caregivers FIRST, offering credit in leadership performance plans to encourage all VA medical centers (VAMCs) to implement locally. This study examines the association of organizational readiness with VAMC adoption of Caregivers FIRST.

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Background: Clinical interventions often need to be adapted from their original design when they are applied to new settings. There is a growing literature describing frameworks and approaches to deploying and documenting adaptations of evidence-based practices in healthcare. Still, intervention modifications are often limited in detail and justification, which may prevent rigorous evaluation of interventions and intervention adaptation effectiveness in new contexts.

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