Publications by authors named "R Bruening"
Health Serv Res
December 2024
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.
Health Serv Res
December 2024
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.
Article Synopsis
- The study addresses the challenges of implementing evidence-based healthcare programs in inpatient settings, focusing on the need for strategies to enhance quality improvement.
- It evaluates CONNECT, an intervention based on complexity science, which aims to boost team readiness and improve the implementation of the 'Assisted Early Mobility for Hospitalized Older Veterans' program (STRIDE).
- Results indicate that VAMCs utilizing CONNECT had significantly higher program reach while showing similar fidelity as those that did not use the intervention, along with improvements in team function.
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.
