Abstract

Objectives

Short breaks support the wellbeing of people living with dementia (PLWD) and their unpaid carers. However, little is known about the benefits of community-based short breaks. The objective of this study was to conduct interviews with stakeholders of a Shared Lives (SL) day support service to explore mechanisms and outcomes for the service. The aim of the study was to refine a logic model for a SL day support service for PLWD, their unpaid carers, and paid carers. This logic model shall form the basis for a Social Return on Investment evaluation to identify the social value contributed by the service.

Methods

Thirteen interviews were conducted with service stakeholders including PLWD, unpaid carers and paid carers. Framework analysis assisted in the synthesis of the findings into a logic model.

Results

The logic model refined through the interviews, detailed service mechanisms (inputs, activities, outputs) and outcomes. An overarching theme from the interviews concerned the importance of triadic caring relationships, which conferred benefits for those involved in the service.

Conclusion

SL day support fosters triadic caring relationships, and interview data suggests that these relationships are associated with meaningful outcomes for PLWD, their unpaid carers, and paid carers. We highlight the implications for policy, practice, and future research.

中文翻译：

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“一切都很正常”：痴呆症患者、他们的无偿护理人员以及共享生活日支持服务中的有偿护理人员的结果

摘要

目标

短暂的休息有助于痴呆症患者 (PLWD) 及其无薪护理人员的福祉。然而，人们对基于社区的短暂休息的好处知之甚少。本研究的目的是对共享生活 (SL) 日支持服务的利益相关者进行访谈，以探索该服务的机制和结果。该研究的目的是完善针对 PLWD、其无偿护理人员和有偿护理人员的 SL 日间支持服务的逻辑模型。该逻辑模型应构成社会投资回报评估的基础，以识别服务贡献的社会价值。

方法

对包括 PLWD、无偿护理人员和有偿护理人员在内的服务利益相关者进行了 13 次访谈。框架分析有助于将研究结果综合成逻辑模型。

结果

通过访谈、详细的服务机制（输入、活动、输出）和结果完善逻辑模型。访谈的一个首要主题涉及三元关怀关系的重要性，这为参与服务的人员带来了好处。

结论

SL 日支持促进了三元护理关系，访谈数据表明，这些关系与 PLWD、其无偿护理人员和有偿护理人员的有意义的结果相关。我们强调对政策、实践和未来研究的影响。