精神障がい者家族会の家族ピア教育プログラムの継続意向に関連する要因  [in Japanese] Factors related to Family Groups' Intention Regarding Continuation in a Family Peer-education Program on Mental Disorders  [in Japanese]

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Abstract

目的:精神障がいの家族ピア教育プログラムの効果的な普及戦略を検討するために,すでにプログラムを実施したことのある家族会を対象として,プログラムの継続意向に関連する要因を明らかにすることを目的とした.方法:プログラム開発時の2007年度から2012年度に家族学習会を実施した家族会59か所を対象とし,自記式質問紙を送付し.郵送で回収した.分析枠組みは,ヘルスケア提供組織におけるイノベーション普及の理論枠組みを用いた.プログラムの継続意向を定期実施意向あり群と定期実施意向なし群の2群にわけて従属変数とし,家族会のシステムの素地,準備性,プログラムを実施した結果との関連をみた.結果:56か所の家族会から回答を得た.プログラムの継続意向を従属変数とした多重ロジスティック回帰分析では,プログラムの採用動機が新目標であること(OR=7.11,p=0.005),財源(OR=1.98,p=0.035)が有意な関連を示した.考察:家族会は,小規模作業所の運営という目標をなくし新しい目標として家族の相互支援や学習を求めている.本プログラム内容は,その新しい目標と合致している.また,プログラムの継続意向に財源の確保が関連していた.今後は,家族会が行政などに補助金や助成金を申請する際に活用できるツールを提供することを含め,財政面を確保する取り組みが必要である.

Purpose: To consider effective dissemination strategies for the family peer-education program on mental disorders, we aimed to clarify the factors related to intention to continue for family groups that had already implemented the program. Method: A cross-sectional mail survey was sent to 59 family groups that had implemented the program from its development in 2007 through to 2012. The conceptual framework of the diffusion and dissemination of innovation in a health-care organization was used as the analysis framework. We analyzed the relationships between the dependent variable, which was groups with or without intention of regular implementation, and independent variables regarding system antecedents, system readiness, and consequences. Results: Fifty-six family groups responded. A multivariate logistic regression showed that intention to continue was related to whether the family group was motivated with the program as a new goal (OR=7.11, p=0.005) and had adequate finances (OR=1.98, p=0.035). Discussion: Following the loss of the goal of running community workshops, family groups need family mutual help and mutual learning as new goals. These new goals are consistent with the family peereducation program. The investigation showed that finances were related to the intention to continue with program. Therefore, strategies to secure financial resources, including useful tools to apply for local governmental grants and others, are needed.

Journal

  • Journal of Japan Academy of Community Health Nursing

    Journal of Japan Academy of Community Health Nursing 17(2), 36-44, 2014

    Japan Academy of Community Health Nursing

Codes

  • NII Article ID (NAID)
    110009900877
  • NII NACSIS-CAT ID (NCID)
    AA11362530
  • Text Lang
    JPN
  • ISSN
    1346-9657
  • NDL Article ID
    026014266
  • NDL Call No.
    Z74-B543
  • Data Source
    NDL  NII-ELS  J-STAGE 
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