A training intervention to reduce paternalistic care and promote autonomy: a preliminary study
Macarena Sánchez-Izquierdo1, Marta Santacreu2, Ricardo Olmos3
1Department of Psychology, Universidad Pontificia Comillas, Madrid 28049, Spain.
Clinical Interventions in Aging
|November 7, 2019
Summary
This study developed a behavioral intervention to reduce paternalistic care in older adults. The intervention successfully decreased paternalistic attitudes and increased autonomy-promoting behaviors among caregivers, improving overall functioning.
Area of Science:
- Gerontology
- Healthcare Management
- Behavioral Science
Background:
- Paternalism in aged care often compromises older adults' autonomy and independence.
- Reducing paternalistic attitudes and behaviors is crucial in older adult health and social care.
- This study addresses the need for interventions to promote autonomy-supportive care.
Purpose of the Study:
- To develop and evaluate a behavioral intervention aimed at decreasing paternalistic behaviors in formal caregivers.
- To increase autonomy-promoting care behaviors in caregivers post-intervention.
- To assess the intervention's impact on caregiver attitudes and institutional functioning.
Main Methods:
- A quasi-experimental design with 118 professional caregivers in day care centers and nursing homes.
- Intervention group received 3 weekly group sessions focused on behavioral change.
- Outcomes measured using the Paternalist/Autonomist Care Assessment (PACA) and caregiver self-registers, with institutional assessment via SERA-RS.
Main Results:
- Caregivers in the intervention group showed significantly lower paternalistic appraisals post-intervention and at follow-up.
- The intervention group exhibited a greater occurrence of autonomy-promoting behaviors.
- Institutional assessments indicated improved personnel performance and older adult functioning.
Conclusions:
- The behavioral intervention equipped caregivers to better identify older adult needs.
- While direct autonomy differences weren't significant vs. control, the intervention fostered more autonomy-supportive environments.
- The findings suggest behavioral interventions can enhance both caregiver and older adult functioning in aged care settings.
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