Implementing the Family Talk Intervention among families with a severely ill parent or child with palliative care needs- a longitudinal study of the perspectives of hospital social workers
BackgroundThe Family Talk Intervention (FTI) is a psychosocial intervention supporting families where a family member has palliative care needs. This study aimed to evaluate how the Family Talk Intervention (FTI) was implemented over time from the perspective of hospital social workers (HSWs) in the...
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Frontiers Media S.A.
2025-06-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frhs.2025.1527431/full |
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| author | Ingrid Thermaenius Maja Holm Maja Holm Kristofer Årestedt Camilla Udo Anette Alvariza Anette Alvariza Tina Lundberg Tina Lundberg Lars Wallin Malin Lövgren Malin Lövgren |
| author_facet | Ingrid Thermaenius Maja Holm Maja Holm Kristofer Årestedt Camilla Udo Anette Alvariza Anette Alvariza Tina Lundberg Tina Lundberg Lars Wallin Malin Lövgren Malin Lövgren |
| author_sort | Ingrid Thermaenius |
| collection | DOAJ |
| description | BackgroundThe Family Talk Intervention (FTI) is a psychosocial intervention supporting families where a family member has palliative care needs. This study aimed to evaluate how the Family Talk Intervention (FTI) was implemented over time from the perspective of hospital social workers (HSWs) in their everyday clinical practice among families with a severely ill parent or child in need of palliative care.MethodsHSWs (n = 21) working in adult and children's care completed a 10-day education where they were trained to use FTI. The education was part of a multifaced implementation strategy involving educational outreach visits, facilitation, clinical implementation meetings, and audit and feedback. The HSWs were then expected to use FTI in their clinical practice to support families with dependent children. To assess if and how FTI was integrated into their daily practice, they were also asked to complete the Swedish version of the Normalization Process Theory Measure (S-NoMAD) on three occasions: on completion of the FTI-education, six months later, and one year later. For the longitudinal analysis of data, Friedman's test was used.ResultsThe HSWs rated the use of FTI high after completing the FTI-education, indicating a positive attitude towards FTI. In the longitudinal analysis, statistically significant changes were seen for two questions in S-NoMAD, where the HSWs' ratings showed that the FTI became more familiar and normalized over time. Generally, the HSWs' ratings of S-NoMAD's main constructs were high and stable over time, indicating a positive view of FTI and its implementation. However, for the single questions, the ratings were slightly more negative to some contextual aspects, such as managerial support and resources.ConclusionAs results showed, HSW mainly rated different aspects of the implementation process as positive, both from the beginning, but also over time. Therefore, the intervention could be judged to have been implemented as a tool to support families when a parent or a child is severely ill. Contextual factors, involving managerial support and resources were rated lower, indicating the importance of those aspects when introducing interventions into healthcare. The result also indicates that the multifaced implementation strategy supported the HSW's everyday clinical practice.Clinical Trial Registrationclinicaltrials, nr, identifier (NCT05365919; 2022-03-04 and; NCT05020158 2021-05-11). |
| format | Article |
| id | doaj-art-e6adb0b5836b4bf5a9d1bb9fbd5125db |
| institution | Kabale University |
| issn | 2813-0146 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Health Services |
| spelling | doaj-art-e6adb0b5836b4bf5a9d1bb9fbd5125db2025-08-20T03:25:42ZengFrontiers Media S.A.Frontiers in Health Services2813-01462025-06-01510.3389/frhs.2025.15274311527431Implementing the Family Talk Intervention among families with a severely ill parent or child with palliative care needs- a longitudinal study of the perspectives of hospital social workersIngrid Thermaenius0Maja Holm1Maja Holm2Kristofer Årestedt3Camilla Udo4Anette Alvariza5Anette Alvariza6Tina Lundberg7Tina Lundberg8Lars Wallin9Malin Lövgren10Malin Lövgren11Department of Health Care Sciences, Marie Cederschiöld University, Stockholm, SwedenDepartment of Health Care Sciences, Marie Cederschiöld University, Stockholm, SwedenDepartment of Nursing Sciences, Sophiahemmet University, Stockholm, SwedenDepartment of Health and Caring Sciences, Faculty of Health and Life Science, Linnaeus University, Växjö, SwedenSchool of Health and Welfare, Dalarna University, Falun, SwedenDepartment of Health Care Sciences, Marie Cederschiöld University, Stockholm, SwedenResearch and Development/Palliative Care, Stockholms Sjukhem, Stockholm, SwedenDepartment of Health Care Sciences, Marie Cederschiöld University, Stockholm, SwedenMedical Unit: Clinical Social Work, Karolinska University Hospital, Stockholm, SwedenSchool of Health and Welfare, Dalarna University, Falun, SwedenDepartment of Health Care Sciences, Marie Cederschiöld University, Stockholm, SwedenAdvanced Pediatric Home Care, Astrid Lindgren Children’s Hospital, Karolinska University Hospital, Stockholm, SwedenBackgroundThe Family Talk Intervention (FTI) is a psychosocial intervention supporting families where a family member has palliative care needs. This study aimed to evaluate how the Family Talk Intervention (FTI) was implemented over time from the perspective of hospital social workers (HSWs) in their everyday clinical practice among families with a severely ill parent or child in need of palliative care.MethodsHSWs (n = 21) working in adult and children's care completed a 10-day education where they were trained to use FTI. The education was part of a multifaced implementation strategy involving educational outreach visits, facilitation, clinical implementation meetings, and audit and feedback. The HSWs were then expected to use FTI in their clinical practice to support families with dependent children. To assess if and how FTI was integrated into their daily practice, they were also asked to complete the Swedish version of the Normalization Process Theory Measure (S-NoMAD) on three occasions: on completion of the FTI-education, six months later, and one year later. For the longitudinal analysis of data, Friedman's test was used.ResultsThe HSWs rated the use of FTI high after completing the FTI-education, indicating a positive attitude towards FTI. In the longitudinal analysis, statistically significant changes were seen for two questions in S-NoMAD, where the HSWs' ratings showed that the FTI became more familiar and normalized over time. Generally, the HSWs' ratings of S-NoMAD's main constructs were high and stable over time, indicating a positive view of FTI and its implementation. However, for the single questions, the ratings were slightly more negative to some contextual aspects, such as managerial support and resources.ConclusionAs results showed, HSW mainly rated different aspects of the implementation process as positive, both from the beginning, but also over time. Therefore, the intervention could be judged to have been implemented as a tool to support families when a parent or a child is severely ill. Contextual factors, involving managerial support and resources were rated lower, indicating the importance of those aspects when introducing interventions into healthcare. The result also indicates that the multifaced implementation strategy supported the HSW's everyday clinical practice.Clinical Trial Registrationclinicaltrials, nr, identifier (NCT05365919; 2022-03-04 and; NCT05020158 2021-05-11).https://www.frontiersin.org/articles/10.3389/frhs.2025.1527431/fullimplementationnormalization process theorypsychosocial supporthospital social workerfamily based intervention |
| spellingShingle | Ingrid Thermaenius Maja Holm Maja Holm Kristofer Årestedt Camilla Udo Anette Alvariza Anette Alvariza Tina Lundberg Tina Lundberg Lars Wallin Malin Lövgren Malin Lövgren Implementing the Family Talk Intervention among families with a severely ill parent or child with palliative care needs- a longitudinal study of the perspectives of hospital social workers Frontiers in Health Services implementation normalization process theory psychosocial support hospital social worker family based intervention |
| title | Implementing the Family Talk Intervention among families with a severely ill parent or child with palliative care needs- a longitudinal study of the perspectives of hospital social workers |
| title_full | Implementing the Family Talk Intervention among families with a severely ill parent or child with palliative care needs- a longitudinal study of the perspectives of hospital social workers |
| title_fullStr | Implementing the Family Talk Intervention among families with a severely ill parent or child with palliative care needs- a longitudinal study of the perspectives of hospital social workers |
| title_full_unstemmed | Implementing the Family Talk Intervention among families with a severely ill parent or child with palliative care needs- a longitudinal study of the perspectives of hospital social workers |
| title_short | Implementing the Family Talk Intervention among families with a severely ill parent or child with palliative care needs- a longitudinal study of the perspectives of hospital social workers |
| title_sort | implementing the family talk intervention among families with a severely ill parent or child with palliative care needs a longitudinal study of the perspectives of hospital social workers |
| topic | implementation normalization process theory psychosocial support hospital social worker family based intervention |
| url | https://www.frontiersin.org/articles/10.3389/frhs.2025.1527431/full |
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