Web-Based Delivery of the Caregiving Essentials Course for Informal Caregivers of Older Adults in Ontario: Mixed Methods Evaluation Study (Preprint)

Abstract

BACKGROUND Many informal caregivers of older adults have limited time due to the number of responsibilities their caregiving role entails. This population often also experiences high levels of burden due to the stressful nature of their work and are vulnerable to developing negative psychological health outcomes. Easily accessible and flexible knowledge interventions are needed to alleviate the burden and stress by this group. OBJECTIVE The aim of this paper is to evaluate the online delivery of the Caregiving Essentials course for informal caregivers of older adults, as well as evaluate its effectiveness. Both strengths and limitations of using an online platform to provide information and resources were explored to see whether the method of delivery enhanced or hindered the overall learning experience for participants. METHODS A mixed methodology of online pre/post-course surveys (n= 111/39) and telephone interviews (n=26) were used to collect both qualitative and quantitative data from participants. Individual interviewers were also conducted with key stakeholders (n=6) and a focus group was conducted with nursing students (n=5) who were involved in the project. RESULTS The online delivery of the course enabled greater accessibility for participants because it allowed them to independently work through the modules at their own pace, wherever and whenever. The discussion boards were also identified as a major strength because of the opportunity for social interaction and the sense of community that many felt through sharing their experiences. Some barriers to participation included age-related factors, issues with navigating aspects of the course, and concern for privacy and anonymity. Some key suggested improvements include more engaging methods of virtual communication and the reorganization of the module content to reduce text and streamline information. CONCLUSIONS The online delivery of the Caregiving Essentials course appeared to enhance the overall learning experience by increasing accessibility and allowing for interaction among caregivers. The findings from this study has shown that internet-based interventions can be effective in providing informal caregivers of older adults with knowledge, resources, and support.