DEVELOPMENT OF A TRAINING PROGRAM FOR HEALTH VOLUNTEERS IN THE MANAGEMENT AND SUPPORT OF FAMILY CAREGIVING OF STROKE PATIENTS IN A THAI CULTURAL CONTEXT

Abstract

Caring for stroke patients is usually long-term in nature, and in the case of Thailand it is carried out by the family members to a certain extent that caregiving affects the quality of life of patients and family caregivers especially when the patients requires long-term complex care. Alternative support from community resources such as health volunteers is important in order to maintain the quality of care and quality of life. This paper proposes a training program for health volunteers in supporting family caregiving of stroke patients which is suitable in the Thai context. The researcher reviewed relevant literatures, formulated a competency-based training program, and consulted with specialists, health volunteers, and family of patients with stroke. The results revealed that the model consisted of three main components: 1) required competencies for family caregiving support, 2) competency development strategies, and 3) support for effective continuous learning. The required competencies for stroke care consisted of direct physical care, patient stress management, stress management for family caregiver, environmental management, and coordination of services. Competency development strategy involved knowledge and skill development. Support mechanisms are outlined in order to promote continuous learning and effective role performance. According to specialists, health volunteers and family of patients, this training program was deemed appropriate.