Knowing the child's HIV status was perceived as beneficial and as enhancing the caregiver's competency in caregiving as it led to acquiring helpful advice from health professionals and other people.
This knowledge was said to heighten caregiver's own competency in caregiving and health care seeking.
Stroke units where early supported discharge is in place potentially offer a more effective vehicle for introducing competency based caregiver training.
A major strength of this study was to demonstrate the value of a comprehensive qualitative process evaluation in generating rich and detailed findings which helped to understand and interpret the results of a large pragmatic cluster randomised controlled trial of a poststroke competency based caregiver training intervention which was reported to have no benefit over usual care.
1 3 A single-centre individually randomised trial reported that the London Stroke Carers Training Course (LSCTC), a structured competency-based training programme, decreased caregiver burden and anxiety, and improved psychological outcomes for patients.
Approximately 80% (2931 of 3643) of patients trained on PST demonstrated competency; of these, 8% (238) required caregiver assistance.
Our findings showed a significant association between the need for care training and the monetary value placed on informal care by caregivers, highlighting caregiver needs to develop their coping skills and competencies and to improve their caring capabilities.
Exploratory factor analysis (EFA) revealed eight domains involved in modeling of job satisfaction, among which, the caregivers were more satisfied with job significance (88.2), job competency (87.9) and teamwork (87.7), as compared with work reward (72.9) and working conditions (79.7).
Wherever caregiver training is provided, more consideration needs to be given to processes of skills training and competency assessment which are not simple matters of demonstration and repetition.
Because they were robbed of their autonomy by family caregivers, it was important for them to live separately from their family to prove their competency.
