Training as a vehicle to empower carers in the community: more than a question of information sharing

Much confusion still surrounds the concept of empowerment and how it is to be translated into practice within the context of community care for servic e users and carers. A major limitation has been the tendency to treat empow erment as synonymous with participation in decision-making with little atte ntion given to the 'ecological' model of empowerment where linkages have be en found between community participation and measures of psychological empo werment. Training has been suggested as a means through which carers might become empowered, yet to date little empirical evidence has appeared within the literature to support this proposition. This study investigated whethe r attendance on a training programme to empower carers resulted in improvem ents in carers' levels of perceived control, self-efficacy and self-esteem as partial measures of psychological empowerment. The findings demonstrated that whereas carers' knowledge of services and participation increased as a result of the programme, no changes were found in measures of carer empow erment. The failure to consider how training needs to be designed in order to achieve changes in individual competence and self-agency are suggested a s the most likely explanation for the lack of change observed in carers' ps ychological empowerment. It is suggested that community care agencies shoul d focus greater energies in determining how the policy objectives of empowe rment are to be achieved through training, and in so doing make far more ex plicit the supposed linkages between training content, design, and its posi ted impact on individual behaviour or self-agency.