Feasibility of a Culture-Based Multicomponent Cognitive Training Program for Older Adults With Dementia.

IF 1.1 4区 医学 Q3 NURSING Research in Gerontological Nursing Pub Date : 2024-09-01 DOI:10.3928/19404921-20240913-01
Ming-Hsin Chen, Ching-Len Yu, Su-Hsien Chang
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Abstract

Purpose: To understand whether a culture-based multicomponent cognitive training program is feasible and tolerable for persons with dementia (PWD) in day care centers in Taiwan, and to examine the effectiveness of a 16-week program in preventing declines in cognitive function and self-care, as well as the development of depressed mood and behavioral problems.

Method: This study was a 4-month cluster randomized controlled trial. PWD (N = 56) who met sample selection criteria were recruited from five day care centers and assigned to the experimental or comparison group. Participants in the experimental group received a series of culture-based multicomponent cognitive training activities via research assistants and day care center caregivers for 16 weeks. Participants in the comparison group received usual daily activities. Time attending activities and degree of participation were used as criteria for determining feasibility and tolerability of the program.

Results: Results confirmed the feasibility of culture-based multicomponent cognitive training activities if the activities were guided by caregivers. Results also showed participants in the experimental group had statistically significant improvements in cognitive function. Activities of daily living performance, depressed mood, and behavioral problems showed non-significant improvements.

Conclusion: The current study suggests that this program can assist PWD in preventing declines in self-care and the development of behavioral and psychological problems, and improve their cognitive function. Further research with a larger sample size and staff training should be considered to test the effectiveness of this program. [Research in Gerontological Nursing, 17(5), 257-264.].

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针对老年痴呆症患者的基于文化的多成分认知训练计划的可行性。
目的:了解以文化为基础的多成分认知训练计划对台湾日间护理中心的痴呆症患者是否可行和可耐受,并研究为期16周的计划在预防认知功能和自理能力下降以及抑郁情绪和行为问题发展方面的有效性:本研究是一项为期 4 个月的分组随机对照试验。从 5 个日托中心招募符合样本选择标准的残疾人(56 人),并将他们分配到实验组或对比组。实验组的参与者通过研究助理和日托中心的护理人员接受一系列基于文化的多成分认知训练活动,为期16周。对比组的参与者则接受常规的日常活动。参加活动的时间和参与程度是确定该计划可行性和耐受性的标准:结果:结果证实,在护理人员的指导下开展基于文化的多成分认知训练活动是可行的。结果还显示,实验组参与者的认知功能在统计学上有显著改善。结论:目前的研究表明,该计划可以帮助残疾人预防自理能力下降、行为和心理问题的发展,并改善他们的认知功能。应考虑开展样本量更大、人员培训更多的进一步研究,以检验该计划的有效性。[老年护理研究》(Research in Gerontological Nursing),17(5),257-264。
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来源期刊
CiteScore
2.30
自引率
6.20%
发文量
44
审稿时长
>12 weeks
期刊介绍: Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.
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Assessment of Risk Factors for Falls in Hospitalized Older Adults: A Meta-Analysis. Erratum for "Factors Contributing to Well-Being in Japanese Community-Dwelling Older Adults Who Experienced Spousal Bereavement". Feasibility of a Culture-Based Multicomponent Cognitive Training Program for Older Adults With Dementia. Hospital at Home: An Example of Research Needed to Shape Policy. Mechanisms Underlying the Use of Abusive and Neglectful Behaviors in Dementia Caregiving: The Role of Caregiver Mental Health.
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