为休斯顿越南裔美国人社区量身定制的文化和语言社区参与痴呆症教育计划(CEDEP)。

Dementia (London, England) Pub Date : 2024-01-01 Epub Date: 2023-11-29 DOI:10.1177/14713012231213911
Christina E Miyawaki, Angela McClellan, Kim N Nguyen, Tuong-Vi Ho
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摘要

来自越南老龄化和护理调查(VACS)的数据显示,老年越南移民和难民中残疾、抑郁症状和认知障碍的患病率很高。我们提出了一个社区参与痴呆症教育计划,以检查休斯敦越南裔美国人社区对痴呆症的扫盲,并开发了一页的教育材料。这是一项横断面定性研究(访谈和焦点小组),使用文化交流模型作为概念框架。我们采访了14名越南关键线人,并根据爱德华兹的9阶段社区准备模型评估了社区对痴呆症的认识。揭示了社区对痴呆症的低识字率(第2-3阶段:否认/抵制模糊意识)。讨论了向社区介绍痴呆症对话的方法以及在一页纸中包含的内容。根据关键举报人的见解,我们开发了一种针对社区的痴呆症单页纸,使用外行语言和目标人群的代表性图像,指示痴呆症的警告信号,并鼓励他们去看医生进行认知检查。接下来的计划包括利用当地少数民族媒体,与文化交流模式的现有支柱合作,利用大学生的学习机会,以及传播文化和语言量身定制的单页。
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A culturally and linguistically tailored Community-Engaged Dementia Education Program (CEDEP) for the Houston Vietnamese American community.

Data from the Vietnamese Aging and Care Survey (VACS) showed the high prevalence of disability, depressive symptoms, and cognitive impairment in older Vietnamese immigrants and refugees. We proposed a Community-Engaged Dementia Education Program to examine the Houston Vietnamese American community's literacy on dementia and develop a one-pager educational material. This is a cross-sectional, qualitative study (interviews and focus groups) using the Cultural Exchange Model as a conceptual framework. We interviewed fourteen Vietnamese key informants and assessed the community's knowledge of dementia based on Edwards' 9-stage Community Readiness Model. The community's low literacy on dementia (Stages 2-3: Denial/resistance to vague awareness) was revealed. Approaches to introducing dementia conversations to the community and what to include in the one-pager were discussed. Based on the key informants' insight, we developed a dementia one-pager tailored to the community by using lay language with a representative image of the target population, indicating warning signs of dementia, and encouraging them to see their doctors for cognitive check-ups. The plan for the next steps includes utilizing the local ethnic media, collaborating with the existing pillars of the Cultural Exchange model, leveraging the university students' learning opportunities, and disseminating the culturally and linguistically tailored one-pager.

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