{"title":"针对轻度至中度痴呆症患者的以日常生活活动为重点的认知刺激计划(CS-ADL)的参与者和护理者体验","authors":"Simone Ryan, Manigandan Chockalingam, Orla Brady","doi":"10.1177/03080226231225358","DOIUrl":null,"url":null,"abstract":"Individuals with dementia experience a progressive deterioration in their cognitive and functional abilities, and as a result, require support from informal family caregivers. Non-pharmacological interventions, such as cognitive stimulation, are increasingly being used to address this deterioration. This study explored the participant and caregiver experiences of CS-ADL (Cognitive Stimulation in Activities of Daily Living), an activities of daily living-focused group cognitive stimulation program for individuals with mild-to-moderate dementia. A descriptive qualitative design was implemented. CS-ADL participants and caregivers were recruited in dyads through a Psychiatry of Later Life service where CS-ADL was delivered. Semi-structured interviews were completed with each dyad either in-person or via the telephone. Data retrieved were analyzed through reflexive thematic analysis. CS-ADL was experienced as an acceptable intervention that positively influenced the everyday life of both dyad members, with benefits reported in the memory, mood, daily routine, and social interaction of participants. Furthermore, the facilitation style of group facilitators positively influenced participants’ engagement in CS-ADL. Limited data was gathered regarding the experience of activities of daily living. This is the first study to explore experiences of CS-ADL, producing a preliminary addition to the evidence-base for CS-ADL. However, further research is required to confirm study findings and explore the experiences of activities of daily living in greater depth.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Participant and caregiver experiences of an activities of daily living-focused cognitive stimulation program for individuals with mild-to-moderate dementia (CS-ADL)\",\"authors\":\"Simone Ryan, Manigandan Chockalingam, Orla Brady\",\"doi\":\"10.1177/03080226231225358\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Individuals with dementia experience a progressive deterioration in their cognitive and functional abilities, and as a result, require support from informal family caregivers. Non-pharmacological interventions, such as cognitive stimulation, are increasingly being used to address this deterioration. This study explored the participant and caregiver experiences of CS-ADL (Cognitive Stimulation in Activities of Daily Living), an activities of daily living-focused group cognitive stimulation program for individuals with mild-to-moderate dementia. A descriptive qualitative design was implemented. CS-ADL participants and caregivers were recruited in dyads through a Psychiatry of Later Life service where CS-ADL was delivered. Semi-structured interviews were completed with each dyad either in-person or via the telephone. Data retrieved were analyzed through reflexive thematic analysis. CS-ADL was experienced as an acceptable intervention that positively influenced the everyday life of both dyad members, with benefits reported in the memory, mood, daily routine, and social interaction of participants. 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引用次数: 0
摘要
痴呆症患者的认知能力和功能会逐渐退化,因此需要非正式家庭照顾者的支持。认知刺激等非药物干预措施正越来越多地被用于应对这种退化。本研究探讨了参与者和照顾者对 CS-ADL(日常生活活动中的认知刺激)的体验,这是一项针对轻度至中度痴呆症患者的以日常生活活动为重点的团体认知刺激计划。该项目采用描述性定性设计。CS-ADL 的参与者和照顾者是通过提供 CS-ADL 的 "晚年精神病学"(Psychiatry of Later Life)服务机构招募的。通过面谈或电话,对每对夫妇进行了半结构化访谈。通过反思性主题分析法对检索到的数据进行了分析。结果显示,CS-ADL 是一种可接受的干预方法,它对双方成员的日常生活都产生了积极影响,参与者在记忆、情绪、日常生活和社会交往等方面都受益匪浅。此外,小组主持人的引导风格也对参与者参与 CS-ADL 有积极影响。关于日常生活活动体验的数据收集有限。这是第一项探索 CS-ADL 体验的研究,为 CS-ADL 的证据基础提供了初步补充。然而,还需要进一步的研究来证实研究结果,并更深入地探讨日常生活活动的体验。
Participant and caregiver experiences of an activities of daily living-focused cognitive stimulation program for individuals with mild-to-moderate dementia (CS-ADL)
Individuals with dementia experience a progressive deterioration in their cognitive and functional abilities, and as a result, require support from informal family caregivers. Non-pharmacological interventions, such as cognitive stimulation, are increasingly being used to address this deterioration. This study explored the participant and caregiver experiences of CS-ADL (Cognitive Stimulation in Activities of Daily Living), an activities of daily living-focused group cognitive stimulation program for individuals with mild-to-moderate dementia. A descriptive qualitative design was implemented. CS-ADL participants and caregivers were recruited in dyads through a Psychiatry of Later Life service where CS-ADL was delivered. Semi-structured interviews were completed with each dyad either in-person or via the telephone. Data retrieved were analyzed through reflexive thematic analysis. CS-ADL was experienced as an acceptable intervention that positively influenced the everyday life of both dyad members, with benefits reported in the memory, mood, daily routine, and social interaction of participants. Furthermore, the facilitation style of group facilitators positively influenced participants’ engagement in CS-ADL. Limited data was gathered regarding the experience of activities of daily living. This is the first study to explore experiences of CS-ADL, producing a preliminary addition to the evidence-base for CS-ADL. However, further research is required to confirm study findings and explore the experiences of activities of daily living in greater depth.
期刊介绍:
British Journal of Occupational Therapy (BJOT) is the official journal of the Royal College of Occupational Therapists. Its purpose is to publish articles with international relevance that advance knowledge in research, practice, education, and management in occupational therapy. It is a monthly peer reviewed publication that disseminates evidence on the effectiveness, benefit, and value of occupational therapy so that occupational therapists, service users, and key stakeholders can make informed decisions. BJOT publishes research articles, reviews, practice analyses, opinion pieces, editorials, letters to the editor and book reviews. It also regularly publishes special issues on topics relevant to occupational therapy.