成人痴呆患者参与的变化:代际项目的影响

IF 0.7 Q4 REHABILITATION Therapeutic Recreation Journal Pub Date : 2022-10-20 DOI:10.18666/trj-2022-v56-i4-11536
Megan C. Janke, Alysha A. Walter
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引用次数: 0

摘要

找到方法让患有痴呆症的成年人参与有意义的社会活动,并引发积极的情绪和行为,这一点很重要。涉及幼儿的代际项目(IGPs)已被证明有益于老年人(包括那些患有痴呆症的老年人)的身体、情感和社会健康,并经常受到这一人群的积极欢迎。这项研究调查了参与IGP与痴呆症患者参与活动的方式和他们在活动中表现出的行为之间的关系。住在共享地点长期护理机构的14名老年人参加了现场IGP。在孩子们到来之前和整个项目期间,他们的互动被记录了五天;使用Menorah公园参与量表(MPES)对成年人的参与和行为进行编码。研究结果表明,在IGPs期间,这些成年人的参与类型和行为表现发生了显著变化。当孩子在场时,建设性参与显著增加,而非参与和其他参与显著减少。在igp期间,他们也表现出了更多的快乐和帮助行为。这些发现对长期护理环境中的娱乐治疗实践具有启示意义,并支持将IGPs作为一种非药物干预手段用于成年痴呆患者,以改善该人群的社会参与。
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Changes in Engagement for Adults with Dementia: Effects of an Intergenerational Program
Finding ways to engage adults living with dementia in meaningful and social activities as well as elicit positive emotions and behaviors is important. Intergenerational programs (IGPs) involving young children have been shown to benefit the physical, emotional, and social health of older adults, including those living with dementia, and are often positively received by this population. This study examined how involvement in an IGP was associated with the way that individuals living with dementia engaged and the behaviors that they exhibited during the activities. Fourteen older adults living in a shared-site long term care facility participated in an onsite IGP. Their interactions were recorded over a five-day period immediately prior to the children’s arrival and throughout the duration of the program; adults’ engagement and behaviors were coded using the Menorah Park Engagement Scale (MPES). Findings indicated that there were significant changes in engagement type and the behaviors exhibited by these adults during the IGPs. Constructive engagement significantly increased while non-engagement and other engagement were significantly reduced when the children were present. Greater displays of pleasure and helping behaviors were also exhibited during the IGPs. These findings have implications for recreational therapy practice in long-term care settings and support the use of IGPs with adults living with dementia as a nonpharmacological intervention to improve social engagement in this population.
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