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触屏干预措施与痴呆症患者和照护者的幸福感:系统评价。

Touchscreen interventions and the well-being of people with dementia and caregivers: a systematic review.

机构信息

Salomons Centre for Applied Psychology,Canterbury Christ Church University.

出版信息

Int Psychogeriatr. 2017 Aug;29(8):1261-1280. doi: 10.1017/S1041610217000667. Epub 2017 Apr 27.

Abstract

BACKGROUND

Dementia can have significant detrimental impacts on the well-being of those with the disease and their carers. A range of computer-based interventions, including touchscreen-based interventions have been researched for use with this population in the hope that they might improve psychological well-being. This article reviews touchscreen-based interventions designed to be used by people with dementia (PWD), with a specific focus in assessing their impact on well-being.

METHOD

The data bases, PsycInfo, ASSIA, Medline, CINAHL, and Cochrane Reviews were searched for touchscreen-based interventions designed to be used by PWD with reported psychological well-being outcomes. Methodological quality was assessed using Pluye and Hong's (2014) Mixed Methods Appraisal Tool (MMAT) checklist.

RESULTS

Sixteen papers were eligible. They covered 14 methodologically diverse interventions. Interventions were reported to be beneficial in relation to mental health, social interaction, and sense of mastery. Touchscreen interventions also reportedly benefit informal carers in relation to their perceived burden and the quality of their relationships with the people they care for. Key aspects included the user interface, provision of support, learning style, tailored content, appropriate challenge, ergonomics, and users' dementia progression.

CONCLUSIONS

Whilst much of the existing research is relatively small-scale, the findings tentatively suggest that touchscreen-based interventions can improve the psychological well-being of PWD, and possibilities for more rigorous future research are suggested.

摘要

背景

痴呆症会对患者及其照顾者的幸福感产生重大不利影响。已经研究了一系列基于计算机的干预措施,包括基于触摸屏的干预措施,希望它们可以改善心理健康。本文综述了专为痴呆症患者(PWD)设计的基于触摸屏的干预措施,特别关注评估它们对幸福感的影响。

方法

在 PsycInfo、ASSIA、Medline、CINAHL 和 Cochrane Reviews 数据库中搜索专为 PWD 设计并报告有心理健康结果的基于触摸屏的干预措施。使用 Pluye 和 Hong 的(2014)混合方法评价工具(MMAT)检查表评估方法学质量。

结果

有 16 篇论文符合条件。它们涵盖了 14 种方法学上不同的干预措施。干预措施被报告在心理健康、社会互动和掌控感方面有益。触摸屏干预措施还被报告对非正规照顾者有益,因为他们认为自己的负担减轻了,与他们照顾的人的关系质量提高了。关键方面包括用户界面、提供支持、学习方式、量身定制的内容、适当的挑战、人体工程学以及用户的痴呆症进展。

结论

虽然现有的大部分研究规模相对较小,但研究结果初步表明,基于触摸屏的干预措施可以改善痴呆症患者的心理健康,并且为未来更严格的研究提供了可能性。

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