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评估一部视听短剧以改善对痴呆症的认知、态度和知识:一种混合方法研究。

Evaluation of an Audio-Visual Novela to Improve Beliefs, Attitudes and Knowledge toward Dementia: A Mixed-Methods Approach.

作者信息

Grigsby Timothy J, Unger Jennifer B, Molina Gregory B, Baron Mel

机构信息

a University of Texas , San Antonio , San Antonio , Texas , USA.

b University of Southern California Keck School of Medicine , Los Angeles , California , USA.

出版信息

Clin Gerontol. 2017 Mar-Apr;40(2):130-138. doi: 10.1080/07317115.2016.1211210. Epub 2016 Jul 15.

DOI:10.1080/07317115.2016.1211210
PMID:28452671
Abstract

OBJECTIVES

Dementia is a clinical syndrome characterized by progressive degeneration in cognitive ability that limits the capacity for independent living. Interventions are needed to target the medical, social, psychological, and knowledge needs of caregivers and patients. This study used a mixed methods approach to evaluate the effectiveness of a dementia novela presented in an audio-visual format in improving dementia attitudes, beliefs and knowledge.

METHODS

Adults from Los Angeles (N = 42, 83% female, 90% Hispanic/Latino, mean age = 42.2 years, 41.5% with less than a high school education) viewed an audio-visual novela on dementia. Participants completed surveys immediately before and after viewing the material.

RESULTS

The novela produced significant improvements in overall knowledge (t(41) = -9.79, p < .0001) and led to positive increases in specific attitudes toward people with dementia but not in beliefs that screening would be beneficial. Qualitative results provided concordant and discordant evidence for the quantitative findings.

CONCLUSIONS

Results indicate that an audio-visual novela can be useful for improving attitudes and knowledge about dementia, but further work is needed to investigate the relation with health disparities in screening and treatment behaviors.

CLINICAL IMPLICATIONS

Audio visual novelas are an innovative format for health education and change attitudes and knowledge about dementia.

摘要

目的

痴呆是一种临床综合征,其特征为认知能力的进行性衰退,这限制了独立生活的能力。需要针对护理人员和患者的医疗、社会、心理及知识需求采取干预措施。本研究采用混合方法评估以视听形式呈现的一部痴呆题材电视剧在改善痴呆态度、信念和知识方面的效果。

方法

来自洛杉矶的成年人(N = 42,83% 为女性,90% 为西班牙裔/拉丁裔,平均年龄 = 42.2 岁,41.5% 受教育程度低于高中)观看了一部关于痴呆的视听电视剧。参与者在观看材料前后立即完成调查。

结果

这部电视剧在总体知识方面有显著改善(t(41) = -9.79,p <.0001),并使对痴呆患者的特定态度呈积极上升,但在筛查有益的信念方面没有变化。定性结果为定量研究结果提供了一致和不一致的证据。

结论

结果表明,一部视听电视剧有助于改善对痴呆的态度和知识,但需要进一步开展工作来研究其与筛查及治疗行为中的健康差异之间的关系。

临床意义

视听电视剧是健康教育的一种创新形式,可改变对痴呆的态度和知识。

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