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认知刺激疗法治疗痴呆症:针对印度的文化适应性的可接受性和可行性的初步研究。

Cognitive Stimulation Therapy for Dementia: Pilot Studies of Acceptability and Feasibility of Cultural Adaptation for India.

机构信息

Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, UK.

Schizophrenia Research Foundation (India), Chennai, India.

出版信息

Am J Geriatr Psychiatry. 2017 Sep;25(9):1029-1032. doi: 10.1016/j.jagp.2017.04.014. Epub 2017 Apr 27.

Abstract

OBJECTIVE

This study aims to culturally adapt, translate, and test the feasibility and acceptability of delivering cognitive stimulation therapy (CST) for persons with mild to moderate dementia in Chennai, India.

METHODS

The adaptation followed a five-stage process in accordance with the formative method for adapting psychotherapy. Focus-group discussions with experts and feedback from participants, carers, and facilitators after two consecutive pilot studies provided the basis for adaptation.

RESULTS

Substantial modifications were required. The adapted program was found to be an acceptable, enjoyable, and constructive by participants and carers alike.

CONCLUSION

CST was successfully adapted for use in South India. Translations into other Indian languages using the adapted manual are required for nation-wide implementation. Large-scale clinical trials are required to replicate global reports on the efficacy and cost-effectiveness of CST in India across different settings.

摘要

目的

本研究旨在对认知刺激疗法(CST)进行文化调适、翻译,并检验其在印度钦奈市为轻度至中度痴呆患者提供服务的可行性和可接受性。

方法

改编工作按照适应心理疗法的五阶段程序进行。与专家进行焦点小组讨论,并在连续两次试点研究后征求参与者、照顾者和推动者的反馈,为改编提供了依据。

结果

需要进行大量修改。参与者和照顾者均认为改编后的方案是可以接受、愉快且有益的。

结论

CST 在印度成功改编。需要使用改编后的手册将其翻译成其他印度语言,以便在全国范围内推广。需要开展大规模临床试验,在不同环境下复制全球有关 CST 在印度的疗效和成本效益的报告。

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