Department of Psychiatry,Dalhousie University,Halifax,Nova Scotia,Canada.
Department of Psychiatry,University of Ottawa,Ottawa,Ontario,Canada; The Ottawa Hospital,Ottawa,Ontario,Canada.
Int Psychogeriatr. 2019 Feb;31(2):173-180. doi: 10.1017/S1041610218000480. Epub 2018 May 25.
ABSTRACTBackground:The Fountain of Health (FoH) initiative is a knowledge transfer (KT) project on the science of brain health and resilience promotion, in alignment with positive psychiatry.
Assess the effectiveness of FoH KT delivered in individual and group-based formats.
Pre- and post-intervention quality assurance survey of FoH KT.
Interventions occurred in Nova Scotia, Canada.
Adults over age 50 years without pre-existing dementia were targeted. A total of 92 participants received FoH KT in individualized (n = 41) and group-based (n = 51) formats.
FoH KT (e.g. sharing evidence, lifestyle coaching, and goal setting) using a range of KT supports (e.g. FoH website, paper materials) was delivered to (1) individual patients by primary care clinicians and (2) community-based groups by lay leaders.
The main outcome measure was participant pre- and post-quality assurance self-reports.
Improvements were found in participant awareness of FoH, knowledge of evidence-based mental health promotion initiatives, and in application of this information in daily life in both individual and group-based settings. Improvements in participant knowledge about epigenetic factors that impact health and confidence with health behavior goal setting were reported in both contexts. Changes in self-perceptions of aging scores reached significance in the group intervention.
FoH KT produced short-term positive self-reported changes in participants in both individual and group formats. Larger control studies with long-term follow up are needed to better assess effects of both individual and group formats of FoH KT and longer term impacts on health behaviors and outcomes.
目的：评估个体和小组两种形式的 Fountain of Health (FoH) 知识转移 (KT) 干预的效果。
设计：对 FoH KT 的质量保证进行干预前后的调查。
设置：干预发生在加拿大新斯科舍省。
参与者：目标人群为年龄在 50 岁以上且没有痴呆前期的成年人。共有 92 名参与者接受了个体化（n = 41）和小组（n = 51）形式的 FoH KT。
干预措施：通过初级保健临床医生向个体患者（1）和通过社区基层领导向社区团体（2）提供 FoH KT（例如分享证据、生活方式指导和目标设定），并使用一系列 KT 支持（例如 FoH 网站、纸质材料）。
测量：主要的结果衡量指标是参与者在质量保证前后的自我报告。
结果：在个体和小组环境中，参与者对 FoH 的认识、对基于证据的精神健康促进举措的了解以及将这些信息应用于日常生活的能力均有所提高。在两种情况下，参与者对影响健康的表观遗传因素和健康行为目标设定的信心也有所提高。在小组干预中，参与者对衰老的自我认知评分发生了显著变化。
结论：FoH KT 在个体和小组两种形式中都产生了短期的积极自我报告变化。需要更大规模的对照研究进行长期随访，以更好地评估个体和小组形式的 FoH KT 的效果以及对健康行为和结果的长期影响。
