Lanzi Alyssa, Wallace Sarah E, Bourgeois Michelle S
Department of Communication Sciences and Disorders, University of South Florida, Tampa, Florida.
Department of Speech-Language Pathology, Duquesne University, Pittsburgh, Pennsylvania.
Semin Speech Lang. 2018 Jul;39(3):211-222. doi: 10.1055/s-0038-1660780. Epub 2018 Jun 22.
Individuals with mild memory impairments often rely on external memory aids (EMAs) to compensate for impaired cognitive abilities and to support independent completion of activities of daily living. These strategies are evidence based; however, professionals have limited knowledge regarding individual preferences and guidance on how to incorporate a person-centered approach into the EMA development phase. The purpose of the current study was to qualitatively investigate individuals' preferences and experiences as they relate to EMAs. Data analysis included (1) evaluation of a posttreatment questionnaire to explore individual strategy preferences following intervention and (2) evaluation of group intervention videos using thematic coding to investigate individuals' experiences with strategies during intervention. Results suggest that older adults with mild memory impairments have unique preferences and experiences, despite limited variability in demographic characteristics. Some themes that emerged included memory ability awareness and attitudes toward technology. Within a person-centered approach, skilled professionals must consider individuals' unique needs, preferences, and experiences when developing strategies throughout the continuum of care to promote sustained EMA use within everyday settings.
轻度记忆障碍患者通常依靠外部记忆辅助工具(EMA)来弥补受损的认知能力,并支持独立完成日常生活活动。这些策略是有循证依据的;然而,专业人员对于个人偏好以及如何在EMA开发阶段纳入以患者为中心的方法的指导了解有限。本研究的目的是定性调查个体与EMA相关的偏好和经历。数据分析包括:(1)评估治疗后问卷,以探索干预后个体的策略偏好;(2)使用主题编码评估小组干预视频,以调查个体在干预期间使用策略的经历。结果表明,尽管人口统计学特征的变异性有限,但患有轻度记忆障碍的老年人仍有独特的偏好和经历。出现的一些主题包括记忆能力意识和对技术的态度。在以患者为中心的方法中,专业人员在整个护理过程中制定策略时,必须考虑个体的独特需求、偏好和经历,以促进在日常环境中持续使用EMA。