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评估“健脑食品”组对轻度认知障碍和轻度痴呆患者的影响:初步混合方法研究。

Evaluating the effect of Brainfood groups for people with mild cognitive impairment and mild dementia: preliminary mixed-methodology study.

作者信息

Hassan Saba, Aguirre Elisa, Betz Anna, Robertson Sarah, Sankhla Deepak, Cooper Claudia

机构信息

UCL Department of Old Age Psychiatry, Division of Psychiatry, University College London, UK.

Research and Development Department, North East London Foundation Trust (NELFT), Goodmayes Hospital, UK.

出版信息

BJPsych Open. 2018 Jun 27;4(4):208-214. doi: 10.1192/bjo.2018.29. eCollection 2018 Jul.

Abstract

BACKGROUND

Brainfood is a 5-week group intervention for people with mild cognitive impairment and mild dementia, promoting cognitive health through a Mediterranean-style diet, exercise, mindfulness and health self-management.

AIMS

To evaluate Brainfood acceptability and the feasibility of conducting a randomised controlled trial; in a single group study in two National Health Service (NHS) memory services.

METHOD

Participants self-completed quantitative and semi-structured questionnaires. Recruitment, attendance and outcome completion were the primary outcomes.

RESULTS

In total, 30 of 59 people invited to Brainfood attended; of the 26 (87%) who completed baseline measures: 25 (96%) completed post-intervention quantitative measures, 16 (67%) qualitative questions and 21 (81%) attended ≥3/5 sessions. Compared with baseline, participants reported significantly higher quality of life, Mediterranean diet adherence and exercising more, up to 2 months after the groups. Participants valued the groups and felt enabled to improve their well-being.

CONCLUSIONS

Brainfood was acceptable and feasible to implement in an NHS setting.

DECLARATION OF INTEREST

A.B. and C.C. developed Brainfood - they hold a creative commons license for the manual and make it available to use for free to all. The manual evolves iteratively, but the manual used in this research study is provided in an online supplement.

摘要

背景

“健脑食物”是一项针对轻度认知障碍和轻度痴呆患者的为期5周的小组干预措施,通过地中海式饮食、运动、正念和健康自我管理来促进认知健康。

目的

在两项国民医疗服务体系(NHS)记忆服务的单组研究中,评估“健脑食物”的可接受性以及进行随机对照试验的可行性。

方法

参与者自行完成定量和半结构化问卷。招募情况、出勤情况和结果完成情况是主要结果。

结果

总共59名受邀参加“健脑食物”项目的人中,有30人参加;在完成基线测量的26人(87%)中:25人(96%)完成了干预后的定量测量,16人(67%)完成了定性问题,21人(81%)参加了≥3/5次课程。与基线相比,参与者报告称,在小组活动结束后长达2个月的时间里,他们的生活质量显著提高,对地中海饮食的依从性增强,运动量增加。参与者重视这些小组活动,并感觉有能力改善自己的幸福感。

结论

“健脑食物”在国民医疗服务体系环境中是可接受且可行的。

利益声明

A.B.和C.C.开发了“健脑食物”——他们拥有该手册的知识共享许可,并免费提供给所有人使用。该手册不断迭代更新,但本研究中使用的手册在在线补充资料中提供。

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