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通过分享舞蹈提高痴呆症患者及其照顾者的社会包容性:一项定性连续关怀先导研究方案。

Improving social inclusion for people with dementia and carers through sharing dance: a qualitative sequential continuum of care pilot study protocol.

机构信息

Trent School of the Environment, Trent University, Peterborough, Ontario, Canada.

Department of Geography, Brandon University, Brandon, Manitoba, Canada.

出版信息

BMJ Open. 2018 Nov 28;8(11):e026912. doi: 10.1136/bmjopen-2018-026912.

Abstract

INTRODUCTION

This study examines the potential of dance to improve social inclusion for people living with dementia and carers. Research suggests that arts-based programmes can improve the health of people living with dementia and carers; however, little is known about how these programmes might address barriers to social inclusion. Addressing barriers requires the development and evaluation of accessible, non-stigmatising and affordable programmes that facilitate social inclusion across the continuum of institutional, community and household care settings.

METHODS AND ANALYSIS

The study involves a qualitative sequential pilot study of the innovative Baycrest NBS Sharing Dance Seniors programme underway in non-metropolitan regions of two Canadian provinces. It focuses on the remotely instructed delivery of the programme in care facilities, community centres and households. The study involves five phases of observations, diaries, focus groups and interviews with programme participants (people living with dementia), carers, coordinators, instructors and volunteers as well as critical reflections among research investigators and knowledge users. NVivo-based thematic and narrative analyses of the qualitative data will produce new knowledge about the experiences, effectiveness and challenges of the dance programme that will inform understanding of whether and in what ways it increases social inclusion and quality of life for older people living with dementia and carers. The findings will identify opportunities for programme expansion and support the further development of arts-based approaches.

ETHICS AND DISSEMINATION

The study is approved by the Research Ethics Boards at Trent University and Brandon University, and by participating organisations according to their governance procedures. The perspectives of people living with dementia and carers are incorporated throughout the study (from design to dissemination) and the study adheres to the ethical considerations when including people with dementia. A series of publicly available reports, seminars and symposia will be undertaken in collaboration with knowledge user and collaborating organisation partners.

摘要

简介

本研究探讨了舞蹈在提高痴呆症患者和照顾者的社会包容性方面的潜力。研究表明,基于艺术的项目可以改善痴呆症患者和照顾者的健康状况;然而,对于这些项目如何解决社会包容的障碍知之甚少。解决障碍需要开发和评估无障碍、无污名化和负担得起的项目,以促进机构、社区和家庭护理环境中社会包容的连续性。

方法和分析

该研究是一项在加拿大两个省份的非大都市地区进行的贝塞斯达 NBS 共享舞蹈老年人计划的创新性定性序贯试点研究。它侧重于该计划在护理设施、社区中心和家庭中远程指导的实施。该研究涉及五个阶段的观察、日记、焦点小组和对项目参与者(痴呆症患者)、照顾者、协调员、指导员和志愿者的访谈,以及研究调查人员和知识使用者之间的批判性反思。基于 NVivo 的对定性数据的主题和叙事分析将产生关于舞蹈计划的经验、效果和挑战的新知识,这些知识将有助于了解该计划是否以及以何种方式增加了老年痴呆症患者和照顾者的社会包容性和生活质量。研究结果将确定扩大项目的机会,并支持基于艺术的方法的进一步发展。

伦理和传播

该研究已获得特伦特大学和布兰登大学的研究伦理委员会以及参与组织根据其治理程序的批准。痴呆症患者和照顾者的观点贯穿整个研究(从设计到传播),并且该研究在纳入痴呆症患者时考虑了伦理因素。将与知识用户和合作组织伙伴合作开展一系列公开的报告、研讨会和研讨会。

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