Ebert Alexandria R, Kulibert Danica, McFadden Susan H
West Virginia University, USA.
Tulane University, USA.
Dementia (London). 2020 Nov;19(8):2542-2554. doi: 10.1177/1471301219827708. Epub 2019 Feb 10.
Advocates for dementia-friendly communities emphasize the need for the public to know about the dementias and to experience social comfort with people having dementia. This research tested a conceptual model of influences on social comfort, including two types of dementia knowledge and personal dementia fear.
Data were collected from 645 Wisconsin residents through an online platform (Qualtrics®) and community outreach efforts. A hierarchical multiple regression was conducted and its results were mapped onto a figure representing the conceptual model of social comfort.
Greater personhood-based knowledge (based on observations of the capabilities and perspectives of persons with dementia) and less personal dementia fear significantly predicted higher levels of social comfort, while biomedical knowledge did not. Although more personhood-based knowledge improved overall comfort regardless of the level of biomedical knowledge, people with higher levels of biomedical knowledge benefitted the most from having personhood-based knowledge.
These findings suggest that activities that promote personhood-based knowledge may enhance social comfort. These activities may be most effective for individuals who already have a high level of biomedical knowledge about people with dementia. Community members and professionals ought to strike a balance between biomedical knowledge and personhood-based knowledge, as the two together may be associated with higher levels of social comfort. This could benefit the promotion of dementia-friendly community initiatives.
倡导建立对痴呆症友好的社区的人士强调,公众需要了解痴呆症,并在与痴呆症患者相处时感到社会舒适。本研究测试了一个关于影响社会舒适感的概念模型,其中包括两种类型的痴呆症知识和个人对痴呆症的恐惧。
通过在线平台(Qualtrics®)和社区外展活动从645名威斯康星州居民中收集数据。进行了分层多元回归分析,并将其结果映射到一个代表社会舒适感概念模型的图表上。
更多基于人格的知识(基于对痴呆症患者能力和观点的观察)以及较少的个人对痴呆症的恐惧显著预测了更高水平的社会舒适感,而生物医学知识则没有。尽管无论生物医学知识水平如何,更多基于人格的知识都能提高总体舒适度,但生物医学知识水平较高的人从基于人格的知识中受益最大。
这些发现表明,促进基于人格的知识的活动可能会增强社会舒适感。这些活动对于那些已经对痴呆症患者有较高生物医学知识水平的个人可能最为有效。社区成员和专业人员应该在生物医学知识和基于人格的知识之间取得平衡,因为两者结合可能与更高水平的社会舒适感相关。这可能有利于促进对痴呆症友好的社区倡议。