Teahan Áine, Fitzgerald Christine, O'Shea Eamon
Centre for Economic and Social Research on Dementia, NUI Galway, Galway, Ireland.
HRB Open Res. 2020 Aug 17;3:18. doi: 10.12688/hrbopenres.13040.2. eCollection 2020.
The Alzheimer Café is a psychosocial intervention shown to have benefits for family carers of people with dementia. Family carers experience a period of change across all aspects of their lives following the dementia diagnosis, and require new skills and tools to navigate these new landscapes. The objective of this research was to investigate family carers' perspectives of the Alzheimer Café in Ireland, and explore how attendance may translate into broader benefits in their lives. This paper also provides an overview of Alzheimer Café models, which exist internationally. Semi-structured interviews were conducted with nine family carers of people with dementia who were currently attending or had attended an Alzheimer Café in the preceding six months. The research was conducted in three Alzheimer Cafés in Ireland. Data analysis was conducted using Braun and Clarke's six step thematic analysis framework. Community, atmosphere, activity and information were described as core features of the Alzheimer Café in Ireland. The Alzheimer Café was described as a community with a good atmosphere encompassing emotional support, friendship, equality and inclusion. Family carer also highlighted Alzheimer Cafés could potentially facilitate wider community awareness and engagement. The Alzheimer Café was shown to provide an activity which facilitated relationship building within care dyads as well as with other attendees. Several information streams were identified, including guest speaker input, attendees' shared experiences, and specific advice from healthcare professionals. The Alzheimer Café offers strong personal support to family carers of people with dementia. Our findings suggest that Alzheimer Cafés can build family carers' capacity to manage new social, environmental and cultural challenges associated with dementia. While it is important the Alzheimer Café is enjoyable, has useful information and is supportive, it is equally important that these features generate sustained improvements for family carers external to the Alzheimer Café.
老年痴呆症咖啡馆是一种社会心理干预措施,已被证明对痴呆症患者的家庭护理人员有益。在痴呆症被诊断后,家庭护理人员在生活的各个方面都经历了一段变化时期,需要新的技能和工具来应对这些新情况。本研究的目的是调查爱尔兰家庭护理人员对老年痴呆症咖啡馆的看法,并探讨参与其中如何能给他们的生活带来更广泛的益处。本文还概述了在国际上存在的老年痴呆症咖啡馆模式。对九名痴呆症患者的家庭护理人员进行了半结构化访谈,这些护理人员目前正在参加或在过去六个月内参加过老年痴呆症咖啡馆。研究在爱尔兰的三家老年痴呆症咖啡馆进行。数据分析采用了布劳恩和克拉克的六步主题分析框架。社区、氛围、活动和信息被描述为爱尔兰老年痴呆症咖啡馆的核心特征。老年痴呆症咖啡馆被描述为一个氛围良好的社区,提供情感支持、友谊、平等和包容。家庭护理人员还强调,老年痴呆症咖啡馆有可能促进更广泛的社区意识和参与。老年痴呆症咖啡馆被证明提供了一种活动,有助于在护理二元组内部以及与其他参与者之间建立关系。确定了几个信息流,包括客座演讲者的投入、参与者的共同经历以及医疗保健专业人员的具体建议。老年痴呆症咖啡馆为痴呆症患者的家庭护理人员提供了强有力的个人支持。我们的研究结果表明,老年痴呆症咖啡馆可以增强家庭护理人员应对与痴呆症相关的新的社会、环境和文化挑战的能力。虽然老年痴呆症咖啡馆令人愉快、有有用的信息且提供支持很重要,但同样重要的是,这些特征要为老年痴呆症咖啡馆之外的家庭护理人员带来持续的改善。