Program for Positive Aging, Department of Psychiatry and Behavioral Sciences, University of California Davis, Sacramento, CA (HCK, VK).
Program for Positive Aging, Department of Psychiatry and Behavioral Sciences, University of California Davis, Sacramento, CA (HCK, VK); Section of Geriatric Psychiatry, Department of Psychiatry, University of Michigan, Ann Arbor, MA (MCB).
Am J Geriatr Psychiatry. 2020 Dec;28(12):1248-1255. doi: 10.1016/j.jagp.2020.08.008. Epub 2020 Aug 22.
To investigate the impact of a one-day training program on caregivers' confidence and knowledge in managing aspects of dementia care.
One-day caregiver training program featuring: 1) an interactive, multi-media format; 2) a companion manual; and 3) a "brain-storming" session at the end of the day that utilized attendees' real-world cases where the use of the DICE (Describe, Investigate, Create, and Evaluate) approach was illustrated "live."
Three different geographical sites in Michigan.
Family (n = 40) and professional (paid; n = 140) caregivers (total n = 180) for people with dementia.
Pre- and post self-ratings related to confidence in aspects of dementia care management before and directly after the training.
Comparing self-ratings pre- and post-training, more than 50% of family caregivers showed improvement in confidence post-training on 11 of 12 items with significant improvement in 4 items. Among professionals, more than 50% of caregivers showed improved confidence on 3 of 12 items, with 4 items showing significant improvement. Family caregivers were significantly more likely than professionals to show improved confidence on 6 of 12 items.
The number of people with dementia and their family caregivers is large and growing every day with the aging of the population. Living well with dementia is the goal. Current care systems are inadequate and lead to multiple poor outcomes. Innovative solutions like the DICE Approach with delivery methods including a manual and interactive training can put the key components of good dementia care at the fingertips of the people who need it most.
调查为期一天的培训计划对照顾者在管理痴呆症护理方面的信心和知识的影响。
为期一天的照顾者培训计划，特点是：1）互动式、多媒体格式；2）配套手册；3）当天结束时的“头脑风暴”环节，利用与会者的真实案例，演示了“现场”使用 DICE（描述、调查、创建和评估）方法。
密歇根州的三个不同地点。
痴呆症患者的家庭（n=40）和专业（付费；n=140）照顾者（共 180 人）。
培训前后与痴呆症护理管理方面的信心相关的自我评估，在培训前后直接进行。
与培训前相比，超过 50%的家庭照顾者在 12 个项目中的 11 个项目中表现出培训后的信心提高，其中 4 个项目的信心显著提高。在专业照顾者中，超过 50%的照顾者在 12 个项目中的 3 个项目中表现出信心提高，其中 4 个项目的信心显著提高。家庭照顾者在 12 个项目中的 6 个项目上表现出提高信心的可能性明显高于专业照顾者。
随着人口老龄化，痴呆症患者及其家庭照顾者的数量庞大且每天都在增加。与痴呆症共同生活是目标。目前的护理系统不足，导致多种不良后果。像 DICE 方法这样的创新解决方案，以及包括手册和互动培训在内的交付方法，可以将良好的痴呆症护理的关键组成部分置于最需要的人的指尖。
