加强海地人群的痴呆症教育和认知筛查：一种基于信仰的方法。
Enhancing Dementia Education and Cognitive Screening in A Haitian Population: A Faith-based Approach.
作者信息
Daccarett Sandra, Wiese Lisa Kirk, Ángeles Ordóñez María Los
机构信息
Nurse Practitioner Louis and Anne Green Memory & Wellness Center, Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, USA.
Assistant Professor of Nursing C. E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, USA.
出版信息
J Community Health Nurs. 2021 Apr-Jun;38(2):103-119. doi: 10.1080/07370016.2021.1887566.
Ethnically diverse Americans experience 1.8-2.5 times higher risk of developing Alzheimer's disease than Whites (Mayeda, et al., 2016), yet cognitive screening is not routinely conducted among Haitian American communities. Dementia risk awareness is beneficial for improving management of chronic illness and behaviors that impact risk of cognitive decline. A quasiexperimental paired samples t-test design was employed to test the effectiveness of an educational intervention among 50 older faith- based Haitian adults using the Basic Knowledge of Alzheimer's Disease (BKAD) scale, cognitive screening using the Cognitive State Test (COST), and referrals to a local memory/wellness center. A significant difference was seen in knowledge scores: pre-test (M = 18.5, SD = 3.12) and post-test (M = 23.1, SD = 2.42); conditions t(41.9) = -9.5, p = .000. All of those who volunteered for screening completed follow-up neuropsychological evaluations. Outreach to faith-based settings is suggested as an avenue for improving dementia knowledge and detection.
与白人相比，具有不同种族背景的美国人患阿尔茨海默病的风险要高1.8至2.5倍（Mayeda等人，2016年），然而，在美国海地裔社区中，认知筛查并未常规开展。痴呆风险意识有助于改善慢性病管理以及对影响认知能力下降风险的行为的管理。采用准实验配对样本t检验设计，以阿尔茨海默病基础知识（BKAD）量表、认知状态测试（COST）进行认知筛查，并转介至当地记忆/健康中心，来测试一项教育干预措施对50名年长的海地裔宗教人士的有效性。知识得分存在显著差异：前测（M = 18.5，SD = 3.12）和后测（M = 23.1，SD = 2.42）；条件t(41.9) = -9.5，p = .000。所有自愿接受筛查的人都完成了后续神经心理学评估。建议将宗教场所作为提高痴呆症知识和检测率的途径。
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