Matsumoto Hiroshige, Maeda Akari, Igarashi Ayumi, Weller Carolina, Yamamoto-Mitani Noriko
Department of Community Health Nursing, School of Medicine, The University of Tokyo, Tokyo, Japan.
Department of Gerontological Home Care and Long-term Care Nursing, School of Medicine, The University of Tokyo, Tokyo, Japan.
Gerontol Geriatr Educ. 2023 Apr-Jun;44(2):154-184. doi: 10.1080/02701960.2021.1999938. Epub 2021 Nov 18.
The lack of public awareness and understanding of dementia affects the experiences of people living with dementia and their families. Dementia education and training for the general public have been gradually disseminated. We conducted a systematic scoping review guided by PRISMA-ScR to map existing evidence and identify dementia education and training available to the general public. From the four electronic databases, 41 articles were identified. Dementia education has three main purposes: dementia friendliness (n = 25), early diagnosis/help-seeking (n = 10), and prevention (n = 6). Education aimed at dementia friendliness was delivered in the community (n = 6), schools/universities (n =14), workplaces (n = 2), and online (n = 3). Interventions aimed at early diagnosis and prevention were often conducted in communities with middle-aged and older people or specific ethnic groups. Eleven dementia-friendliness studies reported on the interaction with people living with dementia to reduce stigma. Dementia knowledge, attitudes, and preventive behaviors were assessed as outcomes. Though randomized controlled trials were conducted in early diagnosis and prevention studies e-learning, they were not performed in dementia-friendliness studies. Therefore, there is a need to further accumulate evidence of dementia education for each of these purposes.
公众对痴呆症缺乏认识和了解,这影响了痴呆症患者及其家人的生活体验。针对普通公众的痴呆症教育和培训已逐渐得到推广。我们在PRISMA-ScR的指导下进行了一项系统的范围综述,以梳理现有证据,并确定可供普通公众使用的痴呆症教育和培训。从四个电子数据库中,共识别出41篇文章。痴呆症教育有三个主要目的:对痴呆症友好(n = 25)、早期诊断/寻求帮助(n = 10)和预防(n = 6)。针对痴呆症友好的教育在社区(n = 6)、学校/大学(n = 14)、工作场所(n = 2)和线上(n = 3)开展。针对早期诊断和预防的干预措施通常在有中老年人或特定族裔群体的社区中进行。11项关于痴呆症友好的研究报告了与痴呆症患者互动以减少污名化的情况。将痴呆症知识、态度和预防行为作为结果进行评估。尽管在早期诊断和预防研究(电子学习)中进行了随机对照试验,但在痴呆症友好研究中并未进行。因此,有必要针对这些目的中的每一个进一步积累痴呆症教育的证据。
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