Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ Healthcare), Radboud University Mmedical Center, Nijmegen, The Netherlands.
Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, The Netherlands.
Int J Geriatr Psychiatry. 2022 Feb;37(2). doi: 10.1002/gps.5662. Epub 2021 Dec 6.
To describe and explain the outcomes of community dementia friendly initiatives (DFIs) for people with dementia and their caregivers to inform the development and tailoring of DFIs.
Literature searches on DFIs were performed through two systematic online database searches of PubMed, Embase, ASSIA, CINAHL and Google scholar. Papers were only included if they evaluated outcomes using empirical data from people with dementia or caregivers. Data collection and analysis were guided by the categorization in the DEM-FACT taxonomy and RAMESES guidelines for realist reviews.
Of 7154 records identified, 22 papers were included with qualitative, mixed method and quantitative study designs. The synthesis led to a description of programme theories addressing caring, stimulating and activating communities. Outcomes for people with dementia and caregivers included having contact with others, enjoyment and decrease of stress and, lastly, support. This synthesis also indicated how people with dementia participated in a specific role in DFIs, such as patient, team member or active citizen.
DFIs generate different outcomes for people with dementia and caregivers, depending on the kind of initiative and the specific role for people with dementia. These findings could be a catalyst for initiation and further development of DFIs in a dementia friendly community (DFC). This draws attention to the multiple aspects of DFCs and supports reflection on their essential principles.
描述和解释社区痴呆症友好倡议（DFI）对痴呆症患者及其照顾者的结果，以为 DFI 的制定和调整提供信息。
通过对 PubMed、Embase、ASSIA、CINAHL 和 Google Scholar 进行两次系统的在线数据库搜索，对 DFI 进行文献检索。只有使用来自痴呆症患者或照顾者的实证数据评估结果的论文才会被纳入。数据收集和分析遵循 DEM-FACT 分类法和真实审查的 RAMESES 指南。
在确定的 7154 条记录中，有 22 篇论文被纳入，这些论文采用了定性、混合方法和定量研究设计。综合分析导致了针对关怀、刺激和激活社区的方案理论的描述。痴呆症患者和照顾者的结果包括与他人接触、享受和减少压力以及最后获得支持。这一综合分析还表明了痴呆症患者在 DFI 中如何扮演特定角色，例如患者、团队成员或积极公民。
DFI 为痴呆症患者和照顾者带来不同的结果，这取决于倡议的类型和痴呆症患者的特定角色。这些发现可能会成为在痴呆症友好社区（DFC）中发起和进一步发展 DFI 的催化剂。这引起了对 DFC 多方面的关注，并支持对其基本原则的反思。
