Department of Community and Mental Health Nursing, Faculty of Nursing, Al al-Bayt University, AlMafraq, Jordan.
School of Health Sciences, University of Nottingham, Nottingham, UK.
Psychogeriatrics. 2022 Mar;22(2):187-201. doi: 10.1111/psyg.12798. Epub 2022 Jan 5.
Using technology to deliver psychosocial interventions such as reminiscence therapy (RT) to people with dementia may improve their mental health. Yet, establishing the feasibility of digital interventions in low- to middle-income countries is still in the early stages. This study aimed to: (i) determine the feasibility of using digital touch screen technology to deliver RT among people with dementia living in Jordanian care homes; and (ii) compare study outcomes pre- and post-reminiscence sessions to investigate whether specific outcomes are sensitive to change and explore the acceptability and experiences of the intervention.
A pragmatic mixed-method study design was implemented. Sixty residents with dementia were recruited from two Jordanian care homes (Site 1: n = 35; Site 2: n = 10). A process evaluation was conducted alongside a single-group pre-post-intervention study. The intervention involved 10 supported RT sessions of up to 1 h each, delivered over 5 weeks. Feasibility was determined by assessing the rate of recruitment, adherence, retention, data completion, implementation fidelity, and adverse events. Qualitative semi-structured interview questions were used to explore experience and acceptability, and data were thematically analysed.
Response rate was 100%; loss to follow up at post-intervention was 25%. Median session attendance for those who received the intervention was 80%. No serious adverse events were reported. A positive, statistically significant and clinically relevant difference was found in all outcome measures before and after reminiscence sessions. Qualitative findings suggest that digital RT intervention is generally well accepted by people with dementia who reported positive changes, including enhanced communication and cognitive abilities.
Using digital touch screen technology to deliver RT is feasible and acceptable among people with dementia in Jordanian care homes. Digital RT intervention is a promising approach to improving mental health and communication for people living with dementia.
使用技术为痴呆症患者提供心理社会干预，如回忆疗法（RT），可能会改善他们的心理健康。然而，在中低收入国家建立数字干预措施的可行性仍处于早期阶段。本研究旨在：（i）确定在约旦养老院居住的痴呆症患者使用数字触摸屏技术提供 RT 的可行性；（ii）比较回忆治疗前后的研究结果，以调查特定结果是否对变化敏感，并探讨干预措施的可接受性和体验。
采用实用混合方法研究设计。从两家约旦养老院招募了 60 名痴呆症患者（Site1：n=35；Site2：n=10）。同时进行了过程评估和单组前后干预研究。该干预包括 10 次支持性 RT 治疗，每次治疗时长为 1 小时，持续 5 周。通过评估招募率、依从性、保留率、数据完成率、实施一致性和不良事件来确定可行性。使用半结构化定性访谈问题来探索体验和可接受性，并对数据进行主题分析。
回应率为 100%；干预后失访率为 25%。接受干预者的中位数出席率为 80%。未报告严重不良事件。在回忆治疗前后，所有结果测量均显示出统计学上显著和临床上有意义的差异。定性研究结果表明，数字 RT 干预措施在约旦养老院的痴呆症患者中通常是可以接受的，他们报告了积极的变化，包括增强了沟通和认知能力。
在约旦养老院中，使用数字触摸屏技术提供 RT 是可行和可接受的。数字 RT 干预是改善痴呆症患者心理健康和沟通的一种很有前途的方法。
