香港虚拟个体认知刺激疗法：一项混合方法可行性研究。
Virtual individual cognitive stimulation therapy in Hong Kong: A mixed methods feasibility study.
机构信息
Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.
出版信息
Geriatr Nurs. 2022 Sep-Oct;47:125-134. doi: 10.1016/j.gerinurse.2022.07.010. Epub 2022 Jul 28.
OBJECTIVES
We aimed to translate and culturally adapt Virtual Individual Cognitive Stimulation Therapy (V-iCST) for the Hong Kong (HK) Chinese population, and to evaluate its feasibility and acceptability.
METHODS
A mixed methods case series (N=8) was used to assess the feasibility of V-iCST and changes in cognition, quality of life (QoL), mood, and communication pre and post-test. Data were analyzed with the reliable change index. Thematic analysis of post-therapy interviews and content analysis of session rating forms were used to evaluate the acceptability.
RESULTS
V-iCST was feasible with low attrition (0%) and high attendance (100%). Participants had reliable improvements in all outcomes. Six had improved and stable cognition; four had clinically significant changes in depression. There were no reliable changes in QoL. Qualitative analyses indicated V-iCST as acceptable but required assistance.
CONCLUSIONS
V-iCST can be adapted for HK Chinese with dementia and potentially improve cognition, QoL, mood, and communication.
目的
我们旨在将虚拟个体认知刺激疗法（V-iCST）翻译和文化适应为香港（HK）中文人群，并评估其可行性和可接受性。
方法
采用混合方法病例系列研究（N=8）评估 V-iCST 的可行性以及认知、生活质量（QoL）、情绪和沟通在测试前后的变化。采用可靠变化指数分析数据。通过治疗后访谈的主题分析和会话评分表的内容分析来评估可接受性。
结果
V-iCST 具有低流失率（0%）和高出席率（100%），可行性高。参与者在所有结果上均有可靠的改善。6 人认知得到改善且稳定；4 人抑郁状况有临床显著变化。QoL 无可靠变化。定性分析表明 V-iCST 可接受，但需要协助。
结论
V-iCST 可适用于有痴呆症的香港中文人群，并可能改善认知、生活质量、情绪和沟通。
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