Department of Community Health Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Department of Biostatistics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Gerontologist. 2023 Sep 2;63(8):1300-1310. doi: 10.1093/geront/gnac182.
Dementia-friendly training should be incorporated in neighborhood stores for people living with dementia to maintain engagement in social activities. However, there is a lack of evidence of dementia-friendly training in these workplaces, and existing trainings have time constraints. We developed a mobile microlearning program based on stigma theory and the bystander intervention model. This study aimed to evaluate the microlearning program's effectiveness.
Convenience store workers in Tokyo were recruited for a randomized, waiting-list, and controlled trial. The intervention group completed a 50-min online course. The primary outcome was an attitude toward people living with dementia. The secondary outcomes were knowledge of dementia and helping behavior toward customers suspected of having dementia. Data were collected at baseline, after 1 month, and 4 months following the randomization.
Process evaluations confirmed satisfaction and high completion rates of the program. In total, 150 participants were included in the analysis. The intervention group showed significantly greater improvements in attitude (Hedge's g = 0.70) and knowledge (g = 0.59) after 1 month, compared to the control group. Helping behavior increased in the intervention group, although it did not differ significantly between the groups. All outcomes remained significantly improved after 4 months.
The findings provide evidence that dementia-friendly training reduces the general public's stigma and increases helping behavior in stores. Mitigation of time constraints through mobile microlearning is expected to contribute to the dissemination and help people living with dementia maintain their social participation in the communities. Clinical Trials Registration Number: UMIN000043623.
痴呆友善培训应纳入社区商店，以便让痴呆患者继续参与社交活动。然而，这些工作场所缺乏痴呆友善培训的证据，而且现有的培训存在时间限制。我们基于污名理论和旁观者干预模型开发了一个移动微学习计划。本研究旨在评估该微学习计划的效果。
我们在东京招募了便利商店员工，进行了一项随机、等待名单和对照试验。干预组完成了 50 分钟的在线课程。主要结果是对痴呆患者的态度。次要结果是对痴呆症的知识和对疑似痴呆症顾客的帮助行为。数据在随机分组后、1 个月和 4 个月时收集。
过程评估证实了对该计划的满意度和高完成率。共有 150 名参与者纳入分析。与对照组相比，干预组在 1 个月后态度（Hedge's g = 0.70）和知识（g = 0.59）显著改善。干预组的帮助行为增加，但两组之间没有显著差异。所有结果在 4 个月后仍显著改善。
研究结果表明，痴呆友善培训可以减少公众的污名化，增加商店的帮助行为。通过移动微学习缓解时间限制有望有助于推广，并帮助痴呆患者在社区中保持社交参与。临床试验注册号：UMIN000043623。
