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制定驾驶与痴呆症路线图:从知识到行动的过程。

Developing the Driving and Dementia Roadmap: a knowledge-to-action process.

作者信息

Stasiulis Elaine, Naglie Gary, Sanford Sarah, Belchior Patricia, Crizzle Alexander, Gélinas Isabelle, Mazer Barbara, Moorhouse Paige, Myers Anita, Porter Michelle M, Vrkljan Brenda, Rapoport Mark J

机构信息

Rotman Research Institute, Baycrest Health Sciences, Toronto, OntarioM6A 2E1, Canada.

Department of Medicine, Baycrest Health Sciences, Toronto, OntarioM6A 2E1, Canada.

出版信息

Int Psychogeriatr. 2024 Dec;36(12):1157-1170. doi: 10.1017/S1041610222001235. Epub 2023 Jan 30.

Abstract

OBJECTIVES

Despite three decades of research, gaps remain in meeting the needs of people with dementia and their family/friend carers as they navigate the often-tumultuous process of driving cessation. This paper describes the process of using a knowledge-to-action (KTA) approach to develop an educational web-based resource (i.e. toolkit), called the Driving and Dementia Roadmap (DDR), aimed at addressing some of these gaps.

DESIGN

Aligned with the KTA framework, knowledge creation and action cycle activities informed the development of the DDR. These activities included systematic reviews; meta-synthesis of qualitative studies; interviews and focus groups with key stakeholders; development of a Driving and Dementia Intervention Framework (DD-IF); and a review and curation of publicly available resources and tools. An Advisory Group comprised of people with dementia and family carers provided ongoing feedback on the DDR's content and design.

RESULTS

The DDR is a multi-component online toolkit that contains separate portals for current and former drivers with dementia and their family/friend carers. Based on the DD-IF, various topics of driving cessation are presented to accommodate users' diverse stages and needs in their experiences of decision-making and transitioning to non-driving.

CONCLUSION

Guided by the KTA framework that involved a systematic and iterative process of knowledge creation and translation, the resulting person-centered, individualized and flexible DDR can bring much-needed support to help people with dementia and their families maintain their mobility, community access, and social and emotional wellbeing during and post-driving cessation.

摘要

目标

尽管经过了三十年的研究,但在满足痴呆症患者及其家人/朋友护理人员的需求方面仍存在差距,因为他们要应对通常动荡的停止驾驶过程。本文描述了使用知识到行动(KTA)方法开发一个名为“驾驶与痴呆症路线图”(DDR)的基于网络的教育资源(即工具包)的过程,旨在填补其中一些差距。

设计

与KTA框架一致,知识创造和行动循环活动为DDR的开发提供了信息。这些活动包括系统评价;定性研究的元综合;与关键利益相关者的访谈和焦点小组;开发驾驶与痴呆症干预框架(DD-IF);以及对公开可用资源和工具的审查和策划。一个由痴呆症患者和家庭护理人员组成的咨询小组对DDR的内容和设计提供了持续反馈。

结果

DDR是一个多组件在线工具包,包含针对当前和以前患有痴呆症的驾驶员及其家人/朋友护理人员的单独门户。基于DD-IF,提出了各种停止驾驶的主题,以适应用户在决策和过渡到非驾驶体验中的不同阶段和需求。

结论

在KTA框架的指导下,该框架涉及知识创造和转化的系统且迭代的过程,最终形成的以人为主、个性化且灵活的DDR可以提供急需的支持,以帮助痴呆症患者及其家人在停止驾驶期间和之后保持其行动能力、社区参与度以及社会和情感幸福感。

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