Centre for Aboriginal Medical and Dental Health, University of Western Australia, Perth, WA, Australia.
West Australian Centre for Health and Ageing, University of Western Australia, Perth, WA, Australia.
Alzheimers Dement. 2023 Oct;19(10):4564-4571. doi: 10.1002/alz.13032. Epub 2023 Mar 18.
Dementia is highly prevalent in older Aboriginal Australians, with several modifiable risk factors. Currently, there is limited evidence on how to prevent cognitive decline in Aboriginal Australians.
Based on our Theory of Change (ToC) framework, we co-developed the Dementia risk management and prevention program for Aboriginal Australians (DAMPAA) aged over 45 years in partnership with Aboriginal community-controlled organizations (ACCOs) and Elders. Qualitative data were collected through ACCO staff workshops, Elders yarning, and governance groups to inform the protocol. Additionally, we conducted a small pilot study.
Expected DAMPAA ToC outcomes are: (1) improved daily function, (2) better cardiovascular risk management, (3) falls reduction, (4) improved quality of life, and (5) reduced cognitive decline. Attendance enablers are social interaction, environment, exercise type/level, and logistics.
Findings suggest that ToC is an effective collaborative approach for co-designing Aboriginal health programs.
老年澳大利亚原住民中痴呆症的发病率很高，存在多种可改变的风险因素。目前，关于如何预防澳大利亚原住民认知能力下降的证据有限。
基于我们的变革理论 (ToC) 框架，我们与原住民社区控制组织 (ACCO) 和长者合作，为 45 岁以上的澳大利亚原住民共同制定了痴呆风险管理和预防计划 (DAMPAA)。通过 ACCO 工作人员研讨会、长者交谈和治理小组收集定性数据，为制定方案提供信息。此外，我们还进行了一项小型试点研究。
预期的 DAMPAA ToC 结果是：(1) 改善日常功能，(2) 更好地管理心血管风险，(3) 减少跌倒，(4) 提高生活质量，(5) 减缓认知能力下降。参与的促进因素是社会互动、环境、运动类型/水平和后勤。
研究结果表明，ToC 是合作设计原住民健康计划的有效方法。
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