Department of Community Health Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo, Tokyo, Japan.
Department of Gerontological Home Care and Long-term Care Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo, Tokyo, Japan.
Australas J Ageing. 2024 Sep;43(3):503-511. doi: 10.1111/ajag.13284. Epub 2024 Feb 15.
This study aimed to investigate the feasibility and validity of measuring implicit attitudes towards dementia in adults and older adults and evaluate the impact of dementia-friendly education using virtual reality (VR) on implicit attitudes.
This study was a secondary analysis of data from a randomised controlled trial. Community members in Tokyo aged 20-90 years participated in dementia-friendly education with or without VR. At the end of the dementia-friendly education programs, implicit attitudes towards dementia were measured using the Implicit Relational Assessment Procedure (IRAP).
Of the 145 participants, 89 (61%) started the IRAP, and 21 (15%) completed it. Lower age was significantly associated with the start/completion of the IRAP, and the age thresholds at which 50% of participants would not start/complete it were estimated to be 72.3/44.8 years, respectively. Those who had experience interacting with people with dementia other than family members had lower IRAP scores than those who had no such experience. The intervention group participating in the VR program had lower IRAP scores than the control group (p = .09).
Although measuring implicit attitudes using IRAP is deemed not feasible for people in their 70s and older, the differences in interaction experience would be evidence supporting the validity of the measurements of implicit attitudes towards dementia. The results suggest that dementia-friendly education, using VR, improves implicit attitudes towards dementia.
本研究旨在探讨测量成年人和老年人对痴呆症的内隐态度的可行性和有效性,并评估使用虚拟现实(VR)的痴呆症友好教育对内隐态度的影响。
本研究是一项随机对照试验的二次分析。来自东京的 20-90 岁的社区成员参加了有或没有 VR 的痴呆症友好教育。在痴呆症友好教育计划结束时,使用内隐关联评估程序(IRAP)测量对痴呆症的内隐态度。
在 145 名参与者中,89 名(61%)开始进行 IRAP,21 名(15%)完成了它。年龄较低与开始/完成 IRAP 显著相关,预计参与者中有 50%不会开始/完成的年龄阈值分别为 72.3/44.8 岁。与家庭成员以外的痴呆症患者有过互动经历的人比没有这种经历的人 IRAP 得分更低。参加 VR 项目的干预组的 IRAP 得分低于对照组(p=0.09)。
尽管使用 IRAP 测量内隐态度对于 70 岁及以上的人来说并不可行,但互动经验的差异将为痴呆症内隐态度测量的有效性提供证据。结果表明,使用 VR 的痴呆症友好教育可以改善对痴呆症的内隐态度。