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家庭护理研究——一项支持痴呆症患者及其家庭护理人员的研究项目:阅读干预初步报告

The HOMESIDE Study-A Research Project to Support People Living With Dementia and Their Family Caregivers: Preliminary Report on Reading Intervention.

作者信息

Smrokowska-Reichmann Agnieszka, Janus Edyta, Tamplin Jeanette, Odell-Miller Helen, Stensæth Karette, Wenborn Jennifer, Viken Rønnaug Modell, Wosch Thomas, Bukowska Anna A, Sousa Tanara Vieira, Baker Felicity Anne

机构信息

University of Physical Education in Kraków, Poland.

The University of Melbourne, VIC, Australia.

出版信息

Gerontol Geriatr Med. 2024 Mar 20;10:23337214241239174. doi: 10.1177/23337214241239174. eCollection 2024 Jan-Dec.

Abstract

The behavioral and psychological symptoms of dementia (BPSD) can be challenging for family caregivers to cope with, leading to distress and fatigue. It is therefore important to offer effective strategies to reduce the impact of BPSD. The HOMESIDE randomized controlled trial (RCT) was testing purposefully developed interventions to improve the quality of life and wellbeing of dyads of people with dementia and family caregivers as a result of reduction of BPSD. HOMESIDE RCT was conducted in Australia, Germany, Norway, Poland and the United Kingdom between 2019 and 2022. The study design was a three-arm parallel-group single-blinded, pragmatic RCT with a sample size of 432 dyads. Dyads were randomly allocated to one of three treatment conditions: Music Intervention plus Standard Care; or Reading Intervention plus Standard Care; or Standard Care only. The Reading Intervention (RI) within the HOMESIDE RCT aimed to evoke shared discussion, reminiscence, meaningful shared experiences and consequently enrich everyday life, interaction and the emotional connection between the caregiver (CG) and carereceiver (CR); as well as to enhance activities of daily living and to promote relaxation or stimulation as appropriate. This paper describes the underlying conceptual framework, the content, and delivery of the Reading Intervention within the HOMESIDE RCT.

摘要

痴呆症的行为和心理症状(BPSD)可能会给家庭护理人员带来挑战,导致他们感到痛苦和疲惫。因此,提供有效的策略以减少BPSD的影响非常重要。HOMESIDE随机对照试验(RCT)正在测试专门开发的干预措施,以通过减少BPSD来提高痴呆症患者与家庭护理人员二元组的生活质量和幸福感。HOMESIDE RCT于2019年至2022年在澳大利亚、德国、挪威、波兰和英国进行。研究设计为三臂平行组单盲实用RCT,样本量为432个二元组。二元组被随机分配到三种治疗条件之一:音乐干预加标准护理;或阅读干预加标准护理;或仅接受标准护理。HOMESIDE RCT中的阅读干预(RI)旨在引发共同讨论、回忆、有意义的共同经历,从而丰富日常生活、互动以及护理人员(CG)与受护理者(CR)之间的情感联系;同时增强日常生活活动,并在适当的时候促进放松或刺激。本文描述了HOMESIDE RCT中阅读干预的潜在概念框架、内容和实施方式。

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