Santos Octavio A, Fievre Johanna, Sweet Lisa, Knoefel Frank, Thomas Neil
Bruyère Research Institute, Ottawa, ON.
Ottawa Hospital Research Institute, Ottawa, ON.
Can Geriatr J. 2024 Jun 3;27(2):168-177. doi: 10.5770/cgj.27.723. eCollection 2024 Jun.
Mild cognitive impairment (MCI) confers a higher risk of developing dementia. While largely preserved, instrumental activities of daily living (IADLs) may be affected to varying degrees by MCI. The Memory Support System (MSS) is a curriculum and calendar/note-taking system that has proven effective in sustaining independence in IADLs for individuals with MCI and in protecting mood among care partners. Until recently, the MSS has only been utilized among English- and Spanish-speaking samples. This study investigated the use of a translated and culturally adapted MSS in four French-speaking, community-dwelling participants with MCI and their support partners. Measures of treatment adherence, daily function, self-efficacy for memory, quality of life, mood, anxiety, and caregiver burden were assessed at baseline, treatment end, and eight-week follow-up. By treatment end and follow-up, participants with MCI showed improvement in adherence to the MSS calendar, IADLs, everyday abilities requiring memory and planning, self-efficacy, depression and anxiety symptoms, and quality of life. Care partners showed improvement in quality of life and depressive symptoms, while their caregiver burden and anxiety symptoms generally remained unchanged. Findings suggest that, with appropriate training, Francophones with MCI can and will use the MSS, and that MSS training may contribute to daily functioning and aspects of participant and care partner well-being.
轻度认知障碍(MCI)会增加患痴呆症的风险。虽然日常生活工具性活动(IADLs)在很大程度上得以保留,但可能会受到MCI不同程度的影响。记忆支持系统(MSS)是一种课程以及日历/笔记系统,已被证明对维持MCI患者在IADLs方面的独立性以及保护护理伙伴的情绪有效。直到最近,MSS仅在讲英语和西班牙语的样本中使用。本研究调查了一种经过翻译和文化适应的MSS在四名说法语、居住在社区的MCI患者及其支持伙伴中的使用情况。在基线、治疗结束时以及八周随访时评估了治疗依从性、日常功能、记忆自我效能感、生活质量、情绪、焦虑和照顾者负担等指标。到治疗结束和随访时,MCI患者在遵守MSS日历、IADLs、需要记忆和规划的日常能力、自我效能感、抑郁和焦虑症状以及生活质量方面均有改善。护理伙伴的生活质量和抑郁症状有所改善,而他们的照顾者负担和焦虑症状总体上保持不变。研究结果表明,经过适当培训,患有MCI的法语使用者能够且愿意使用MSS,并且MSS培训可能有助于日常功能以及参与者和护理伙伴的幸福感。