Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
NIHR Applied Research Collaboration North West Coast, Liverpool, UK.
Health Expect. 2024 Feb;27(1):e13977. doi: 10.1111/hex.13977.
Receiving and accessing care after a diagnosis of dementia, both for the person and their carer, are fraught with inequalities. The aim of this public engagement activity was to co-produce a board game about dementia inequalities to facilitate learning, dialogue and educate about different barriers, and facilitators, to diagnosis and care and to test the game's impact on dementia knowledge with the general public.
Two virtual and two face-to-face workshops with people with dementia, unpaid carers, health and social care professionals and Third Sector representatives were held between October 2022 and June 2023. Virtual workshops involved discussions of inequalities and how a board game may feature inequalities. The first face-to-face workshop was split into the same activities, aided by outcomes from workshops 1 and 2. Workshop 4 attendees tested the prototype. The impact of the game on knowledge about dementia and inequalities was tested at a game play workshop in October 2023.
Forty stakeholders attended four workshops. Workshops provided step-by-step thoughts on how the game could be designed or modified. The final game, prototype tested in workshop 4, consists of a one-sided, two-half board depicting the prediagnosis process (left half) and postdiagnosis process (right half). Fifty-two members of the general public participated in the game play workshop, which led to significant improvements in knowledge about dementia (p < .001) and inequalities (p < .001).
The game can be used to improve knowledge about dementia inequalities for health and social care professionals, carers, people living with dementia, decision makers and the general public.
This engagement activity fully involved people with dementia, unpaid carers, health and social care professionals and Third Sector representatives throughout, with two unpaid carers as public advisers on the team.
被诊断患有痴呆症后,患者及其照顾者在获得和接受护理方面都存在不平等问题。本次公众参与活动旨在共同制作一款关于痴呆症不平等问题的棋盘游戏,以促进学习、对话,并教育人们了解诊断和护理方面的不同障碍和促进因素,并测试该游戏对公众对痴呆症知识的影响。
2022 年 10 月至 2023 年 6 月期间,我们与痴呆症患者、无薪照顾者、卫生和社会保健专业人员以及第三部门代表举行了两次虚拟会议和两次面对面会议。虚拟会议涉及讨论不平等问题以及棋盘游戏如何体现不平等问题。第一次面对面会议分为相同的活动,并借助前两次会议的结果。第四次会议的与会者测试了原型。2023 年 10 月,在一次游戏工作坊中测试了该游戏对痴呆症和不平等知识的影响。
40 名利益攸关方参加了四次会议。会议为如何设计或修改游戏提供了逐步的思路。在第四次会议上测试的最终游戏原型由一个单面、两半的棋盘组成,描绘了诊断前过程(左半部分)和诊断后过程(右半部分)。52 名普通公众参加了游戏工作坊,这导致他们对痴呆症(p<0.001)和不平等(p<0.001)的知识有了显著提高。
该游戏可用于提高卫生和社会保健专业人员、照顾者、痴呆症患者、决策者和公众对痴呆症不平等问题的认识。
本次参与活动完全让痴呆症患者、无薪照顾者、卫生和社会保健专业人员以及第三部门代表参与其中,其中两名无薪照顾者作为团队的公众顾问。