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“Zoom伙伴”:一项针对痴呆症长期护理居民社交隔离问题的虚拟服务学习项目的试点评估

"Zoom pals:" a pilot evaluation of a virtual service-learning program to address social isolation in long-term care residents living with dementia.

作者信息

Mayer Jamie F, Knudson-Vilaseca Emily A

机构信息

School of Allied Health & Communicative Disorders, Northern Illinois University, DeKalb, Illinois, USA.

出版信息

Gerontol Geriatr Educ. 2024 Sep 21:1-20. doi: 10.1080/02701960.2024.2405836.

Abstract

A mixed-methods, embedded case study design was used to triangulate the effects of a virtual service-learning paradigm, "Zoom Pals," on participants and community partners including Communicative Disorders students, adults with dementia, and long-term care facility (LTCF) staff. Zoom Pals was designed to provide an experiential learning opportunity for students while addressing social isolation for older adults during the COVID-19 pandemic. A convenience sample of 18 adults with dementia residing in an LTCF, eight student volunteers, and three LTCF staff members participated. Results of this exploratory study showed active engagement and consistent communication across sessions for older adults, although individuals with mild dementia were more responsive than those in moderate stages. Themes from resident interviews included positive emotions, a sense of novelty, and decreased loneliness. Students endorsed significantly increased communication skills and comfort and a trend toward improved dementia knowledge. Students' post-experience surveys emphasized learning communication strategies, making a difference, empathy, reciprocal benefits, and realizing the complexity of a dementia diagnosis. This pilot study demonstrates the feasibility of delivering remote service learning and social interventions for adults with dementia and provides a useful road map for others interested in increasing their reach by adapting in-person group behavioral interventions for remote delivery.

摘要

采用了一种混合方法嵌入式案例研究设计,以验证虚拟服务学习范式“Zoom伙伴”对参与者和社区合作伙伴(包括言语障碍专业学生、患有痴呆症的成年人以及长期护理机构(LTCF)工作人员)的影响。“Zoom伙伴”旨在为学生提供体验式学习机会,同时在新冠疫情期间解决老年人的社会隔离问题。选取了居住在长期护理机构的18名患有痴呆症的成年人、8名学生志愿者和3名长期护理机构工作人员作为便利样本参与研究。这项探索性研究的结果显示,老年人在各阶段都积极参与且沟通持续,不过轻度痴呆患者比中度痴呆患者反应更积极。居民访谈的主题包括积极情绪、新奇感和孤独感降低。学生们认可沟通技巧和舒适度显著提高,且在痴呆症知识方面有改善趋势。学生们的体验后调查强调了学习沟通策略、产生影响、同理心、互惠互利以及认识到痴呆症诊断的复杂性。这项试点研究证明了为患有痴呆症的成年人提供远程服务学习和社会干预的可行性,并为那些有兴趣通过将面对面团体行为干预调整为远程实施来扩大影响范围的人提供了有用的路线图。

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