School of Nursing & Midwifery, University of Galway, Áras Moyola, Galway, Ireland.
Department of Psychiatry, Amsterdam UMC, location Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
BMC Geriatr. 2024 Sep 25;24(1):780. doi: 10.1186/s12877-024-05374-7.
A novel Complex REsilience-building psychoSocial intervenTion (CREST) targeted at people with dementia, their informal carers, general practitioners and the wider community with the aim of increasing resilience and strengthening the personal attributes or external assets of people with dementia living at home, in the community, was developed. It included three components: cognitive stimulation therapy (CST), physical exercise and dementia education. A non-randomised feasibility study was conducted of the CREST intervention, the aim of which was to inform the design of a future randomised controlled trial. This article presents the findings from the qualitative component of the CREST intervention feasibility study, describing the experience of the people with dementia and their caregivers who participated and the volunteer older adults who supported the intervention.
A descriptive qualitative research approach using semi-structured interviews was undertaken. Key stakeholders (people with dementia (n = 9), their caregivers (n = 9) and the volunteer older adults from the physical exercise component (n = 9)) were interviewed about the intervention and the perceived impact of their participation.
The social aspect of the CREST intervention proved to be important for all three groups. Attendance remained high throughout the intervention. The people with dementia spoke positively about their participation in the CST and exercise components of the CREST intervention. The caregivers liked receiving coping strategies focused on how to communicate better with the person they cared for and how to better manage their own self-care and they liked the group element of the programme. The volunteer older adults supported the people with dementia in taking part in the exercise component, motivating them to do the exercises and helping with social interaction within the group. The volunteers gained exposure to the illness and as a result understood more about dementia and felt better equipped to communicate and deal with people with dementia.
Participation in the CREST intervention produced a positive impact on all three groups. The social element of the intervention was noted by everybody and was regarded as being beneficial. Qualitative insights emphasised the value of embedding qualitative research within feasibility studies to inform future intervention design. Further research should focus on conducting a full-scale randomised controlled trial to evaluate CREST's effectiveness and explore its application to individuals with more advanced dementia.
ISRCTN25294519.
为了提高居家和社区生活的痴呆症患者的韧性，并增强其个人特质或外部资产，我们开发了一种新的综合韧性建设心理社会干预（CREST），该干预针对的是痴呆症患者、他们的非正式照顾者、全科医生以及更广泛的社区。它包括三个组成部分：认知刺激疗法（CST）、身体锻炼和痴呆症教育。我们对 CREST 干预进行了一项非随机可行性研究，目的是为未来的随机对照试验提供设计信息。本文介绍了 CREST 干预可行性研究中定性部分的结果，描述了参与研究的痴呆症患者及其照顾者以及身体锻炼部分的志愿者老年人的体验，以及他们对干预的看法。
采用半结构式访谈的描述性定性研究方法。关键利益相关者（痴呆症患者（n=9）、他们的照顾者（n=9）和身体锻炼部分的志愿者老年人（n=9））接受了有关干预措施及其参与效果的访谈。
CREST 干预的社交方面对所有三组人员都很重要。整个干预过程中，参与率一直很高。痴呆症患者对他们参与 CREST 的 CST 和锻炼部分表示赞赏。照顾者喜欢接受专注于如何更好地与他们照顾的人沟通以及如何更好地管理自己的自我护理的应对策略，他们喜欢该计划的小组元素。志愿者老年人支持痴呆症患者参与锻炼部分，激励他们进行锻炼，并帮助小组内的社交互动。志愿者们对这种疾病有了更多的了解，因此对痴呆症有了更多的了解，并且感到更有能力与痴呆症患者进行沟通和相处。
参与 CREST 干预对所有三组人员都产生了积极影响。干预的社交元素得到了所有人的认可，并被认为是有益的。定性见解强调了在可行性研究中嵌入定性研究以提供未来干预设计信息的重要性。应进一步开展一项全面的随机对照试验，以评估 CREST 的有效性，并探讨其在更严重痴呆症患者中的应用。
ISRCTN25294519。
