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一种基于社区的方法来完善强化积极照护者培训(EnACT)干预措施。

A Community-Based Approach to Refining the Enhancing Active Caregiver Training (EnACT) Intervention.

作者信息

Eaton Jacqueline, Neller Sarah A, Fernandez Cajavilca Moroni, Johnson Julene K, Ellington Lee

机构信息

University of Utah, Salt Lake City, UT, USA.

University of Tennessee, Knoxville, Knoxville, TN, USA.

出版信息

J Appl Gerontol. 2025 May 2:7334648251336536. doi: 10.1177/07334648251336536.

DOI:10.1177/07334648251336536
PMID:40314946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12233848/
Abstract

Several interventions for care partners of persons living with dementia target the negative effects of behavioral symptoms. Evidence suggests that actively engaging care partners improves outcomes. However, there is little information on the best approaches to optimize active engagement. Enhancing Active Caregiver Training (EnACT) is an arts-based intervention designed to help care partners address the behavioral symptoms of dementia. The purpose of this study is to describe the process of partnering with care partners of persons living with dementia ( = 9) to refine EnACT. We conducted a series of three iterative focus groups to (1) identify video vignettes, (2) test intervention activities, and (3) gather feedback. Focus groups were analyzed in three cycles using structural, descriptive, and pattern coding. Intervention revisions focused on narrowing vignette topics, removing confusing components, enhancing accessibility, and adding facilitator training. Partnering with care partners improved intervention feasibility in preparation for future testing.

摘要

针对痴呆症患者护理伙伴的几种干预措施旨在解决行为症状的负面影响。有证据表明,让护理伙伴积极参与能改善结果。然而,关于优化积极参与的最佳方法的信息却很少。增强积极护理者培训(EnACT)是一种基于艺术的干预措施,旨在帮助护理伙伴应对痴呆症的行为症状。本研究的目的是描述与痴呆症患者护理伙伴( = 9)合作完善EnACT的过程。我们进行了一系列三次迭代焦点小组讨论,以(1)确定视频短片,(2)测试干预活动,以及(3)收集反馈。使用结构编码、描述性编码和模式编码对焦点小组讨论进行了三个周期的分析。干预措施的修订重点在于缩小短片主题范围、去除令人困惑的部分、提高可及性以及增加促进者培训。与护理伙伴合作提高了干预措施在为未来测试做准备时的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d94/12681361/45d1e22c40a8/10.1177_07334648251336536-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d94/12681361/7a9cba32c7f0/10.1177_07334648251336536-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d94/12681361/45d1e22c40a8/10.1177_07334648251336536-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d94/12681361/7a9cba32c7f0/10.1177_07334648251336536-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d94/12681361/45d1e22c40a8/10.1177_07334648251336536-fig2.jpg

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本文引用的文献

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Comparison of recruitment methodologies for clinical trials: Results from the time for living and caring (TLC) intervention study.临床试验招募方法的比较:“生活与关怀时间”(TLC)干预研究的结果
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Impact of Behavioral Symptoms in Dementia Patients on Depression in Daughter and Daughter-in-Law Caregivers.痴呆患者行为症状对女儿和儿媳照料者抑郁的影响。
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10
A Systematic Review and Meta-Analysis Comparing Carer Focused and Dyadic Multicomponent Interventions for Carers of People With Dementia.一项比较以照顾者为中心和二元多成分干预对痴呆症患者照顾者影响的系统评价和荟萃分析。
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