Ryan Simone, Chockalingam Manigandan, Brady Orla
Discipline of Occupational Therapy, University of Galway, Galway, Ireland.
Primary Care, Health Service Executive (HSE), Ireland.
Br J Occup Ther. 2024 Jun;87(6):373-382. doi: 10.1177/03080226231225358. Epub 2024 Jan 17.
Individuals with dementia experience a progressive deterioration in their cognitive and functional abilities, and as a result, require support from informal family caregivers. Non-pharmacological interventions, such as cognitive stimulation, are increasingly being used to address this deterioration. This study explored the participant and caregiver experiences of CS-ADL (Cognitive Stimulation in Activities of Daily Living), an activities of daily living-focused group cognitive stimulation program for individuals with mild-to-moderate dementia.
A descriptive qualitative design was implemented. CS-ADL participants and caregivers were recruited in dyads through a Psychiatry of Later Life service where CS-ADL was delivered. Semi-structured interviews were completed with each dyad either in-person or via the telephone. Data retrieved were analyzed through reflexive thematic analysis.
CS-ADL was experienced as an acceptable intervention that positively influenced the everyday life of both dyad members, with benefits reported in the memory, mood, daily routine, and social interaction of participants. Furthermore, the facilitation style of group facilitators positively influenced participants' engagement in CS-ADL. Limited data was gathered regarding the experience of activities of daily living.
This is the first study to explore experiences of CS-ADL, producing a preliminary addition to the evidence-base for CS-ADL. However, further research is required to confirm study findings and explore the experiences of activities of daily living in greater depth.
患有痴呆症的个体认知和功能能力会逐渐衰退,因此需要来自非正式家庭照顾者的支持。非药物干预措施,如认知刺激,越来越多地被用于应对这种衰退。本研究探讨了CS-ADL(日常生活中的认知刺激)的参与者和照顾者的体验,这是一项针对轻度至中度痴呆症患者的以日常生活活动为重点的团体认知刺激项目。
采用描述性定性设计。通过提供CS-ADL的老年精神病学服务以二元组形式招募CS-ADL参与者和照顾者。对每个二元组进行面对面或通过电话完成半结构化访谈。通过反思性主题分析对检索到的数据进行分析。
CS-ADL被认为是一种可接受的干预措施,对二元组双方成员的日常生活产生了积极影响,参与者在记忆、情绪、日常活动和社交互动方面都有改善。此外, 团体促进者的促进方式对参与者参与CS-ADL有积极影响。关于日常生活活动体验的数据收集有限。
这是第一项探索CS-ADL体验的研究,为CS-ADL的证据基础提供了初步补充。然而,需要进一步研究以证实研究结果,并更深入地探索日常生活活动的体验。