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代际音乐启蒙课程对患有痴呆症的老年人及其照顾者的压力和情感的影响:一项使用生态瞬时评估的试点研究

Effects of an intergenerational Kindermusik class on stress and affect in older adults with dementia and their caregivers: a pilot study using ecological momentary assessment.

作者信息

Thro Amber, Babcock Phyllis, Covington T Lee, Green Kelly, Penney Carol, Fanning Jason, Hugenschmidt Christina E

机构信息

Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, United States.

Atrium Health Wake Forest Baptist, Winston-Salem, NC, United States.

出版信息

Front Aging. 2025 Jun 17;6:1448293. doi: 10.3389/fragi.2025.1448293. eCollection 2025.

DOI:10.3389/fragi.2025.1448293
PMID:40599541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12209361/
Abstract

INTRODUCTION

The objectives of this pilot study were to determine the feasibility of collecting ecological momentary assessments from caregivers of older adult persons with dementia as they attended a weekly, intergenerational Kindermusik class, and to examine relationships between Kindermusik participation and momentary stress and affect for the caregiver and person with dementia.

METHODS

Over a 12-week period, 14 persons with dementia attended a weekly intergenerational Kindermusik class. Caregivers completed up to six daily ecological momentary assessments on affective valence and stress for themselves and the person with dementia during Weeks 1 and 12. Salivary cortisol data were collected from the persons with dementia during Weeks 1 and 12.

RESULTS

Overall, ecological momentary assessment response rates were low (37.7% completion). Caregiver ecological momentary assessment ratings of their personal stress and affect were significantly and positively associated with their perceptions of affect and stress in the person with dementia. The caregiver's affective state tended to improve on days when the person with dementia attended Kindermusik, especially when they perceived the person with dementia as having more positive affect.

DISCUSSION

Additional research is required to determine how to best support survey completion while minimizing caregiver burden, and to investigate the impact of more frequent involvement in an intergenerational music and movement program.

摘要

引言

这项初步研究的目的是确定从患有痴呆症的老年人的照顾者那里收集生态瞬时评估的可行性,这些照顾者在参加每周一次的跨代亲子音乐课程时进行评估,并研究参加亲子音乐课程与照顾者和痴呆症患者的瞬时压力及情绪之间的关系。

方法

在12周的时间里,14名痴呆症患者参加了每周一次的跨代亲子音乐课程。照顾者在第1周和第12周期间,针对自己和痴呆症患者的情感效价和压力,每天最多完成六项生态瞬时评估。在第1周和第12周期间收集了痴呆症患者的唾液皮质醇数据。

结果

总体而言,生态瞬时评估的回复率较低(完成率为37.7%)。照顾者对自身压力和情绪的生态瞬时评估评分与他们对痴呆症患者的情绪和压力的认知显著正相关。当痴呆症患者参加亲子音乐课程时,照顾者的情绪状态往往会改善,尤其是当他们认为痴呆症患者有更积极的情绪时。

讨论

需要进一步研究以确定如何在尽量减轻照顾者负担的同时,最好地支持调查的完成,并调查更频繁参与跨代音乐和运动项目的影响。

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