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现有文献中关于青少年对痴呆症的认知和态度以及增强这些方面的干预措施有哪些?一项范围综述。

What is known from the existing literature about adolescent knowledge and attitudes towards dementia and interventions to enhance this? A scoping review.

作者信息

McCarthy Niamh, Nagel Svea, Vaughan Gabriel, Berry Emma, Carter Gillian, Graham-Wisener Lisa

机构信息

School of Psychology, Queens University Belfast, Belfast, Northern Ireland, United Kingdom.

School of Nursing and Midwifery, Queens University Belfast, Belfast, Northern Ireland, United Kingdom.

出版信息

PLoS One. 2025 Sep 8;20(9):e0322423. doi: 10.1371/journal.pone.0322423. eCollection 2025.

Abstract

OBJECTIVES

Individuals with dementia often experience stigmatisation and social exclusion. To develop dementia-friendly communities, it is important to take a life-course approach to enhance the perception of dementia in the general population. Currently, we lack an overall understanding of adolescent perceptions of dementia. This scoping review is the first to identify the existing literature on the knowledge and attitudes held by adolescents (aged 10-19 years) towards dementia.

METHODS

A JBI Scoping Review. Four bibliographic databases (MEDLINE, PsycINFO, EMBASE, and CINAHL) were searched to identify eligible studies. Eligibility criteria included qualitative and quantitative studies examining the knowledge and attitudes of adolescents (10-19-year-olds) towards dementia. Studies were screened for eligibility, with data extracted using JBI tools and synthesised in relation to i) knowledge and attitudes and ii) interventions.

RESULTS

In total 21 publications were identified from the UK, Slovenia, the United States, Taiwan, Canada, Israel, South Africa, and South Korea. Ten of these studies included interventions. Overall, studies reported adolescents to have a relatively low level of objective knowledge about dementia. Conversely, attitudes towards dementia were largely reported to be neutral-positive. However, adolescents living with a relative with dementia often held predominantly negative attitudes towards the condition. Gender and having a family member living with dementia were important predictors of both knowledge and attitudes. Interventions to date are educational or intergenerational in focus and appear similarly effective in increasing attitudes and awareness towards dementia.

CONCLUSIONS

The current scoping review identified a small but emergent body of literature on adolescent knowledge and attitudes towards dementia. The synthesised findings indicate low objective knowledge to be a particularly useful target for intervention and alongside other findings, will be useful to inform future research, particularly the development of high-quality intervention studies.

摘要

目的

患有痴呆症的个体经常遭受污名化和社会排斥。为了建设对痴呆症友好的社区,采用生命历程方法来提高普通人群对痴呆症的认知很重要。目前,我们对青少年对痴呆症的认知缺乏全面了解。这项范围综述首次确定了关于青少年(10至19岁)对痴呆症的知识和态度的现有文献。

方法

采用JBI范围综述法。检索了四个文献数据库(MEDLINE、PsycINFO、EMBASE和CINAHL)以确定符合条件的研究。纳入标准包括定性和定量研究,这些研究考察了青少年(10至19岁)对痴呆症的知识和态度。对研究进行资格筛选,使用JBI工具提取数据,并围绕以下两方面进行综合:i)知识和态度;ii)干预措施。

结果

共从英国、斯洛文尼亚、美国、台湾、加拿大、以色列、南非和韩国确定了21篇出版物。其中10项研究包括干预措施。总体而言,研究报告青少年对痴呆症的客观知识水平相对较低。相反,对痴呆症的态度大多被报告为中性至积极。然而,与患有痴呆症的亲属一起生活的青少年对这种疾病的态度往往主要是消极的。性别和有患痴呆症的家庭成员是知识和态度的重要预测因素。迄今为止的干预措施主要集中在教育或代际方面,并在提高对痴呆症的态度和认识方面似乎同样有效。

结论

当前的范围综述确定了一小部分但正在涌现的关于青少年对痴呆症的知识和态度的文献。综合研究结果表明,低客观知识是一个特别有用的干预目标,与其他研究结果一起,将有助于为未来的研究提供信息,特别是高质量干预研究的开展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d1/12416682/7d1408c22596/pone.0322423.g001.jpg

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