在临床或社区环境中对老年人进行认知 (神经心理) 干预的实施:范围审查
Kerryn E Pike1,2,3, Lily Li4, Sharon L Naismith5,6
1School of Psychology and Public Health, La Trobe University, Melbourne, Australia. k.pike@griffith.edu.au.
Neuropsychology review
|November 6, 2024
概括
对老年人实施认知干预是具有挑战性的. 本次审查强调了共同的障碍和成功的战略,强调了利益相关者的参与和可适应的干预措施,以便在实践中更好地采用.
科学领域:
- 老年学是一门学科.
- 认知科学 认知科学
- 实施科学 实施科学
背景情况:
- 认知干预措施有望改善老年人的认知,情绪和日常功能.
- 尽管有证据,但在临床和社区环境中广泛实施仍然有限.
研究的目的:
- 审查老年人认知干预的实施框架和方法.
- 确定有助于成功实施和采用的因素.
主要方法:
- 根据系统性审查的首选报告项目进行范围审查和范围审查的元分析扩展 (PRISMA-ScR) 准则.
- 搜索了主要的数据库 (CINAHL,EMBASE,MEDLINE,PSYCINFO) 进行相关研究.
- 包括29项研究,在选5002个初始记录后,专注于老年人认知干预.
主要成果:
- 大多数研究都关注痴呆症患者的认知刺激.
- 很少有研究使用正式的实施框架 (例如,RE-AIM);大多数专注于可接受性,可行性和有效性.
- 报道的成本,成本效益和维护很少出现.
结论:
- 成功实施需要强有力的利益相关者关系,适应性的手工干预,以及训练有素的促进者.
- 解决实施障碍对于将认知干预的好处转化为现实世界的实践至关重要.
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