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在低资源环境中实施认知刺激疗法 (CST) 治疗痴呆症:坦桑尼亚的一项案例研究,探索障碍,促进者和实践建议
Emily Fisher1,2, Sarah Mkenda3, Jessica Walker4
1Research Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB UK.
Global implementation research and applications
|February 17, 2025
概括
痴呆症的认知刺激疗法 (CST) 可以适应坦桑尼亚. 关键策略包括宣传活动,查和任务转移,以改善在资源较少的环境中获得机会.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 心理社会干预 心理社会干预
背景情况:
- 认知刺激疗法 (CST) 是对轻度至中度痴呆症的有效群体心理干预.
- 尽管有国际证据,但在英国以外,CST的实施是有限的.
- 为低资源环境适应CST对于全球痴呆症护理至关重要.
研究的目的:
- 探索在坦桑尼亚实施CST的障碍和促进因素.
- 在坦桑尼亚的一家三级医院开发和测试CST的实施策略.
- 在缺乏资源的环境中,为未来对痴呆症心理社会干预措施的适应提供信息.
主要方法:
- 多阶段研究涉及利益相关者参与 (n=49),包括痴呆症患者,护理人员和医疗保健专业人员.
- 利用实施研究综合框架 (CFIR) 指导战略制定.
- 测试了8个CST小组的20个实施策略,其中有49名参与者,随后进行了采访.
主要成果:
- 确定了18个关键的CFIR构造,作为CST实施的障碍或促进者.
- 在坦桑尼亚的一家三级医院确认了CST与现有医疗保健标准的兼容性.
- 强调需要提高痴呆症意识,查,培训培训师模式,任务转移和痴呆症友好的空间.
结论:
- 在像坦桑尼亚这样的低资源环境中,CST可以通过量身定制的战略来实施.
- 建议包括基于社区的意识,综合查,通过培训培训师模型的能力建设和任务转移.
- 研究结果支持在服务不足的地区更广泛地实施心理社会干预措施.
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