A literature-based intervention for older people living with dementia
A literature-based intervention for older people living with dementia
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DOI：
10.1177/1757913912470052
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发表时间：
2013-05-01
影响因子：
5.8
通讯作者：
Kinderman, Peter
中科院分区：
文献类型：
--
作者：
Billington, Josie;Carroll, Janine;Kinderman, Peter
背景资料：虽然有几项研究探讨了文学和阅读对心理健康的影响，但关于基于文学的干预如何影响痴呆症患者的行为的工作相对较少。本报告涉及的影响，一个特定的文献为基础的干预-进入阅读，设计和实践的国家慈善机构的读者组织-可能对健康和福祉的人生活与dementia. aims：本研究产生了服务评估，具体评估到什么程度的共享阅读干预影响症状性行为的痴呆症。其目标是：（1）了解阅读对不同医疗环境中老年痴呆症患者的影响;（2）确定工作人员对参与阅读小组对老年痴呆症患者的影响的看法;（3）调查参与阅读小组的老年人痴呆症症状的任何变化。方法：这项研究采用了混合方法设计进行三个保健环境：三个护理之家，两个医院病房和一个日间中心。神经精神量表（NPI-Q）评估工作人员的意见，任何痴呆症状的严重程度的变化，参与者在阅读组进行的护理之家。半结构化的定性访谈，然后进行了工作人员谁参加了阅读组和/或有广泛的知识的服务用户参与所有的卫生保健设置。结果：61名服务使用者和20名工作人员参加了整个项目。NPI-Q结果表明，阅读组期间的症状评分低于基线。这些发现得到了定性访谈的支持，这表明三个主题被认为对阅读小组的有效参与很重要：（1）阅读小组干预的组成部分;（2）享受、真实性、意义和个人身份的更新感;（3）增强听力、记忆和注意力。鉴于有限的，但指示性状态的量化数据，加上强有力的佐证定性证据，在阅读组活动的参与似乎产生显着减少痴呆症状的严重程度。工作人员的访谈表明，阅读团体对幸福的贡献。
Background: While several studies have explored the impact of literature and reading on mental health, there has been relatively little work done on how a literature-based intervention might impact on the behaviours of those living with dementia. The present report addresses the effect that a specific literature-based intervention - Get into Reading, designed and practised by national charity The Reader Organisation - might have on the health and well-being of people living with dementia.Aims: This present study arises out of a service evaluation that specifically assessed to what extent the shared-reading intervention impacted upon behaviours symptomatic of dementia. Its aims were: (1) to understand the influence that reading has on older adults with dementia in different health-care environments; (2) to identify staff perceptions of the influence that engagement in a reading group has on older adults living with dementia; and (3) to investigate any changes in dementia symptoms of older adults participating in a reading group.Methods: The study employed a mixed-method design conducted within three health-care environments: three care homes, two hospital wards and one day centre. The Neuropsychiatric Inventory Questionnaire (NPI-Q) assessed staff views of any changes in dementia symptom severity for participants in reading groups conducted in the care homes. Semi-structured qualitative interviews were then conducted with staff who attended the reading groups and/or had extensive knowledge of service users involved in all of the health-care settings. Responses to questions were recorded verbatim and then subject to thematic analysis.Results: 61 service users and 20 staff members took part in the overall project. The NPI-Q results indicate that symptom scores were lower during the reading group period than at baseline. These findings were supported by the qualitative interviews, which suggested that three themes were perceived to be important to effective engagement with the reading groups: (1) the components of the reading group intervention; (2) enjoyment, authenticity, meaningfulness and renewed sense of personal identity; and (3) enhancement of listening, memory and attention.Conclusions: In light of quantifiable data of limited but indicative status, together with strongly corroborative qualitative evidence, engagement in reading-group activity appeared to produce a significant reduction in dementia symptom severity. Staff interviews indicated the contribution of reading groups to well-being.