Group-based cognitive stimulation therapy for dementia: a qualitative study on experiences of group interactions
Group-based cognitive stimulation therapy for dementia: a qualitative study on experiences of group interactions
复制标题
DOI：
10.1080/13607863.2020.1746740
复制
发表时间：
2020-04-08
影响因子：
3.4
通讯作者：
Spector, Aimee
中科院分区：
文献类型：
--
作者：
Orfanos, Stavros;Gibbor, Luke;Spector, Aimee
目标：认知刺激疗法 (CST) 是一种基于证据的团体干预措施，可改善痴呆症患者的认知和生活质量，并在 NHS 中广泛实施。然而，尚未尝试了解以小组形式提供 CST 的可能优点和/或缺点。本研究的主要目的是探索 CST 和长期维持 CST (MCST) 小组中的小组互动经验。方法：在伦敦、东米德兰兹、英格兰西南部和东南部的四个不同小组中进行了总共 21 次半结构化深度访谈；包括两个 CST 组和两个 MCST 组。患有轻度至中度痴呆症的小组成员和这些小组的协调员接受了采访。使用 NVivo 软件进行主题分析来分析数据。结果：最终分析确定了六个主题：“群体表达的好处和挑战”、“陪伴和了解他人的重要性”、“团结和共享身份”、“群体娱乐”、“群体支持”和“通过群体进行认知刺激”。这些主题之间的相互联系被综合和概括。结论：研究结果支持以下观点：基于团体的 CST 存在团体形式固有的治疗优势。还强调和讨论了与小组形式相关的挑战的新见解。未来的研究可能会受益于探索已确定的群体互动经历与临床结果之间的关系。
Objectives:Cognitive Stimulation Therapy (CST) is an evidence-based group intervention shown to improve cognition and quality of life in dementia and is widely implemented across the NHS. However, no attempt has been made to understand the possible advantages, and/or disadvantages, of delivering CST in a group format. The main aim of the present study was to explore experiences of group interactions in CST and longer-term maintenance CST (MCST) groups. Method:A total of twenty-one semi-structured in-depth interviews were conducted across four separate groups delivered in London, the East Midlands, South West and South East of England; including two CST and two MCST groups. Group members with mild to moderate dementia and facilitators from these groups were interviewed. Thematic analysis was used to analyse the data using NVivo software. Results:The final analysis identified six themes: 'benefits and challenges of group expression', 'importance of companionship and getting to know others, 'togetherness and shared identity', 'group entertainment', 'group support' and 'cognitive stimulation through the group'. The inter-connecting relationship between these themes are synthesised and summarised. Conclusion:Findings support the notion that therapeutic advantages inherent to the group format exist in group-based CST. New insights into the challenges related to a group format are also highlighted and discussed. Future research may benefit from exploring the relationship between the identified experiences of group interactions and clinical outcomes.