General population perspectives of dementia risk reduction and the implications for intervention: A systematic review and thematic synthesis of qualitative evidence.
General population perspectives of dementia risk reduction and the implications for intervention: A systematic review and thematic synthesis of qualitative evidence.
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DOI：
10.1371/journal.pone.0257540
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Palmer VJ
中科院分区：
文献类型：
--
作者：
Curran E;Chong TWH;Godbee K;Abraham C;Lautenschlager NT;Palmer VJ
越来越多的证据表明，通过改变生活方式风险因素可能预防痴呆症，这促使人们对实施方法进行审查。了解一般人群对减少痴呆症风险的看法是实施的关键。这可能会为帮助人们改变相关信念、动机和行为模式提供更有效的方法。我们对定性证据进行了系统回顾和专题综合，以建立一个综合模型，从降低一般人群痴呆症风险的角度出发，并对研究和实施背景下的干预措施产生影响。我们检索了电子数据库，并辅以横向检索技术，以确定自1995年以来发表的关于无痴呆的非专家一般人群定性痴呆风险降低观点的研究。专题综合，包括专家小组讨论，用于确定总体主题，并制定一个综合模型，以指导干预，以支持个人采用和维持减少痴呆症风险的行为模式。系统评价纳入研究的质量和综述结果的可信度。我们收录了50篇论文，反映了4500多人的观点。主要主题是：1)需要对一个复杂的主题进行有效的教育，以防止混乱，促进理解和赋权；2)与个人相关的减少痴呆症风险的行为模式的短期和长期利益可以产生价值并促进行动；3)个体受益于可信、可靠和敏感的支持，将理解转化为个人对相关行为改变的承诺；4)选择、控制和相关的自我调节支持帮助个人采取行动并指导自己的进步；5)协作和赋权的社会机会可以促进和宣传减少痴呆症风险的行为改变；6)个体行为模式发生在社会环境中，通过启发式过程影响信念，需要被理解。研究结果表明，对于干预措施：1)教育是关键，但内容和交付都需要量身定制；2)支持自我调节机制和社会进程的补充性干预将提高教育效果；3)协同设计原则应指导干预设计和交付过程；4)所有干预措施都需要有具体情况的数据支持。这一系统综述和专题综合提供了一个全面、综合的模型，从一般人群的角度降低痴呆症风险，并提供了支持行为改变的干预方法，可应用于临床试验和现实世界的实施环境。研究结果扩展了现有知识，可能有助于更有效的干预设计和实施。
Evidence for the potential prevention of dementia through lifestyle risk factor modification is growing and has prompted examination of implementation approaches. Understanding the general population’s perspectives regarding dementia risk reduction is key to implementation. This may provide useful insights into more effective and efficient ways to help people change relevant beliefs, motivations and behaviour patterns. We conducted a systematic review and thematic synthesis of qualitative evidence to develop an integrated model of general population dementia risk reduction perspectives and the implications for intervention in research and implementation contexts. We searched electronic databases, supplemented by lateral search techniques, to identify studies published since 1995 reporting qualitative dementia risk reduction perspectives of the non-expert general population who do not have dementia. Thematic synthesis, incorporating an expert panel discussion, was used to identify overarching themes and develop an integrated model to guide intervention to support individuals to adopt and maintain dementia risk reduction behaviour patterns. Quality of included studies and confidence in review findings were systematically appraised. We included 50 papers, reflecting the views of more than 4,500 individuals. Main themes were: 1) The need for effective education about a complex topic to prevent confusion and facilitate understanding and empowerment; 2) Personally relevant short- and long-term benefits of dementia risk reduction behaviour patterns can generate value and facilitate action; 3) Individuals benefit from trusted, reliable and sensitive support to convert understanding to personal commitment to relevant behaviour change; 4) Choice, control and relevant self-regulatory supports help individuals take-action and direct their own progress; 5) Collaborative and empowering social opportunities can facilitate and propagate dementia risk reduction behaviour change; 6) Individual behaviour patterns occur in social contexts that influence beliefs through heuristic processes and need to be understood. Findings indicate that, for intervention: 1) education is key, but both content and delivery need to be tailored; 2) complementary interventions to support self-regulation mechanisms and social processes will increase education effectiveness; 3) co-design principles should guide intervention design and delivery processes; 4) all interventions need to be supported by context-specific data. This systematic review and thematic synthesis provides a comprehensive, integrated model of the dementia risk reduction perspectives of the general population and intervention approaches to support behaviour change that can be applied in clinical trial and real-world implementation settings. Findings extend existing knowledge and may assist more effective intervention design and delivery.
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DOI：
10.1177/14713012211014382
发表时间：
2021-11
期刊：
Dementia (London, England)
影响因子：
--
作者：
Cooper C;Mansour H;Carter C;Rapaport P;Morgan-Trimmer S;Marchant NL;Poppe M;Higgs P;Brierley J;Solomon N;Budgett J;Bird M;Walters K;Barber J;Wenborn J;Lang IA;Huntley J;Ritchie K;Kales HC;Brodaty H;Aguirre E;Betz A;Palomo M
通讯作者：
Palomo M
影响因子：
4.2
作者：
Abraham, Charles;Michie, Susan
通讯作者：
Michie, Susan
影响因子：
14
作者：
Coley, Nicola;Ngandu, Tiia;Willis, Sherry
通讯作者：
Willis, Sherry
影响因子：
3.7
作者：
Cations M;Radisic G;Crotty M;Laver KE
通讯作者：
Laver KE
影响因子：
2.3
作者：
Corner, L;Bond, J
通讯作者：
Bond, J