Social connectedness and dementia prevention: Pilot of the APPLE-Tree video-call intervention during the Covid-19 pandemic.
Social connectedness and dementia prevention: Pilot of the APPLE-Tree video-call intervention during the Covid-19 pandemic.
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DOI：
10.1177/14713012211014382
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Palomo M
中科院分区：
文献类型：
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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
新型冠状病毒肺炎（COVID-19，即2019冠状病毒病）大流行减少了对痴呆症预防至关重要的社会活动和常规医疗保健的获得。我们开发了一种基于小组的、视频通话的认知健康干预措施;并调查了其可接受性和可行性;通过参与者的描述探索了在大流行背景下如何体验和使用干预措施。我们招募了60岁以上有记忆问题的成年人（没有痴呆症）。参与者在10周干预前后完成了基线评估和定性访谈/焦点小组。定性访谈数据和主持人说明被纳入专题分析。12/17名参与者接近完成基线评估，参加了100/120（83.3%）干预会议，并达到了140/170（82.4%）设定的目标。大多数人以前都没有使用过视频通话。在主题分析中，我们的首要主题是社会联系。三个次主题如下：保持独立性和社会联系：社会联系不能以牺牲独立性为代价;在大流行病中调整社会联系：随着大流行病减少了支持网络，参与者努力弥补以前的社会联系;在干预措施内和通过干预措施管理社会联系：虽然存在紧张关系，例如，在分享成就时感到支持和竞争，但参与者参与了各种生活方式的改变;社会关系支持集体出席和实施生活方式的改变。我们的干预是可以接受的，并通过小组视频通话提供可行的。我们认为，痴呆症的预防是个人和社会的关注。对于更脆弱的人群，生活方式的改变可以帮助记忆的信息应该与支持性的，关系性的方法一起传达，以实现生活方式的改变。
The Covid-19 pandemic reduced access to social activities and routine health care that are central to dementia prevention. We developed a group-based, video-call, cognitive well-being intervention; and investigated its acceptability and feasibility; exploring through participants’ accounts how the intervention was experienced and used in the pandemic context. We recruited adults aged 60+ years with memory concerns (without dementia). Participants completed baseline assessments and qualitative interviews/focus groups before and after the 10-week intervention. Qualitative interview data and facilitator notes were integrated in a thematic analysis. 12/17 participants approached completed baseline assessments, attended 100/120 (83.3%) intervention sessions and met 140/170 (82.4%) of goals set. Most had not used video calling before. In the thematic analysis, our overarching theme was social connectedness. Three sub-themes were as follows: Retaining independence and social connectedness: social connectedness could not be at the expense of independence; Adapting social connectedness in the pandemic: participants strived to compensate for previous social connectedness as the pandemic reduced support networks; Managing social connections within and through the intervention: although there were tensions, for example, between sharing of achievements feeling supportive and competitive, participants engaged with various lifestyle changes; social connections supported group attendance and implementation of lifestyle changes. Our intervention was acceptable and feasible to deliver by group video-call. We argue that dementia prevention is both an individual and societal concern. For more vulnerable populations, messages that lifestyle change can help memory should be communicated alongside supportive, relational approaches to enabling lifestyle changes.
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