Intergenerational Reminiscence Approach in Improving Emotional Well-Being of Older Asian Americans in Early-Stage Dementia Using Virtual Reality: Protocol for an Explanatory Sequential Mixed Methods Study.
Intergenerational Reminiscence Approach in Improving Emotional Well-Being of Older Asian Americans in Early-Stage Dementia Using Virtual Reality: Protocol for an Explanatory Sequential Mixed Methods Study.
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使用虚拟现实：解释性顺序混合方法研究的协议，在早期痴呆症中改善年龄较大的亚裔美国人的情绪健康方面的代际回忆方法。
DOI：
10.2196/48927
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发表时间：
2023-06-26
影响因子：
1.7
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中科院分区：
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在被诊断为痴呆症后，亚裔美国人会经历焦虑、羞耻感和其他负面影响。情绪幸福感不仅是心理健康的重要方面，也是帮助人们更快从困难中恢复过来的韧性品质。然而，很少有研究涉及开发、实施和测试促进老年人情绪健康的干预策略的问题。祖父母和孙辈之间的代际团结在亚洲家庭中得到了强调，这有利于痴呆症患者的健康。回忆和生活回顾被认为是帮助老年人抑郁和情绪健康的潜在有效干预策略。这项拟议的研究旨在开发和实施代际回忆方法，并评估其在改善最近确诊为痴呆症的年长亚裔美国成年人的情感幸福感方面的潜在可行性和有效性。将使用解释性顺序混合方法设计，首先收集和分析量化数据，以确定报告情绪幸福感变化最大和最小的参与者的子样本；然后，将采访这些子样本，以进一步了解为什么或为什么这种干预对他们无效。老年人将在虚拟现实(VR；每周1-1.5小时，持续6周)中与孙辈一起接受6次生活回顾，借助图片，使用谷歌地球虚拟旅行到他们生活中的重要地方，看看这些地方，记住重要的时刻。定量调查数据将在干预前、干预后和3个月的随访中收集。对选定参与者的定性访谈也将纳入研究设计。调查的量化数据将被输入到SPSS(IBM公司)中，并使用描述性分析、皮尔逊卡方检验、非参数Friedman检验或非参数Wilcox符号等级检验(双尾)进行分析。定性数据将由研究助理转录，由调查人员独立编码，并在内容分析软件(Atlas.ti；Atlas.ti Science Software Development GmbH)的指导下进行分析。由于新冠肺炎疫情，该项目被推迟。数据收集始于2021年底，截至2022年12月共招募了26名参与者。虽然我们仍在清理和分析定量数据，但定性采访显示，这种代际回忆方法在改善认知障碍的年长亚裔美国成年人的情绪幸福感方面取得了令人振奋的结果。孙辈提供的代际回忆在改善祖父母的情感幸福感方面很有希望。VR技术很可能会被老年人接受。未来的研究可能会考虑将这一试点扩大到一个可跟踪、可复制的模型，包括更多的参与者，并与对照组一起开发更严格的研究设计，以测试这种干预对患有痴呆症的老年人的有效性。DERR1-10.2196/48927
After a dementia diagnosis, Asian Americans experience anxiety, feelings of shame, and other negative effects. Emotional well-being is not only an important aspect of mental health, but also a quality of resilience that helps people bounce back faster from difficulties. However, few studies have addressed issues in developing, implementing, and testing intervention strategies to promote emotional well-being among older adults. Intergenerational solidarity between grandparents and grandchildren has been emphasized in Asian families and is beneficial for the health of persons with dementia. Reminiscence and life review have been identified as potentially effective intervention strategies for helping depression and emotional well-being for older adults. This proposed study aims to develop and implement an intergenerational reminiscence approach and evaluate its potential feasibility and effectiveness in improving the emotional well-being of older Asian American adults who have a recent dementia diagnosis. An explanatory sequential mixed methods design will be used in which quantitative data will first be collected and analyzed to identify subsamples of participants who report the greatest and least change in emotional well-being; then, these subsamples will be interviewed to further understand why or why not this intervention works for them. Older adults will receive 6 sessions of life review with grandchildren in virtual reality (VR; 1-1.5 hours each week for 6 weeks), aided by pictures and virtually traveling to important places in their life using Google Earth to look around at those places and remember important times. Quantitative survey data will be collected pre- and postintervention and at a 3-month follow-up. Qualitative interviews with selected participants will also be integrated into the study design. The quantitative data from the surveys will be entered into SPSS (IBM Corp) and analyzed using descriptive analyses, Pearson chi-square tests, nonparametric Friedman tests, or nonparametric Wilcox signed-rank tests (2-tailed). The qualitative data will be transcribed by research assistants, coded by the investigators independently, and analyzed with guidance from content analysis software (Atlas.ti; Atlas.ti Scientific Software Development GmbH). The project was delayed due to the COVID-19 pandemic. Data collection started in late 2021, and 26 participants were recruited as of December 2022. While we are still cleaning and analyzing the quantitative data, the qualitative interviews showed promising results of this intergenerational reminiscence approach in improving emotional well-being among older Asian American adults who have cognitive impairment. Intergenerational reminiscence provided by grandchildren is promising in improving the emotional well-being of grandparents. VR technology is likely to be accepted by older adults. Future research may consider scaling up this pilot into a trackable, replicable model that includes more participants and develops a more rigorous study design with control groups to test the effectiveness of this intervention for older adults with dementia. DERR1-10.2196/48927