An intergenerational reminiscence programme for older adults with early dementia and youth volunteers: values and challenges
An intergenerational reminiscence programme for older adults with early dementia and youth volunteers: values and challenges
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DOI：
10.1111/j.1471-6712.2008.00615.x
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发表时间：
2009-06-01
影响因子：
1.9
通讯作者：
Chung, Jenny C. C.
中科院分区：
文献类型：
--
作者：
Chung, Jenny C. C.
采用代际方法，对患有早期痴呆症的老年人和青年志愿者进行回顾项目的价值研究。采用前后一组设计。49名老年早期痴呆患者和117名青年志愿者参加了这项研究。每个老年参与者被分配给两个青年参与者。这个双人组参加了12次的回忆方案。青年参与者扮演引导者的角色，鼓励年长参与者分享和讨论过去的事件和经历，并支持他们制作一本个性化的人生故事书。一名职业治疗师提供持续的支持和监测。在项目前后分别采用中文版精神状态量表、生活质量量表（QoL-AD）和中文版老年抑郁量表（CGDS）对老年参与者进行评估。痴呆测验（DQ）、罗森博格自尊量表和20项反馈问卷对青少年参与者进行了评估。在老年参与者中，QoL-AD（平均变化= -1.91;95% CI = -3.18, -0.64）和CGDS（平均变化= 1.86;95% CI = 0.92, 2.80）和青年参与者中，DQ（平均变化= -1.14;95% CI = -2.11, -0.17）存在显著的计划前后差异。义工亦对长者表现出正面的欣赏，并认为是次社区服务让他们有机会反思与长者的关系。然而，一些志愿人员评论说，回忆方案的工作量很大。代际回忆项目为两组参与者提供了互惠互利的价值。虽然让训练有素的志愿者参与实施与痴呆症有关的规划是可行的，但至关重要的是，他们必须得到充分的培训，并提供持续的支持和监测。
To examine the values of a reminiscence programme, adopting an intergenerational approach, on older persons with early dementia and youth volunteers.A pre- and post- one group design was adopted. Forty-nine elderly participants with early dementia and 117 youth volunteers participated in the study. Each elderly participant was assigned to two youth participants. This dyad group participated in a 12-session reminiscence programme. The youth participants acted as facilitators to prompt the elderly participants to share and discuss past events and experiences, and to support them to fabricate a personalized life-story book. An occupational therapist provided ongoing support and monitoring. The elderly participants were evaluated by the Chinese version of Mini-mental State Examination, Quality of Life-Alzheimer's Disease (QoL-AD), and Chinese version of Geriatric Depression Scale (CGDS) before and after the programme. Dementia Quiz (DQ), Rosenberg Self-Esteem Scale and a 20-item feedback questionnaire on the programme were used to evaluate the youth participants.Significant pre- and postprogramme differences were found for QoL-AD (mean change = -1.91; 95% CI = -3.18, -0.64) and CGDS (mean change = 1.86; 95% CI = 0.92, 2.80) among the elderly participants, and for DQ (mean change = -1.14; 95% CI = -2.11, -0.17) among the youth participants. Volunteers also showed positive appreciation of older persons and opined that this community service provided them an opportunity to reflect on their relationship with elderly relatives. Some volunteers, however, commented the heavy workload of the reminiscence programme.The intergenerational reminiscence programme suggests mutually beneficial values for both groups of participants. Whilst it is feasible to involve trained volunteers in the implementation of dementia-related programmes, it is essential that they are adequately trained and that ongoing support and monitoring are provided.