Refining a Driving Retirement Program for Persons With Dementia and Their Care Partners: A Mixed Methods Evaluation of CarFreeMe™-Dementia.
Refining a Driving Retirement Program for Persons With Dementia and Their Care Partners: A Mixed Methods Evaluation of CarFreeMe™-Dementia.
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为痴呆症患者及其护理伙伴完善驾驶退休计划：CarFreeMe™-痴呆症的混合方法评估。
DOI：
10.1093/geronb/gbac151
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Gaugler,JosephE
中科院分区：
文献类型：
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作者：
Peterson,ColleenM;Birkeland,RobynW;Louwagie,KatieW;Ingvalson,StephanieN;Mitchell,LaurenL;Scott,TheresaL;Liddle,Jacki;Pachana,NancyA;Gustafsson,Louise;Gaugler,JosephE
目标我们采用了由昆士兰州大学为美国司机创建的CarFreeMe™-痴呆症计划。CarFreeMe™-Dementia旨在帮助患有痴呆症的驾驶员及其护理伙伴计划或调整驾驶退休。这个半结构化的计划侧重于推动退休教育和支持。主题包括痴呆症如何影响驾驶，生活方式规划，压力管理和替代交通选择。这项研究评估的可行性，可接受性，和效用的CarFreeMe™-Dementia intervention.MethodsThis试点阶段的研究包括16个护理伙伴和11名司机记忆丧失谁是准备或调整驾驶退休。参与者完成了4-8次CarFreeMe™-痴呆症干预远程医疗课程。在线调查（基线，1和3个月）和干预后半结构化的访谈告知评估的干预方案使用混合方法approach.ResultsThis研究建立了初步支持CarFreeMe™-痴呆症在美国。参与者表示，该计划促进了围绕驾驶退休的对话，并提供了不开车的社区参与指导。受访者赞赏该计划强调通过生活方式规划和压力管理促进整体福祉。他们还报告说，该计划提供了实际的准备过渡到驾驶退休。讨论CarFreeMe™-痴呆症干预，量身定制的美国观众，似乎是一个可行的，可接受的，和有用的支持计划，为司机与记忆丧失（和/或他们的照顾伙伴）谁是准备或调整驾驶退休。对CarFreeMe™-痴呆症干预在美国以及其他国家和文化背景下的有效性进行进一步调查是必要的。
ObjectivesWe adapted the CarFreeMe™-Dementia program created by The University of Queensland for drivers in the United States. CarFreeMe™-Dementia aims to assist drivers living with dementia and their care partners as they plan for or adjust to driving retirement. This semistructured program focuses on driving retirement education and support. Topics include how dementia affects driving, lifestyle planning, stress management, and alternative transportation options. This study evaluated the feasibility, acceptability, and utility of the CarFreeMe™-Dementia intervention.MethodsThis pilot phase of the study included 16 care partners and 11 drivers with memory loss who were preparing for or adjusting to driving retirement. Participants completed 4–8 CarFreeMe™-Dementia intervention telehealth sessions. Online surveys (baseline, 1- and 3-month) and postintervention semistructured interviews informed evaluation of the intervention program using a mixed methods approach.ResultsThis study established initial support for CarFreeMe™-Dementia in the United States. Participants indicated the program facilitated dialogue around driving retirement and provided guidance on community engagement without driving. Respondents appreciated the program’s emphasis on overall well-being, promoted through lifestyle planning and stress management. They also reported the program offered practical preparation for transitioning to driving retirement.DiscussionThe CarFreeMe™-Dementia intervention, tailored to an American audience, appears to be a feasible, acceptable, and useful support program for drivers with memory loss (and/or their care partners) who are preparing for or adjusting to driving retirement. Further investigations of the efficacy of the CarFreeMe™-Dementia intervention in the United States, as well as in other countries and cultural contexts, are warranted.