Cognitive stimulation therapy for brazilian people with dementia: examination of implementation' issues and cultural adaptation
Cognitive stimulation therapy for brazilian people with dementia: examination of implementation' issues and cultural adaptation
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DOI：
10.1080/13607863.2018.1488944
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发表时间：
2019-10-03
影响因子：
3.4
通讯作者：
Mograbi, Daniel C.
中科院分区：
文献类型：
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作者：
Bertrand, Elodie;Naylor, Renata;Mograbi, Daniel C.
目的：痴呆症的患病率一直在增加，特别是在发展中国家。然而，巴西的痴呆症(PWD)患者目前在确诊后没有得到心理社会治疗。认知刺激疗法(CST)起源于英国，已被证明对PWD的认知和生活质量有好处。我们调查了在巴西人口中实施科技委及其文化适宜性可能存在的问题。方法：采用个别访谈和焦点小组访谈的方法，对37名残疾人及其照顾者和卫生专业人员进行访谈。数据被记录和转录，然后使用框架分析进行分析。结果：关于在巴西人口中实施科技委的问题，出现了两个主要主题：“障碍”和“促进者”，以及九个次主题。总体而言，这些活动和材料被认为适合巴西民众使用，但建议进行一些微小的修改。结论：结果表明CST适合在巴西人群中使用，只需要进行一些文化适应。在利益相关者的意见中，由于发展中国家缺乏治疗PWD的选择，巴西需要进行CTS干预。
Objectives: The prevalence of dementia has been increasing particularly in developing countries. However, people with dementia (PwD) in Brazil are currently offered no psychosocial treatment upon diagnosis. Cognitive stimulation therapy (CST) that originated in the UK has proven benefits on cognition and quality of life in PwD. We investigate the possible issues for the implementation of CST for the Brazilian population and its cultural appropriateness. Method: Individual interviews and focus groups were conducted with PwD, their caregivers and health professionals (n = 37). Data were recorded and transcribed, before being analyzed using Framework Analysis. Results: Regarding the issues for implementation of CST in the Brazilian population, two main themes emerged, 'Barriers' and 'Facilitators', along with nine subthemes. Overall, the activities and materials were seen as being appropriate for use with the Brazilian population, some minor changes were suggested. Conclusions: The results indicate that CST is appropriate for use in the Brazilian population, only some cultural adaptations are necessary. In the stakeholders' opinions, CTS intervention is needed in Brazil, due to the lack of treatment options for PwD in developing countries.