Group experiences of cognitive stimulation therapy (CST) in Tanzania: a qualitative study.
Group experiences of cognitive stimulation therapy (CST) in Tanzania: a qualitative study.
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DOI：
10.1080/13607863.2021.1872489
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发表时间：
2022-04
影响因子：
3.4
通讯作者：
Shali EP
中科院分区：
文献类型：
--
作者：
Morrish J;Walker R;Dotchin C;Spector A;Orfanos S;Mkenda S;Shali EP
坦桑尼亚是一个低收入国家，痴呆症的药物在很大程度上是无法获得的。认知刺激疗法(CST)是一种针对痴呆症(PWD)患者的团体心理治疗，可改善认知和生活质量(QOL)。它以前曾在坦桑尼亚进行过文化适应和试点，并显示出产生了类似的结果。英国对CST的研究表明，集团固有的过程是其成功的关键。这项研究试图确定坦桑尼亚科技委内的小组程序，并了解其对科技委原则和结果的影响。数据收集是通过定性的半结构化访谈在海区农村进行的。通过便利抽样招募了16名残疾人士和4名辅导员，并就他们在科技委的经历进行了访谈。访谈被录音、翻译、转录，并通过专题分析进行分析。出现了两个主题：“积极的集体经历”和“消极的集体经历”。从这一点上，确定了一些群体过程，例如帮助行为和感觉被群体理解。积极的进程支持科技委的原则和参与者的改进。促进者对群体动力有影响。小组过程确定了受影响的CST原则和治疗结果。这是坦桑尼亚第一次对CST的群体机制进行研究。它使参与者对科技委的经历有了更深入的了解，从而确定了坦桑尼亚科技委通过以前的研究在数量上衡量的积极成果的具体过程。它还揭示了实施的更多文化障碍，使修订成为可能，以优化治疗效果。
Tanzania is a low-income country in which medication for dementia is largely unavailable. Cognitive Stimulation Therapy (CST) is a group-based psychological treatment for people with dementia (PwD), shown to improve cognition and quality of life (QoL). It has previously been culturally adapted and piloted in Tanzania, shown to produce similar outcomes. UK research into CST suggests processes inherent to the group nature are key to its success. This study sought to identify group processes within CST in Tanzania and understand their impact on CST principles and outcomes. Data collection took place in rural Hai District, through qualitative semi-structured interviews. Sixteen PwD and four facilitators were recruited through convenience sampling and interviewed about their experiences of CST. Interviews were audio-recorded, translated, transcribed and analysed by thematic analysis. Two main themes emerged: ‘Positive group experiences’ and ‘Negative group experiences’. From this, a number of group processes were identified, such as helping behaviours and feeling understood by the group. Positive processes supported CST principles and participant improvement. Facilitators were influential over group dynamics. The group processes identified impacted CST principles and treatment outcomes. This is the first study on group mechanisms of CST in Tanzania. It provides deeper insight into participants’ experiences of CST, thus identifying specific processes underlying the quantitatively measured positive outcomes of CST in Tanzania by previous studies. It also reveals further cultural barriers to implementation, enabling amendments for optimization of treatment efficacy.
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影响因子：
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