Cultural Adaptation of the Reducing Disability in Alzheimer's Disease (RDAD) Protocol for an Intervention to Reduce Behavioral and Psychological Symptoms of Dementia in Thailand.
Cultural Adaptation of the Reducing Disability in Alzheimer's Disease (RDAD) Protocol for an Intervention to Reduce Behavioral and Psychological Symptoms of Dementia in Thailand.
复制标题
在阿尔茨海默氏病（RDAD）方案中减少残疾的文化适应，以减少泰国痴呆症的行为和心理症状。
DOI：
10.3233/jad-215253
复制
发表时间：
2022
影响因子：
4
通讯作者：
Chen, Hongtu
中科院分区：
文献类型：
--
作者：
Tongsiri, Sirinart;Levkoff, Sue;Gallagher-Thompson, Dolores;Teri, Linda;Hinton, Ladson;Wisetpholchai, Bussabong;Chuengsatiansup, Komatra;Sihapark, Siranee;Fritz, Stacy;Chen, Hongtu
关键词：
减少阿尔茨海默病的残疾（RDAD）项目是一项基于证据的干预措施，在美国的社区环境中被发现是可行的，并且在减少抑郁症（痴呆症（BPSD）的主要行为和心理症状之一）方面有效。该研究的目的是在文化上适应泰国社区环境中痴呆症患者的RDAD。关键的适应步骤包括：1)评估社区，2)了解/选择干预措施，3)咨询专家/利益相关者，4)决定需要适应的内容，5)适应原始计划，6)培训员工，7)试点测试适应的材料。对原始RDAD协议的修改包括会话数量、交付模式和目标的特定愉快活动的更改。先导试验证明了RDAD干预方案的可行性和可接受性。实施者能够理解和实施干预的核心组成部分，而家庭成员则表现出遵循指示、获得有关痴呆症的知识和提高设定现实目标的技能的能力。按照上面概述的关键调整步骤，我们能够成功地为泰国文化背景修改RDAD，同时保持原始协议的核心组件。项目执行者展示了他们监督家庭照护者的能力，并帮助他们获得为老年痴呆症患者提供照护所需的知识和技能。试点研究的结果已纳入目前正在泰国实施的一项随机实施试验中实施和评估的最终培训和干预方案。
The Reducing Disability in Alzheimer’s Disease (RDAD) program is an evidence-based intervention found to be feasible for implementation in community settings in the United States, and effective in reducing depression, one of the major behavioral and psychological symptoms of dementia (BPSD). The goal of the study is to culturally adapt the RDAD for persons with dementia living in community settings of Thailand. Key adaptation steps included: 1) assess the community, 2) understand/select the intervention, 3) consult with experts/stakeholders, 4) decide what needs to be adapted, 5) adapt the original program, 6) train staff, and 7) pilot test the adapted materials. Modifications to the original RDAD protocol included changes in number of sessions, mode of delivery, and the specific pleasant activities targeted. The pilot test demonstrated the feasibility and acceptance of the adapted RDAD intervention protocol. Implementers were able to comprehend and implement the core components of the intervention, while family members demonstrated ability to follow instructions, gain knowledge about dementia, and improve skills for setting up realistic goals. Following the key adaptation steps outlined above, we were able to successfully modify the RDAD for the Thai cultural context, maintaining core components of the original protocol. Program implementers demonstrated their ability to supervise family caregivers and help them gain the knowledge and skills needed to provide care for older adults with dementia. Findings from the pilot studies were incorporated into final training and intervention protocols currently being implemented and evaluated in a randomized implementation trial in Thailand.