Perspectives and Insights from Vietnamese American Mental Health Professionals on How to Culturally Tailor a Vietnamese Dementia Caregiving Program
Perspectives and Insights from Vietnamese American Mental Health Professionals on How to Culturally Tailor a Vietnamese Dementia Caregiving Program
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DOI：
10.1080/07317115.2018.1432734
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发表时间：
2018-01-01
影响因子：
2.8
通讯作者：
Gallagher-Thompson, Dolores
中科院分区：
文献类型：
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作者：
Park, Van Ta;Nguyen, Khue;Gallagher-Thompson, Dolores
目的：在迅速增长的越南裔美国人中，人们对痴呆症和照顾能力知之甚少。这项定性研究从越南裔美国精神卫生专家那里获得了从文化上定制干预措施以满足越南裔美国痴呆照顾者心理健康需求的见解。方法：访谈了8名越南裔美国精神卫生专业人员，以探讨：与社区合作的经历和需求；越南人对治疗的态度；以及越南人照顾中的文化适应。与会者就为越南痴呆症照顾者量身定做计划提出了建议。结果：主题包括：a)照料者的独特需求和经历；b)不同的移民和文化适应程度影响对心理健康、治疗和照看的看法；c)关于照顾者的传统和信念；d)心理健康、求助和健康服务；e)如何从文化上为越南痴呆症照顾者量身定做计划；f)文化接受度。结论：在越南美国痴呆症照顾者中，减轻压力和抑郁的干预措施应该认识到照顾者的战争和移民经历的特殊风险以及越南文化对家庭照顾的期望的压力。为使该计划可接受和有效，它需要考虑照顾者健康的方方面面，并纳入越南文化价值观/信仰。临床影响：成功的越南痴呆症照顾者干预应包括越南传统价值观/信仰、整体体验、灵性和背景/移民经历。如果这些项目是为文化量身定做的，那么循证项目可能适用于这一人群。
Objective: Little is known about dementia and caregiving among the rapidly growing Vietnamese American population. This qualitative study elicited insights on culturally tailoring an intervention to address mental health needs in Vietnamese American dementia caregivers from Vietnamese American mental health professionals.Methods: Eight Vietnamese American mental health professionals were interviewed to explore: experiences working with and needs of the community; Vietnamese attitudes toward treatment; and acculturation in Vietnamese caregiving. Participants provided recommendations on tailoring a program for Vietnamese dementia caregivers. Content analysis of their responses was conducted.Results: Themes included: a) caregivers' unique needs and experiences; b) different waves of immigration and acculturation levels affect views on mental health, treatment, and caregiving; c); traditions and beliefs on caregiving; d) mental health, help-seeking and health services; e) how to culturally tailor a program for Vietnamese dementia caregivers; and f) cultural acceptance of the program.Conclusions: An intervention to reduce stress and depression among Vietnamese American dementia caregivers should recognize the special risks of the experiences of war and immigration of the caregivers as well as the pressure of the expectations of the Vietnamese culture on family care. For the program to be acceptable and effective, it needs to consider all aspects of caregivers' health, and incorporate Vietnamese cultural values/beliefs.Clinical Implications: A successful Vietnamese dementia caregiver intervention should include traditional Vietnamese values/beliefs, holistic experiences, spirituality, and background/immigration experiences. Evidence-based programs may be used with this population if they are culturally tailored.