Asparagus to Zucchini: A Nutrition Education System for Persons with Dementia

芦笋到西葫芦：痴呆症患者的营养教育系统

• 批准号: 8314817
• 负责人: Cameron J Camp
• 金额: $ 15万
• 依托单位: LINDA AND CAMERON, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-05-01 至 2012-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8314817
• 关键词: Address; Affect; Agriculture; Alzheimer' s Disease; American; Behavior; Boxing; Camping; Caring; Communication; Control Groups; Crossover Design; Cues; Data; Dementia; Diagnosis; Distal; Educational Curriculum; Environment; Event; Face; Farming environment; Feasibility Studies; Goals; Human; Individual; International; Intervention; Knowledge; Learning; Life; Life Experience; Long-Term Care; Measurement; Measures; Memory; Nutrition Therapy; Occupations; Outcome; Outcome Measure; Participant; Persons; Plant Roots; Quality of life; Randomized; Research; Resources; Science; Seeds; Site; Social Interaction; Soil; Staging; Students; System; Time; Training Activity; United States; Vascular Dementia; base; caregiver education; design; elementary school; meetings; mild neurocognitive impairment; novel strategies; nutrition; nutrition education; prevent; programs; prototype; satisfaction

DESCRIPTION (provided by applicant): On a global scale, 35.6 million people are living with Alzheimer's disease (AD) (Alzheimer's disease International, 2010). By 2050, it has been projected that 16 million Americans (Alzheimer's Association, 2011) and 115.4 million persons worldwide (Alzheimer's disease International, 2010) will have AD. Alzheimer's disease, which is the most common type of dementia, makes up 60 to 80 percent of all cases of dementia (Alzheimer's Association, 2011). Because significant resources are required to address problematic behaviors associated with dementia, new approaches, interventions and treatments are needed to prevent or reduce the occurrence of these behaviors (Camp, Cohen-Mansfield, and Capezuti, 2002). In recent years, important discoveries have been made regarding learning and social interaction in dementia. For example, we have seen that persons with dementia are able to learn new information and express knowledge and life experiences in conducive settings. Individuals with dementia often still have the desire for productive, challenging activit, and it is important that this basic human need continues to be met as long as possible following a dementia diagnosis. This 6-month feasibility study will involve the creation of Asparagus to Zucchini (A2Z), an agricultural sciences-based curriculum designed to utilize remaining strengths and provide productive and purposeful activity for persons in all stages of dementia. This curriculum will incorporate principles of Montessori-based programming for dementia, Horticultural Therapy, and nutrition. Throughout the course of the study, we will develop a prototype A2Z kit, which will include adapted classroom materials and indoor growing supplies, we will train activities staff to present the curriculum to guide participants and encourage active engagement, and we will randomly assign participants to either a treatment group involving participation in A2Z and Current Events (A2Z/CE) or a control group involving participation in Current Events alone (CE). Following baseline measurement, two observations will be conducted each week, at the same time of day, for a period of eight weeks. After the initial eight-week period, Group 1 will take part in CE alone, and Group 2 will have A2Z/CE (a cross-over design). Observations will continue for a second eight-week period. Measured outcomes will include engagement and affect observed during group activities, memory for programming content and perceived purposefulness, descriptive observations of group dynamics and individual expressions of satisfaction/dissatisfaction with programming content. Distal outcome measures will focus on quality of life and will be assessed at baseline and following each 8-week observation period. It is hypothesized that A2Z programming will result in more engagement, positive effect, perceived purposefulness, satisfaction with programming, and better quality of life outcomes compared with standard (CE) programming. PUBLIC HEALTH RELEVANCE: Our aim is to develop an agriculture-based educational program (Asparagus to Zucchini - A2Z) for use in long-term care facilities and other care sites for persons with dementia. Specifically, we wish to assess the effects of this program on engagement, affect and quality of life. Long term goals include refining and extending a curriculum that will train caregivers of individuals with early to moderate stage dementia to educate and provide opportunities for these individuals to engage in meaningful and productive horticultural activities.

描述（由申请人提供）：在全球范围内，有 3560 万人患有阿尔茨海默病 (AD)（阿尔茨海默病国际组织，2010 年）。到 2050 年，预计将有 1600 万美国人（阿尔茨海默病协会，2011 年）和全世界 1.154 亿人（阿尔茨海默病国际组织，2010 年）患有 AD。阿尔茨海默病是最常见的痴呆类型，占所有痴呆病例的 60% 至 80%（阿尔茨海默病协会，2011 年）。由于需要大量资源来解决与痴呆症相关的问题行为，因此需要新的方法、干预措施和治疗来预防或减少这些行为的发生（Camp、Cohen-Mansfield 和 Capezuti，2002）。近年来，在痴呆症的学习和社交互动方面取得了重要发现。例如，我们看到痴呆症患者能够在有利的环境中学习新信息并表达知识和生活经历。痴呆症患者通常仍然渴望进行富有成效的、具有挑战性的活动，重要的是，在痴呆症诊断后，这种基本的人类需求继续得到尽可能长时间的满足。这项为期 6 个月的可行性研究将涉及创建芦笋到西葫芦 (A2Z)，这是一门基于农业科学的课程，旨在利用剩余的优势，为处于痴呆症各个阶段的人提供富有成效和有目的的活动。本课程将纳入基于蒙特梭利的痴呆症规划、园艺疗法和营养的原则。在整个研究过程中，我们将开发一个原型 A2Z 套件，其中包括改编的课堂材料和室内种植用品，我们将培训活动人员介绍课程，以指导参与者并鼓励积极主动 我们将随机将参与者分配到参与 A2Z 和时事活动的治疗组 (A2Z/CE) 或仅参与时事活动的对照组 (CE)。基线测量后，每周将在每天的同一时间进行两次观察，为期八周。最初的八周后，第 1 组将单独参加 CE，第 2 组将参加 A2Z/CE（交叉设计）。观察将持续第二个八周。衡量的结果将包括在团体活动期间观察到的参与度和影响、对节目内容的记忆和感知的目的性、对团体动态的描述性观察以及对节目内容的满意/不满意的个人表达。远端结果测量将侧重于生活质量，并将在基线和每 8 周观察期后进行评估。据推测，与标准 (CE) 节目相比，A2Z 节目将带来更多参与度、积极效果、感知目的性、对节目的满意度以及更好的生活质量。 公共健康相关性：我们的目标是开发一项基于农业的教育计划（芦笋到西葫芦 - A2Z），用于长期护理机构和其他痴呆症患者护理场所。具体来说，我们希望评估该计划对参与度、情感和生活质量的影响。长期目标包括完善和扩展课程，培训早期至中度痴呆症患者的护理人员，为这些患者提供参与有意义和富有成效的园艺活动的机会。