Raising awareness for dementia risk reduction through a public health campaign: a pre-post study.

Raising awareness for dementia risk reduction through a public health campaign: a pre-post study.
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DOI:
10.1136/bmjopen-2020-041211
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发表时间:
2020-11-06
期刊:
影响因子:
2.9
通讯作者:
Deckers K
Deckers K
中科院分区:
医学3区
文献类型:
--
作者:
Heger I;Köhler S;van Boxtel M;de Vugt M;Hajema K;Verhey F;Deckers K

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评估旨在提高荷兰社区中年居民对降低痴呆症风险的认识的健康促进运动的效果。在eHealth的支持下,利用大众媒体和社区参与,开展为期10个月的公共卫生运动。在同一目标人群的两个独立的横断面样本中,评估了运动前后人口水平的认识差异,包括人口群体之间的差异。这项公共卫生运动是在荷兰林堡省发起的,目标是40-75岁的所有居民。该省的三个特定地区被选为额外的社区参与办法,邀请当地利益攸关方支持这项运动。在同意可以降低痴呆症风险这一说法的人中,没有观察到治疗前和治疗后的差异(X2(1)=1.27p=0.260)。就个人生活方式因素而言,运动后身体活动(增加7.6%(X2(1)=7.48,p=0.006))和健康饮食(增加10.5%(X2(1)=12.37p≤0.001))更常被认为对痴呆症有保护作用。在评估的所有风险/保护因素中,认知活动在评估前(79.4%)和评估后(80.4%)被发现最多,但意识没有增加(X2(1)=0.17p=0.677)。自我报告的运动暴露与更多的意识和行为改变的动机相关(X2(1)=6.52,p=0.011)。与仅有大众媒体相比,社区参与的加入使宣传材料和电子健康平台获得了更好的认可。这项研究未能在人群水平上提高降低痴呆症风险的意识。构成竞选活动基础的三个生活方式因素中,有两个在竞选活动后被更频繁地发现。据报道,那些接触过这场运动的人更有意识,也更倾向于行为改变。
Evaluate the effect of a health promotion campaign aimed at increasing awareness about dementia risk reduction in middle-aged community-dwelling individuals in the Netherlands. A 10-month public health campaign using mass media and community participation, supported by eHealth. Population-level difference in awareness before and after the campaign, including variation between demographic groups, was assessed in two independent cross-sectional samples from the same target population. The public health campaign was launched in the Province of Limburg, the Netherlands, targeting all inhabitants aged 40–75 years old. Three specific districts within the Province were chosen for an additional community participation approach, in which local stakeholders were invited to support the campaign. No pre- (n=590) post- (n=602) difference was observed in people agreeing to the statement that dementia risk reduction is possible (X2(1)=1.27, p=0.260). For the individual lifestyle factors, physical activity (7.6% increase (X2(1)=7.48, p=0.006)) and healthy diet (10.5% increase (X2(1)=12.37, p≤0.001)) were identified more often as being protective against dementia after the campaign. Of all risk/protective factors assessed, cognitive activity was identified most often at both preassessment (79.4%) and postassessment (80.4%), but there was no increase in awareness (X2(1)=0.17, p=0.677). Self-reported exposure to the campaign was associated with greater awareness and motivation for behavioural change (X2(1)=6.52, p=0.011). Compared with mass media only, the addition of community participation resulted in better recognition of campaign material and the eHealth platform. This study was not able to reach a population-level increase of awareness of dementia risk reduction. Two out of the three lifestyle factors that formed the foundation of the campaign were identified more often after the campaign. Those reported having been exposed to the campaign were more aware and more inclined towards behavioural change.
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