JAVA Memory Care program: Facilitating social and occupational engagement for older adults living with advanced dementia

IF 1.6 4区医学 Q2 REHABILITATION

Australian Occupational Therapy Journal Pub Date : 2023-10-16 DOI:10.1111/1440-1630.12911

Sanetta Henrietta Johanna du Toit, Glenda Madeleine Jessup

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Abstract

Background and Objectives

Residents in aged care homes often report lack of life purpose and meaning and limited opportunities to contribute to their community. The JAVA Memory Care program is designed to facilitate engagement for older adults with advanced dementia. This study explored whether JAVA Memory Care engaged such adults meaningfully, on social and occupational levels, within one Australian residential care home.

Methods

A mixed method design guided this exploration. Trained staff facilitated six JAVA groups over 2 months. Three sources of data were utilised. Observational data (qualitative and quantitative) were obtained using a narratively enhanced Assessment Tool for Social and Occupational Engagement (ATOSE). The other two data sources were qualitative and analysed thematically: reflections by the lead JAVA facilitator and data generated by a research discussion group.

Results

The quantitative data comprised 564 ATOSE behaviour markers. Participants were categorised as being engaged in 93% of these markers. Two of the three qualitative themes focused on the collective and self-expressive nature of participant engagement. The third theme focused on practicalities such as time pressures, facilitator training, resident selection, and resource preparation. For residents, the groups provided a context for relating meaningfully to others.

Conclusion

The JAVA program achieved a high level of engagement. However, it was a time intensive intervention and required a person-centred philosophy, appropriate staff training, organisational support, and a suitable quiet space. The program had positive benefits, but practical issues identified needed to be considered before implementation.

Abstract Image

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JAVA记忆护理计划：促进患有晚期痴呆症的老年人的社会和职业参与。

背景和目标：养老院的居民经常报告说，他们缺乏生活目标和意义，为社区做出贡献的机会有限。JAVA记忆护理计划旨在促进患有晚期痴呆症的老年人的参与。这项研究探讨了JAVA记忆护理是否在澳大利亚一家养老院的社会和职业层面上有意义地吸引了这些成年人。方法：采用混合方法设计指导本研究。经过培训的工作人员为超过2人的6个JAVA小组提供了便利月。使用了三种数据来源。观察数据（定性和定量）是使用叙述性增强的社会和职业参与评估工具（ATOSE）获得的。另外两个数据来源是定性的，并按主题进行了分析：JAVA首席主持人的反思和研究讨论小组产生的数据。结果：定量数据包括564个ATOSE行为标记。参与者被归类为参与了93%的这些标记。三个定性主题中有两个侧重于参与者参与的集体性和自我表达性。第三个主题侧重于实际问题，如时间压力、辅导员培训、驻地人员选择和资源准备。对于居民来说，这些群体为与他人有意义的联系提供了一个背景。结论：JAVA程序实现了较高的参与度。然而，这是一次时间密集型干预，需要以人为本的理念、适当的员工培训、组织支持和合适的安静空间。该计划有积极的好处，但在实施之前需要考虑已确定的实际问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Occupational Therapy Journal 医学-康复医学

CiteScore

2.80

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Australian Occupational Therapy Journal is a leading international peer reviewed publication presenting influential, high quality innovative scholarship and research relevant to occupational therapy. The aim of the journal is to be a leader in the dissemination of scholarship and evidence to substantiate, influence and shape policy and occupational therapy practice locally and globally. The journal publishes empirical studies, theoretical papers, and reviews. Preference will be given to manuscripts that have a sound theoretical basis, methodological rigour with sufficient scope and scale to make important new contributions to the occupational therapy body of knowledge. AOTJ does not publish protocols for any study design The journal will consider multidisciplinary or interprofessional studies that include occupational therapy, occupational therapists or occupational therapy students, so long as ‘key points’ highlight the specific implications for occupational therapy, occupational therapists and/or occupational therapy students and/or consumers.