以社区为基础的健康教育对老年人阿尔茨海默病可改变危险因素的有效性:一项范围综述

IF 12.4 1区 医学 Q1 CELL BIOLOGY
Ziliang Hao , Jing Du, Xinhao Ding, Yu Shi, Zhiyuan Wang
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引用次数: 0

摘要

对社区健康教育预防痴呆研究进行了范围综述,以明确社区健康教育干预预防痴呆的形式、内容、结果指标、评估工具和效果,并为该领域的未来研究提供信息。本研究通过8个数据库对以社区为基础的阿尔茨海默病预防健康教育干预进行了范围审查,确定了5种干预方法——文化适应干预、健康知识讲座、心理健康教育、多维综合干预和电话指导。这些干预措施主要旨在提高AD知识和生活方式的改变,同时评估九个领域的结果,包括知识水平、认知功能、态度信念、心理状态、健康行为、健康状况、生活质量、自我管理和其他指标。研究结果表明,痴呆症知识有了显著提高,采取保护行为的人数增加,在集体主义文化环境中效果尤其显著。最值得注意的是,多模式干预显示出对认知表现和社区健康老龄化结果的协同效益。虽然目前的证据支持跨年龄组社区卫生干预的可行性和有效性,但需要结合老年科学原理的大规模随机对照试验来确定阿尔茨海默病预防的因果效应,并优化针对不同人群的循证干预框架。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of community-based health education on modifiable risk factors for Alzheimer's disease among older adults: a scoping review
A scoping review of community health education studies for dementia prevention was conducted to clarify the form, content, outcome indicators, evaluation tools, and effects of community health education interventions for dementia prevention and to inform future research in this area. This scoping review of community-based health education interventions for Alzheimer's disease prevention across eight databases identified five intervention approaches—culturally adapted interventions, health knowledge lectures, mental health education, multidimensional comprehensive intervention, and telephone coaching. These interventions primarily aimed to enhance AD knowledge and lifestyle modifications while evaluating outcomes across nine domains including knowledge level, cognitive functioning, attitudinal beliefs, psychological status, health behaviors, health status, life quality, self-management, and other indicators. The findings demonstrated significant improvements in dementia knowledge, increased adoption of protective behaviors, and particularly strong effects in collectivist cultural settings. Most notably, multimodal interventions showed synergistic benefits for both cognitive performance and community health aging outcomes. While current evidence supports the feasibility and effectiveness of community-based health interventions across age groups, large-scale randomized controlled trials incorporating geroscience principles are needed to establish causal efficacy in Alzheimer's prevention and optimize evidence-based intervention frameworks for diverse populations.
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来源期刊
Ageing Research Reviews
Ageing Research Reviews 医学-老年医学
CiteScore
19.80
自引率
2.30%
发文量
216
审稿时长
55 days
期刊介绍: With the rise in average human life expectancy, the impact of ageing and age-related diseases on our society has become increasingly significant. Ageing research is now a focal point for numerous laboratories, encompassing leaders in genetics, molecular and cellular biology, biochemistry, and behavior. Ageing Research Reviews (ARR) serves as a cornerstone in this field, addressing emerging trends. ARR aims to fill a substantial gap by providing critical reviews and viewpoints on evolving discoveries concerning the mechanisms of ageing and age-related diseases. The rapid progress in understanding the mechanisms controlling cellular proliferation, differentiation, and survival is unveiling new insights into the regulation of ageing. From telomerase to stem cells, and from energy to oxyradical metabolism, we are witnessing an exciting era in the multidisciplinary field of ageing research. The journal explores the cellular and molecular foundations of interventions that extend lifespan, such as caloric restriction. It identifies the underpinnings of manipulations that extend lifespan, shedding light on novel approaches for preventing age-related diseases. ARR publishes articles on focused topics selected from the expansive field of ageing research, with a particular emphasis on the cellular and molecular mechanisms of the aging process. This includes age-related diseases like cancer, cardiovascular disease, diabetes, and neurodegenerative disorders. The journal also covers applications of basic ageing research to lifespan extension and disease prevention, offering a comprehensive platform for advancing our understanding of this critical field.
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