基于智能手机应用程序的越南痴呆症患者照护者心理教育:一项随机对照试验

IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY
Clinical Interventions in Aging Pub Date : 2025-09-20 eCollection Date: 2025-01-01 DOI:10.2147/CIA.S551994
Tran To Tran Nguyen, Lan Duong Tuyet Vu, Khoa Tri Truong, Tuan Chau Nguyen, Truc Thanh Thai, Penelope Schofield, Tuan Anh Nguyen, The Ha Ngoc Than, Huan Thanh Nguyen
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引用次数: 0

摘要

目的:照顾痴呆症患者(PwD)是一项艰巨的任务,特别是对越南等中低收入国家的家庭照顾者来说,那里的支持有限。本研究评估了基于智能手机的PwD护理人员心理教育计划的可行性和初步影响。参与者和方法:在一项随机对照试验中,从一家公立医院的老年病科招募了60名家庭护理人员,并随机分配(1:1)到干预组或常规护理组。符合条件的参与者年龄在18岁或以上,主要负责日常护理,至少受过初等教育,使用可以上网的智能手机和Zalo,并报告有适度的压力。干预组通过Zalo接受了为期7周的心理教育计划,包括视频和互动群聊。可行性评估通过招聘,保留和数据收集率。通过照顾者参与和反馈来衡量参与和可接受性。对抑郁、焦虑、压力、痴呆知识、照顾者负担、社会支持和健康相关生活质量的初步影响进行了探讨。结果:在接触的62名护理人员中,60名参加了研究(96.7%),54名完成了研究(90%保留)。干预后即刻评估完成率为96.7%,随访3个月评估完成率为93.1%。超过85%的参与者每周都参与其中,所有参与者对节目内容的评价都是积极的。可接受性很高,超过89%的人对内容、格式和持续时间表示满意。初步研究结果表明,心理困扰、痴呆症知识、照顾者负担和生活质量有所改善。结论:这是越南第一项评估基于智能手机的PwD护理人员心理教育干预的研究。该计划是可行的,被广泛接受,并显示出潜在的好处。它为资源有限的护理人员提供了一个有前途的、可扩展的支持模型,值得在更大的试验中进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Smartphone App-Based Psychoeducation for Caregivers of People with Dementia in Vietnam: A Pilot Randomized Controlled Trial.

Purpose: Caring for people with dementia (PwD) is demanding, particularly for family caregivers in lower-middle-income countries like Vietnam, where support is limited. This study assessed the feasibility and preliminary impact of a smartphone-based psychoeducational program for caregivers of PwD.

Participants and methods: In a pilot randomized controlled trial, 60 family caregivers were recruited from the Geriatrics Department of a public hospital and randomly assigned (1:1) to either an intervention or a usual care group. Eligible participants were aged 18 or older, primarily responsible for daily care, had at least a primary education, used a smartphone with internet access and Zalo, and reported moderate stress. The intervention group received a 7-week psychoeducational program via Zalo, featuring videos and interactive group chats. Feasibility was assessed through recruitment, retention, and data collection rates. Engagement and acceptability were measured through caregiver participation and feedback. Preliminary effects on depression, anxiety, stress, dementia knowledge, caregiver burden, social support, and health-related quality of life were explored.

Results: Of the 62 caregivers approached, 60 enrolled (96.7%), and 54 completed the study (90% retention). Assessment completion rates were 96.7% immediately after the intervention and 93.1% at the 3-month follow-up. Over 85% of participants were engaged weekly, and all participants rated the program content positively. Acceptability was high, with more than 89% expressing satisfaction with the content, format, and duration. Preliminary findings indicated improvements in psychological distress, dementia knowledge, caregiver burden, and quality of life.

Conclusion: This is the first study in Vietnam to evaluate a smartphone-based psychoeducational intervention for caregivers of PwD. The program was feasible, well-accepted, and showed potential benefits. It offers a promising, scalable support model for caregivers in resource-limited settings and warrants further investigation in a larger trial.

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来源期刊
Clinical Interventions in Aging
Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-
CiteScore
6.80
自引率
2.80%
发文量
193
审稿时长
6-12 weeks
期刊介绍: Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.
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