Ashley M Peak, Janice C Marceaux, Kristy D Shoji, Julianna Valencia
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引用次数: 0
摘要
目的：认知刺激疗法（CST）是一种基于证据的痴呆干预方法。这个项目评估在一个老兵样本中检查了一个修改后的CST项目的结果。方法：选择25名参加每周一次，为期7周的CST计划并完成组前/组后评估的退伍军人纳入本图表回顾研究。在这个多样化的样本中(Mage = 74.40；44%白人，44%西班牙裔/拉丁裔，8%黑人，4%多种族)，大多数有疑似神经退行性病因。配对样本t检验检测生活质量和干预前/干预后认知评分。结果：rban总指数评分有统计学意义的改善（Cohen’s d = 0.46）。虽然MoCA评分或患者QoL-AD评分没有统计学上的显著变化，但在预测方向上有很小的影响（Cohen’s d分别= 0.29和0.30）。护理人员QoL-AD评分无显著变化或影响（Cohen’s d = .09）。结论：一个改良的，每周一次，为期7周的退伍军人CST计划是可行的，并显示出积极的结果。在整体认知方面观察到改善，并且对患者评价的生活质量有小的积极影响。鉴于痴呆症通常是进行性的，认知和生活质量的稳定性提示CST的保护作用。临床意义：CST作为认知障碍退伍军人每周一次的简短群体干预是可行和有益的。
Cognitive Stimulation Therapy in a Veteran Sample: A Program Evaluation Study.
Objectives: Cognitive stimulation therapy (CST) is an evidence-based intervention for dementia. This program evaluation examined the outcomes of a modified CST program in a veteran sample.
Methods: Twenty-five veterans who participated in a once-weekly, 7-week CST program and completed pre/post-group assessments were selected for inclusion in this chart review study. In this diverse sample (Mage = 74.40; 44% White, 44% Hispanic/Latinx, 8% Black, 4% multiracial), most had a suspected neurodegenerative etiology. Paired-samples t-test examined QoL and cognitive pre/post-intervention scores.
Results: Statistically significant improvements were observed in RBANS total index scores (Cohen's d = 0.46). Although there was not a statistically significant change in MoCA scores or patient QoL-AD ratings, there were small effects in the predicted direction (Cohen's d = 0.29 and 0.30, respectively). There was no significant change or effect on caregiver QoL-AD ratings (Cohen's d = .09).
Conclusions: A modified, once-weekly 7-week CST program for veterans was feasible and demonstrated positive outcomes. Improvements were observed in global cognition and there was a small, positive effect on patient-rated QoL. Given that dementia is often progressive, stability of cognition and QoL are suggestive of the protective effects of CST.
Clinical implications: CST is feasible and beneficial as a once-weekly brief group intervention for veterans with cognitive impairment.
期刊介绍：
Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including:
-adjustments to changing roles-
issues related to diversity and aging-
family caregiving-
spirituality-
cognitive and psychosocial assessment-
depression, anxiety, and PTSD-
Alzheimer’s disease and other neurocognitive disorders-
long term care-
behavioral medicine in aging-
rehabilitation and education for older adults.
Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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