| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.81 MB | Adobe PDF |
Authors
Abstract(s)
Introdução: A demência é considerada uma prioridade de saúde pública pela Organização Mundial de Saúde desde 2017 e espera-se que o número de pessoas com demência triplique em 2050. Assim, a possibilidade da prevenção da demência é cada vez mais reconhecida como uma necessidade. A intervenção na lógica de prevenção da demência é fundamental, uma vez que não existe tratamento para nenhuma forma comum desta síndrome, pelo que atrasar o início da doença pode ser benéfico, mesmo na idade adulta avançada, o que justifica a necessidade da criação de estudos de validação na área. O presente estudo consiste numa intervenção preventiva presencialmente e em grupo direcionada para a psicoeducação das temáticas relacionadas com os fatores de risco modificáveis para o declínio cognitivo e para o conhecimento sobre o cérebro no envelhecimento saudável e patológico. Objetivos: O objetivo geral do estudo é validar e averiguar a viabilidade e aceitabilidade de um programa de psicoeducação em grupo para os fatores de risco e protetores da demência numa amostra de idosos que apresentam um risco ligeiro a moderado de desenvolvimento de demência – o programa DemenPrevAWARE. Os objetivos específicos são: avaliar a taxa de retenção e adesão, avaliar o grau de satisfação, a aceitabilidade do programa e o efeito de eficácia do programa no conhecimento dos participantes sobre a demência. Metodologia: Trata-se de um estudo exploratório quasi-experimental de amostragem por conveniência que contou com a participação de 10 sujeitos com idades entre os 64 e os 86 anos que apresentavam risco ligeiro a moderado de desenvolver demência e sem défices sensoriais e/ou cognitivos. Para a construção do programa foi utilizada uma metodologia focus group para avaliar a validade do conteúdo e das dinâmicas das 6 sessões de psicoeducação. De forma a avaliar a viabilidade do programa, os participantes responderam a questionários de motivação e de satisfação no final de cada sessão e no final do programa e responderam ao instrumento QED (Questionário sobre o Envelhecimento e Demência). Foi utilizada uma abordagem transversal e longitudinal. Os participantes realizaram uma avaliação pré e pós programa para averiguar o efeito da implementação do mesmo, que durou 6 semanas, no conhecimento sobre a demência e fatores de risco. Resultados: O presente estudo apresentou um ótimo nível de recrutamento, assiduidade, adesão, retenção final, motivação e satisfação global. Relativamente à análise estatística do programa, os resultados encontrados entre os dois momentos de avaliação são considerados significativos relativamente ao conhecimento sobre a demência. Verificou-se um efeito positivo no conhecimento sobre a prevenção da demência e sobre os fatores de risco modificáveis. Contudo, a dimensão reduzida da amostra e a ausência de um grupo de controlo implicam precaução na interpretação dos resultados. Conclusão: Em suma, o programa apresentou um ótimo nível de aceitabilidade e viabilidade. Os participantes relataram que recomendariam o programa a familiares e/ou amigos e que voltariam a integrar o programa. Em estudos futuros seria importante implementar o programa numa escala maior como um estudo randomizado de eficácia.
Introduction: Dementia is considered a public health priority by the World Health Organisation since 2017 and the number of people suffering from dementia is expected to triple by 2050. Therefore, the possibility of dementia prevention is increasingly recognised as a necessity. Intervention in the principle of dementia prevention is crucial, once that there is no treatment for any of the common forms of the syndrome. Delaying the beginning of the disease may be beneficial, even in advanced adulthood, thus justifying the necessity to create validation studies in this field. This study consists in a group on-site preventive intervention directed towards the psychoeducation on the themes related with modifiable risk factors to cognitive decline and the knowledge about the brain in the process of healthy and pathological ageing. Objectives: The overall objective of this study is to validate and assess the feasibility and acceptability of a psychoeducation programme in group regarding both the risk and protection factors of dementia in a sample of older people who show a light to moderate risk of developing dementia – the DemenPrevAWARE programme. The specific objectives are: evaluating the retention and accession rate, evaluating the degree of satisfaction, the acceptability of the programme and the outcome of its effectiveness in the participants’ knowledge on dementia. Methodology: This is an exploratory quasi-experimental study of convenience sampling carried out with the participation of 10 individuals between the ages of 64 and 86 who presented a light to moderate risk of developing dementia and without any sensorial and/or cognitive deficits. A focus group methodology was used to assess the validity of the content and of the dynamics used throughout the 6 psychoeducation sessions. In order to assess the feasibility of the programme, the participants answered motivation and satisfaction questionnaires at the end of each session and at the end of the programme. They also answered the QED instrument (Questionário sobre o Envelhecimento e Demência) at the end of the programme. The approach used was cross-sectional and longitudinal. The participants made a pre and post programme assessment to find out the effect of the programme implementation, which lasted 6 weeks, on their knowledge about dementia and risk factors. Results: This study presented an excellent level of recruitment, attendance, adherence, final retention, motivation and global satisfaction. As far as the statistic analysis of the programme is concerned, the results found between the two assessment moments are considered significant regarding the knowledge on dementia. There was a positive effect in the knowledge on preventing dementia and on the modifiable risk factors. However, the small sample size and the absence of a control group require caution in the interpretation of results. Conclusion: This programme presented an excellent level of acceptability and feasibility. The participants stated they would recommend the programme to their relatives and/or friends and also that they would participate in the programme again. In future studies it would be important to implement the programme in a higher scale as an efficacy randomised study.
Introduction: Dementia is considered a public health priority by the World Health Organisation since 2017 and the number of people suffering from dementia is expected to triple by 2050. Therefore, the possibility of dementia prevention is increasingly recognised as a necessity. Intervention in the principle of dementia prevention is crucial, once that there is no treatment for any of the common forms of the syndrome. Delaying the beginning of the disease may be beneficial, even in advanced adulthood, thus justifying the necessity to create validation studies in this field. This study consists in a group on-site preventive intervention directed towards the psychoeducation on the themes related with modifiable risk factors to cognitive decline and the knowledge about the brain in the process of healthy and pathological ageing. Objectives: The overall objective of this study is to validate and assess the feasibility and acceptability of a psychoeducation programme in group regarding both the risk and protection factors of dementia in a sample of older people who show a light to moderate risk of developing dementia – the DemenPrevAWARE programme. The specific objectives are: evaluating the retention and accession rate, evaluating the degree of satisfaction, the acceptability of the programme and the outcome of its effectiveness in the participants’ knowledge on dementia. Methodology: This is an exploratory quasi-experimental study of convenience sampling carried out with the participation of 10 individuals between the ages of 64 and 86 who presented a light to moderate risk of developing dementia and without any sensorial and/or cognitive deficits. A focus group methodology was used to assess the validity of the content and of the dynamics used throughout the 6 psychoeducation sessions. In order to assess the feasibility of the programme, the participants answered motivation and satisfaction questionnaires at the end of each session and at the end of the programme. They also answered the QED instrument (Questionário sobre o Envelhecimento e Demência) at the end of the programme. The approach used was cross-sectional and longitudinal. The participants made a pre and post programme assessment to find out the effect of the programme implementation, which lasted 6 weeks, on their knowledge about dementia and risk factors. Results: This study presented an excellent level of recruitment, attendance, adherence, final retention, motivation and global satisfaction. As far as the statistic analysis of the programme is concerned, the results found between the two assessment moments are considered significant regarding the knowledge on dementia. There was a positive effect in the knowledge on preventing dementia and on the modifiable risk factors. However, the small sample size and the absence of a control group require caution in the interpretation of results. Conclusion: This programme presented an excellent level of acceptability and feasibility. The participants stated they would recommend the programme to their relatives and/or friends and also that they would participate in the programme again. In future studies it would be important to implement the programme in a higher scale as an efficacy randomised study.
Description
Keywords
Intervenção preventiva Psicoeducação Envelhecimento Demência e saúde no cérebro Preventive intervention Psychoeducation Ageing Dementia Brain health