Development of an integrative learning program for community dwelling old people with dementia

a methodological study was conducted using Delphi technique to develop the learning program, followed by a feasibility test. An expert panel was invited to develop the integrative learning program based on the neuroplasticity and learning framework. A feasibility test was conducted to evaluate the implementation of the program in two centers after the training of personnel who run the program. Verbatim transcripts of case conferences were coded, analyzed, and collapsed into themes and sub-themes by consensus.

Results:

there was no indication for content modification during the period of program implementation. Qualitatively, the participating older adults showed improvement in communications, emotions, connectedness with self and others, and well-being.

Conclusion:

the integrative learning program was uneventfully implemented with promising results. The program is ready for full-scale research on its efficacy in multiple centers to obtain more robust evidence.

Descriptors:
Dementia; Neuroplasticity; Learning; Psychiatric Nursing; Community Health Services; Nursing Methodology Research

Demographic Factor	Center 1^* * Center 1 is residential center and Center 2 is a day-care center;		Center 2^* * Center 1 is residential center and Center 2 is a day-care center;		Total
Sex ^† † Fisher’s Exact Test was used due to there were cells with expected count less than 5;	n	%	N	%	n	%	Z	p-value
Female	34	68.0	5	71.4	39	68.4	0.033	1.000
Male	16	32.0	2	28.6	18	31.6
Age ^‡ ‡ Mann-Whitney U Test was used due to small sample size;	n	Mean (SD)	N	Mean (SD)	n	Mean (SD)	Z	p-value
	39	85.1 (6.59)	6	84.7 (8.71)	45	85.0 (6.79)	-0.084	0.933
Education Level	n	%	n	%	n	%	Z	p-value
Non-educated	25	65.8	2	28.6	27	60.0	12.346	0.006§
Primary	13	34.2	3	42.9	16	35.6
Secondary	0	0.0	1	14.3	1	2.2
Post-secondary	0	0.0	1	14.3	1	2.2
Duration of Diagnosis	n	%	n	%	n	%	Z	p-value
3 Months	11	22.0	0	0.0	11	19.3	14.763	0.001§
5 Months	26	52.0	0	0.0	26	45.6
11 Months	13	26.0	7	100.0	20	35.1

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Authors’ contribution:

Study concept and design: Thomas Kwok Shing Wong, Chen Jinghan, Carmen Ka Man Lee, Zhou Ying, Jiang Liping, Joanne Wai Yee Chung. Obtaining data: Yang Yunhua, Chen Jinghan, Carmen Ka Man Lee, Tang Qiubi, Tang Qiubi, Joanne Wai Yee Chung. Data analysis and interpretation: Thomas Kwok Shing Wong, Yang Yunhua, Chen Jinghan, Carmen Ka Man Lee, Tang Qiubi, Joanne Wai Yee Chung. Statistical analysis: Thomas Kwok Shing Wong, Yang Yunhua, Chen Jinghan, Carmen Ka Man Lee, Tang Qiubi, Joanne Wai Yee Chung. Obtaining financing: Thomas Kwok Shing Wong. Drafting the manuscript: Joanne Wai Yee Chung. Critical review of the manuscript as to its relevant intellectual content: Thomas Kwok Shing Wong, Zhou Ying, Jiang Liping, Joanne Wai Yee Chung. Others (Access to the pilot study site): Zhou Ying.

Brasil

Brasil

Development of an integrative learning program for community dwelling old people with dementia* * This article refers to the call “Nursing Now and Nursing in the Future”. Supported by Ginger Innovative Programs for Old People Grants, Grant # 20160612, China.

Objective:

Method:

Results:

Conclusion:

Development of an integrative learning program for community dwelling old people with dementia^* * This article refers to the call “Nursing Now and Nursing in the Future”. Supported by Ginger Innovative Programs for Old People Grants, Grant # 20160612, China.