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Dementia Cafés as a Community Resource for Persons With Early-Stage Cognitive Disorders: A Nationwide Survey in Japan
Journal of the American Medical Directors Association ( IF 7.6 ) Pub Date : 2019-12-01 , DOI: 10.1016/j.jamda.2019.04.017
Hajime Takechi 1 , Tomoyuki Yabuki 2 , Masahiko Takahashi 3 , Hisao Osada 4 , Shinji Kato 2
Affiliation  

OBJECTIVES Dementia cafés are expected to serve as a new community resource based on the national dementia strategy in Japan. The objective of the present study was to examine effective ways to manage dementia cafés through an overview of dementia cafés in Japan and an analysis of the factors related to their effectiveness on attendees. DESIGN Cross-sectional analysis. SETTING AND PARTICIPANTS Representatives of 1477 dementia cafés in Japan. MEASURES Questionnaires regarding the dementia cafés' characteristics, management members, staff, their guests and effectiveness on people with dementia, their families, and community members were sent to the cafés, with instructions to have them completed by the café representatives. Logistic regression analysis was performed with the effect on each guest attribute as a dependent variable, and factors related to the effectiveness of dementia cafés were analyzed. RESULTS Questionnaires were sent to a total of 2728 dementia cafés in Japan, and responses were received from 1477 (54.1%). The most common meeting frequency and meeting hours were once a month (64.8%) and 2 hours (53.8%), respectively. Analysis of the effectiveness of dementia cafés on 3 groups of guests indicated the following preferences for café program: people with dementia preferred frequent meetings and activities, families of people with dementia preferred having a place for private consultation and advice and peer meetings, and community members preferred frequent meetings and both mini-lectures and private consultation and advice. Logistic regression analysis further revealed that all types of guests preferred the presence of the same types of guests. CONCLUSIONS/IMPLICATIONS This study revealed the multicomponent nature of dementia cafés. The results suggest that a good balance of programs and guests would enhance the cafés' effectiveness among the multiple stakeholders in regard to dementia, especially in the early stage of the disease.

中文翻译:

痴呆症咖啡馆作为早期认知障碍患者的社区资源:日本的一项全国性调查

目标 痴呆症咖啡馆有望成为基于日本国家痴呆症战略的新社区资源。本研究的目的是通过对日本痴呆症咖啡馆的概述以及与其对参加者的有效性相关的因素分析,来研究管理痴呆症咖啡馆的有效方法。设计 横断面分析。设置和参与者 日本 1477 家痴呆咖啡馆的代表。措施 将有关痴呆症咖啡馆的特征、管理人员、员工、他们的客人以及对痴呆症患者、他们的家人和社区成员的有效性的调查问卷发送到咖啡馆,并指示咖啡馆代表完成这些问卷调查。以对每个客人属性的影响作为因变量进行逻辑回归分析,并分析了与痴呆症咖啡馆有效性相关的因素。结果 向日本总共 2728 家痴呆咖啡馆发送了问卷,收到了 1477 家(54.1%)的回复。最常见的会议频率和会议时间分别是每月一次 (64.8%) 和 2 小时 (53.8%)。对痴呆症咖啡馆对 3 组客人的有效性分析表明,对咖啡馆计划的偏好如下:痴呆症患者更喜欢经常开会和活动,痴呆症患者的家人更喜欢有私人咨询和建议和同伴会议的地方,以及社区成员更喜欢经常开会、小型讲座和私人咨询和建议。Logistic 回归分析进一步显示,所有类型的客人都更喜欢同一类型的客人的存在。结论/意义 这项研究揭示了痴呆症咖啡馆的多元性质。结果表明,项目和客人的良好平衡将提高咖啡馆在痴呆症的多个利益相关者中的有效性,尤其是在疾病的早期阶段。
更新日期:2019-12-01
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