Abstract
Enquadramento: A estimulação cognitiva individual desenvolvida em contexto domiciliar por um cuidador é uma intervenção inovadora. O programa de estimulação cognitiva Fazer a Diferença 3(FD3) é um exemplo deste tipo de intervenção. Objetivo: Explorar a aceitabilidade e a aplicabilidade do programa FD3 para a população portuguesa. Metodologia: Estudo desenvolvido em duas fases: na Fase 1 realizaram-se entrevistas exploratórias a académicos, profissionais de saúde e cuidadores, com o intuito de se conhecer a recetividade a este tipo de intervenção; na Fase 2 conduziu-se um painel de peritos e grupos focais, com cuidadores, para explorar a suas perceções sobre o programa FD3, versão portuguesa. Resultados: A Fase 1 foi impulsionadora do estudo. As partes interessadas analisaram este tipo de intervenção como muito útil e versátil. A Fase 2 permitiu perceber as potencialidades em termos de aceitabilidade e de aplicabilidade da intervenção, traduzida e adaptada, para a população portuguesa. Conclusão: O programa FD3 poderá ser uma excelente ferramenta no cuidado à pessoa idosa com deterioração cognitiva a residir em contexto domiciliar.
Highlights
Research question to other international realities, Portugal struggles with problematic societal issues, such as the growing number of older people with a major neurocognitive disorder, often referred to as dementia (American Psychiatric Association [APA], 2013)
The healthcare professionals (HProf) assessed the program as useful and believe that its appropriateness will be positive and its feasibility will be achieved in some dyads: “It’s a very good idea, caregivers, family members, and even patients themselves are becoming more aware of the advantages of cognitive stimulation” (HProf1); “having a stimulation program that can be applied by a family member will benefit the families that are more active and involved in the aging of their older relatives” (HProf1)
The caregivers showed a good receptivity to the PECI-Fazer a Diferença 3 (FD3): “the manual is well organized, it’s interesting, everything seems to be well explained ... it seems very useful” (InfC1); “it’s definitely very interesting, we, the caregivers, have few resources” (InfC2)
Summary
Research question to other international realities, Portugal struggles with problematic societal issues, such as the growing number of older people with a major neurocognitive disorder, often referred to as dementia (American Psychiatric Association [APA], 2013). The delivery of individual cognitive stimulation by caregivers in a home-based setting is an innovative intervention An example of this type of intervention is the Making a Difference 3 (MD3) cognitive stimulation program. Examples of individual CS programs include the Home-based collaborative memory intervention, the Active cognitive stimulation, and the MD3 (Silva et al, 2020; Yates, Orrell, Phoung, et al, 2015). These programs aim to respond to an underexplored intervention context in the area of CS. The MD3 program is an innovative program with therapeutic potential that can be applied at a reasonable cost and is aligned with the policies focused on aging in place (Fonseca, 2018; Orgeta et al, 2015)
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