Elodie Bertrand1,2, Renata Naylor1, Jerson Laks3,4, Valeska Marinho3, Aimee Spector5, Daniel C Mograbi1,6. 1. a Department of Psychology, Pontifical Catholic University of Rio de Janeiro , Rio de Janeiro , Brazil. 2. b Department of Psychology, Universidade do Grande Rio (Unigranrio) , Duque de Caxias , Brazil. 3. c Institute of Psychiatry, Federal University of Rio de Janeiro , Rio de Janeiro , Brazil. 4. d Post Graduation Translational Biomedicine Programme, Universidade do Grande Rio (Unigranrio) , Duque de Caxias , Brazil. 5. e Division of Psychology and Language Sciences, University College London , London , UK. 6. f Institute of Psychiatry, Psychology & Neuroscience, King's College London , London , UK.
Abstract
Objectives: The prevalence of dementia has been increasing particularly in developing countries. However, people with dementia (PwD) in Brazil are currently offered no psychosocial treatment upon diagnosis. Cognitive stimulation therapy (CST) that originated in the UK has proven benefits on cognition and quality of life in PwD. We investigate the possible issues for the implementation of CST for the Brazilian population and its cultural appropriateness. Method: Individual interviews and focus groups were conducted with PwD, their caregivers and health professionals (n = 37). Data were recorded and transcribed, before being analyzed using Framework Analysis. Results: Regarding the issues for implementation of CST in the Brazilian population, two main themes emerged, 'Barriers' and 'Facilitators', along with nine subthemes. Overall, the activities and materials were seen as being appropriate for use with the Brazilian population, some minor changes were suggested. Conclusions: The results indicate that CST is appropriate for use in the Brazilian population, only some cultural adaptations are necessary. In the stakeholders' opinions, CTS intervention is needed in Brazil, due to the lack of treatment options for PwD in developing countries.
Objectives: The prevalence of dementia has been increasing particularly in developing countries. However, people with dementia (PwD) in Brazil are currently offered no psychosocial treatment upon diagnosis. Cognitive stimulation therapy (CST) that originated in the UK has proven benefits on cognition and quality of life in PwD. We investigate the possible issues for the implementation of CST for the Brazilian population and its cultural appropriateness. Method: Individual interviews and focus groups were conducted with PwD, their caregivers and health professionals (n = 37). Data were recorded and transcribed, before being analyzed using Framework Analysis. Results: Regarding the issues for implementation of CST in the Brazilian population, two main themes emerged, 'Barriers' and 'Facilitators', along with nine subthemes. Overall, the activities and materials were seen as being appropriate for use with the Brazilian population, some minor changes were suggested. Conclusions: The results indicate that CST is appropriate for use in the Brazilian population, only some cultural adaptations are necessary. In the stakeholders' opinions, CTS intervention is needed in Brazil, due to the lack of treatment options for PwD in developing countries.
Entities:
Keywords:
Dementia; brazilian population; cognitive stimulation therapy; cultural adaptation
Authors: Charlotte R Stoner; Mina Chandra; Elodie Bertrand; Bharath Du; Helen Durgante; Joanna Klaptocz; Murali Krishna; Monisha Lakshminarayanan; Sarah Mkenda; Daniel C Mograbi; Martin Orrell; Stella-Maria Paddick; Sridhar Vaitheswaran; Aimee Spector Journal: Front Public Health Date: 2020-07-31