Lay Health Workers in Community-Based Care and Management of Dementia: A Qualitative 'Pre' and 'Post' Intervention Study in Southwestern Uganda.
Journal
BioMed research international
ISSN: 2314-6141
Titre abrégé: Biomed Res Int
Pays: United States
ID NLM: 101600173
Informations de publication
Date de publication:
2022
2022
Historique:
received:
16
09
2021
accepted:
03
03
2022
entrez:
4
4
2022
pubmed:
5
4
2022
medline:
9
4
2022
Statut:
epublish
Résumé
The global need for efficient and cost-effective use of healthcare resources in low-income countries has led to the introduction of lay health workers (LHWs) as a link of the community to healthcare services. As such, the LHWs perform a variety of tasks such as education, support for care delivery, and social support across all disease types. However, little is known about their ability to support dementia care and management in the community. The goal of the pilot intervention was to evaluate the 5-day training intervention for LHWs in rural southwestern Uganda in community-based care and management of people with dementia, and implementation of the knowledge and skills gained. This was a "pre" and "post" pilot intervention study which involved a qualitative assessment of LHWs' knowledge on community-based management and care for people with dementia. We focused on four core competency domains in the WHO dementia toolkit. The intervention included a five-day training of the LHWs on dementia care, eight weeks of implementation, and an evaluation of the experiences. Analysis focused on the needs assessment, early detection and management, community engagement, support for people with dementia; and evaluation of the eight weeks implementation. Before the training, the LHWs did not know much about what dementia-related support to provide in the community. Activities were limited to general support, including nutrition, and health education. After the training, LHWs had a basic understanding of dementia and began sensitizing the communities. They felt more comfortable working with people with dementia and reported a notable change in the attitude of family members. However, they reported challenges in differentiating the signs of early dementia from superstitious beliefs. With enhanced capacity, LHWs may be able to support community-based management for people with dementia. A larger study is needed to explore potential roles for LHWs and further assess effectiveness of the LHWs' skills.
Sections du résumé
Background
UNASSIGNED
The global need for efficient and cost-effective use of healthcare resources in low-income countries has led to the introduction of lay health workers (LHWs) as a link of the community to healthcare services. As such, the LHWs perform a variety of tasks such as education, support for care delivery, and social support across all disease types. However, little is known about their ability to support dementia care and management in the community.
Purpose
UNASSIGNED
The goal of the pilot intervention was to evaluate the 5-day training intervention for LHWs in rural southwestern Uganda in community-based care and management of people with dementia, and implementation of the knowledge and skills gained.
Methods
UNASSIGNED
This was a "pre" and "post" pilot intervention study which involved a qualitative assessment of LHWs' knowledge on community-based management and care for people with dementia. We focused on four core competency domains in the WHO dementia toolkit. The intervention included a five-day training of the LHWs on dementia care, eight weeks of implementation, and an evaluation of the experiences. Analysis focused on the needs assessment, early detection and management, community engagement, support for people with dementia; and evaluation of the eight weeks implementation.
Results
UNASSIGNED
Before the training, the LHWs did not know much about what dementia-related support to provide in the community. Activities were limited to general support, including nutrition, and health education. After the training, LHWs had a basic understanding of dementia and began sensitizing the communities. They felt more comfortable working with people with dementia and reported a notable change in the attitude of family members. However, they reported challenges in differentiating the signs of early dementia from superstitious beliefs.
Conclusion
UNASSIGNED
With enhanced capacity, LHWs may be able to support community-based management for people with dementia. A larger study is needed to explore potential roles for LHWs and further assess effectiveness of the LHWs' skills.
Identifiants
pubmed: 35372572
doi: 10.1155/2022/9443229
pmc: PMC8967551
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
9443229Subventions
Organisme : FIC NIH HHS
ID : D43 TW010128
Pays : United States
Informations de copyright
Copyright © 2022 Christine K. Karungi et al.
Déclaration de conflit d'intérêts
The authors have no competing interests.
Références
Geriatr Gerontol Int. 2014 Apr;14 Suppl 2:2-10
pubmed: 24650059
BMC Public Health. 2018 Feb 8;18(1):227
pubmed: 29422023
Bull World Health Organ. 2011 Dec 1;89(12):919-23
pubmed: 22271950
Braz J Psychiatry. 2011 Mar;33(1):47-54
pubmed: 20602013
Int J Geriatr Psychiatry. 2014 Jul;29(7):682-93
pubmed: 24458456
BMC Geriatr. 2020 Feb 10;20(1):48
pubmed: 32041525
J Clin Nurs. 2018 Jan;27(1-2):e169-e176
pubmed: 28557051
BMC Health Serv Res. 2013 Oct 13;13:412
pubmed: 24119375
BMC Health Serv Res. 2013 Dec 27;13:533
pubmed: 24370214
PLoS One. 2008 Jun 04;3(6):e2333
pubmed: 18523642
Hum Resour Health. 2015 Sep 07;13:73
pubmed: 26346431
Cochrane Database Syst Rev. 2010 Mar 17;(3):CD004015
pubmed: 20238326
Alzheimers Dement. 2011 May;7(3):280-92
pubmed: 21514248
Int J Ment Health Syst. 2019 Jul 17;13:49
pubmed: 31346348
Trop Med Int Health. 2011 May;16(5):640-6
pubmed: 21320244
Int Rev Psychiatry. 2008 Aug;20(4):332-43
pubmed: 18925482
Age Ageing. 2004 Sep;33(5):461-7
pubmed: 15271637
PLoS One. 2017 Dec 7;12(12):e0189069
pubmed: 29216263
BMC Int Health Hum Rights. 2010 Nov 24;10:29
pubmed: 21106099
BMC Public Health. 2014 Mar 19;14:260
pubmed: 24642112
Lancet. 2011 Nov 5;378(9803):1654-63
pubmed: 22008420
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 Oct;56(10):1398-409
pubmed: 23978981
Hum Resour Health. 2017 Jan 11;15(1):4
pubmed: 28077148
Int J Equity Health. 2017 Jul 20;16(1):129
pubmed: 28728553
Lancet. 2007 Sep 22;370(9592):1061-77
pubmed: 17804052
Int J Ment Health Syst. 2020 May 7;14:33
pubmed: 32411294
Lancet. 2007 Sep 8;370(9590):878-89
pubmed: 17804062
BMC Geriatr. 2020 Apr 15;20(1):135
pubmed: 32293301