Dementia and Storytelling in Vietnam

Официальное название

Digital Storytelling to Promote Early Dementia Diagnosis in Rural Vietnam

Обзор

This project aims to improve knowledge regarding Alzheimer's dementia and related dementias (ADRD) among older adults and their caregivers in Vietnam and promote the early diagnosis of ADRD using a digital storytelling intervention.

Подробное описание

This study will develop and test a Digital Storytelling intervention to improve older adults' and caregivers' knowledge of ADRD and to facilitate early diagnosis in rural areas of Vietnam. The Digital Storytelling Intervention includes interactive multimedia modules for motivating behavior change and improving knowledge and attitudes toward ADRD among older adults and their caregivers through the power and voices of patients with mild to moderate ADRD, older persons with cognitive concerns, and their caregivers. Mobile Health technology (Computerized Intervention Authoring System - CIAS) will be used to deliver the intervention.

Вмешательства

• Поведенческое Storytelling intervention
  Participants will receive a digital storytelling intervention featuring narratives from older adults with mild to moderate Alzheimer's disease and related dementias (ADRD) and their caregivers who have successfully managed the condition. The stories highlight the benefits of early ADRD diagnosis and strategies for managing diagnostic and care-related challenges. The intervention will be delivered at baseline and biweekly thereafter for three months via CIAS, with didactic "Learn More" modules pr
• Поведенческое Basic information
  Participants will receive basic information about Alzheimer's disease and related dementias (ADRD), issued by the Vietnam Ministry of Health (usual care), at baseline and at Month 3.

Первичные конечные точки

• Intervention Feasibility: Participant Recruitment and Retention [Срок оценки: Baseline, Month 3, Month 6]
• Intervention Engagement: Interaction Records from CIAS [Срок оценки: Month 3, Month 6]
• Intervention Engagement: Exit Interview [Срок оценки: Month 6]
• Intervention Acceptability: System Usability Scale (SUS) [Срок оценки: Month 3, Month 6]
• ADRD Knowledge: Dementia Knowledge Assessment Scale (DKAS) [Срок оценки: Baseline, Month 3, Month 6]
• Attitudes: Dementia Attitude Scale (DAS) [Срок оценки: Baseline, Month 3, Month 6]

Вторичные конечные точки (3)

• ADRD Screening/Diagnosis [Срок оценки: Month 3, Month 6]
• Quality of Life: SF-12 [Срок оценки: Baseline, Month 3, Month 6]
• Self-Care: The Self-Care of Chronic Illness Inventory (SC-CII) [Срок оценки: Baseline, Month 3, Month 6]

Критерии участия

Критерии включения

• Older adults (age ≥ 60 years) residing in one of the four participating communities (communities in rural areas of Phu Tho province with minimum distance of 10 km between participating communities)
• Concern about mild cognitive impairment expressed by the participant, caregiver, or healthcare provider, with no formal screening for ADRD
• Ability and willingness to provide informed consent
• Caregivers of eligible participants will be invited to participate after providing written consent.

Критерии исключения

• Current participation in another ADRD study
• Severe cognitive impairment as evaluated by study co-investigators
• Enrollment in palliative care or diagnosis of a terminal illness
• Previous exposure to digital storytelling modules
• Prior participation in the digital storytelling development.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Диагностика

Центры проведения

Вьетнам · 1 центр

• Vietnam National Geriatric Hospital — Hanoi

Публикации

• Khanh, D. V. D., Van Thang, V., Dung, H., & BinhThang, T. (2015). Prevalence of dementia among the elderly and health care needs for people living with dementiain an urban community of central Vietnam. Vietnam Journal of Public Health-www. vjph. org, 3(1).
• Nguyen HL, Ha DA, Tran OT, Phan VH, Nguyen CT, Nguyen GH, Nguyen TT, Le TT, Goldberg RJ, Wang B, Tang ET, Chiriboga G, Budhwani H, Allison JJ. Conquering hypertension in Vietnam: 12- month follow up results from a cluster-randomised controlled trial. Lancet Reg Health West Pac. 2024 Jul 1;48:101123. doi: 10.1016/j.lanwpc.2024.101123. eCollection 2024 Jul. PMID 39045484
• Nguyen HL, Ha DA, Goldberg RJ, Kiefe CI, Chiriboga G, Ly HN, Nguyen CK, Phan NT, Vu NC, Nguyen QP, Allison JJ. Culturally adaptive storytelling intervention versus didactic intervention to improve hypertension control in Vietnam- 12 month follow up results: A cluster randomized controlled feasibility trial. PLoS One. 2018 Dec 31;13(12):e0209912. doi: 10.1371/journal.pone.0209912. eCollection 2018. PMID 30596749
• Huynh-Truong HL, Shyu YL, Tran TKL, Huang HL, Do VA. Dementia care practices among community healthcare workers in Vietnam: a qualitative descriptive study. BMC Geriatr. 2023 Sep 14;23(1):562. doi: 10.1186/s12877-023-04199-0. PMID 37710164

Идентификаторы

NCT: NCT07431528 · STUDY00002680 · 25HSR-ADRD-1487208

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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