Developing a culturally appropriate education program for caregivers and families of persons with dementia in India using the modified Delphi technique.

Purpose: Adoption of rehabilitative interventions for dementia care is limited in India and is attributed to a poor understanding of dementia among caregivers. Conventional interventions target the primary caregiver and overlook the broader family unit. The study aimed to develop an education progra...

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Publicado en:Disability & Rehabilitation Vol. 48; no. 18; pp. 5969 - 5987
Autores principales: Bangera, Kshama, Marmstål Hammar, Lena, Acharya, Vinita A., Dsouza, Sebestina Anita
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2026
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: Developing a culturally appropriate education program for caregivers and families of persons with dementia in India using the modified Delphi technique.
      aug:
        au:
          Bangera, Kshama
          Marmstål Hammar, Lena
          Acharya, Vinita A.
          Dsouza, Sebestina Anita
        affil: Department of Occupational Therapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India
      sug:
        subj:
          Program Development
          Culture
          Caregivers Education
          Family Education
          Dementia Patients India
          India
          Human
          Snowball Sample
          Purposive Sample
          Semi-Structured Interview
          Surveys
          Delphi Technique
          Field Notes
          Interview Guides
          Readability Evaluation
          Questionnaires
          Data Analysis Software
          Descriptive Statistics
          Vignettes
          Checklists
          Thematic Analysis
          Qualitative Studies
          Caring
          Task Performance and Analysis
          Conversation
          Problem Solving
          Needs Assessment
          Dementia Rehabilitation
      ab: Purpose: Adoption of rehabilitative interventions for dementia care is limited in India and is attributed to a poor understanding of dementia among caregivers. Conventional interventions target the primary caregiver and overlook the broader family unit. The study aimed to develop an education program for caregivers and families of persons with dementia. Materials and Methods: A focused literature review informed the preliminary draft of the program. Fourteen panelists participated in the modified Delphi that included semi-structured interviews in Round 1 and survey questionnaires in subsequent rounds. Results: The preliminary program was based on available literature from developed countries with individualistic cultures. In Round 1, panelists raised concerns that the program's instructional content, high reading demands and didactic approach may not be suitable for India's diverse family systems, collectivistic values and resource constrained settings. The program was modified by incorporating case vignettes representing different culturally appropriate care scenarios and family living arrangements. The delivery was modified to be more personalized, interactive and conversational with activities and guided practice tasks. In Round 2, consensus was achieved (S-CVI/Ave = 0.96) for the modified program. Conclusion: The developed culturally appropriate family-centered education program may be a meaningful, feasible, and promising approach to support dementia rehabilitation. IMPLICATIONS FOR REHABILITATION: Developed and validated a culturally appropriate family-centered education intervention for caregivers of persons with dementia in India. The developed family-centered education intervention uses limited resources and would be feasible and sustainable in resource constrained settings. Involving the family unit may support the adoption of rehabilitative interventions for persons with dementia in settings that otherwise prioritize medical management. Involving family members in dementia education may reduce the burden of primary caregivers involved in rehabilitation of persons with dementia.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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