{"id":37738,"date":"2025-02-21T15:30:42","date_gmt":"2025-02-21T15:30:42","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=37738"},"modified":"2025-02-21T15:30:42","modified_gmt":"2025-02-21T15:30:42","slug":"co-developing-and-evaluating-the-acceptability-of-a-dyadic-mind-body-intervention-for-relieving-enduring-sleep-disturbances-among-older-individuals-with-dementia-and-their-caregivers-dream-in-both-w","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/tr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/co-developing-and-evaluating-the-acceptability-of-a-dyadic-mind-body-intervention-for-relieving-enduring-sleep-disturbances-among-older-individuals-with-dementia-and-their-caregivers-dream-in-both-w\/","title":{"rendered":"Bristol&#039;da hem beyaz hem de etnik az\u0131nl\u0131k topluluklar\u0131nda demansl\u0131 ya\u015fl\u0131 bireyler ve bak\u0131c\u0131lar\u0131 aras\u0131nda kal\u0131c\u0131 uyku bozukluklar\u0131n\u0131 hafifletmek i\u00e7in ikili bir zihin-beden m\u00fcdahalesinin (DREAM) geli\u015ftirilmesi ve kabul edilebilirli\u011finin de\u011ferlendirilmesi."},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_text-module assembler_module assembler_text-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/37738\/#module-1\" class=\"anchor\"><span class=\"hidden\">Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-12 sm:pt-24 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <h1>Bir projenin birlikte geli\u015ftirilmesi ve kabul edilebilirli\u011finin de\u011ferlendirilmesi <strong>D<\/strong>Yadik zihin-beden m\u00fcdahalesi i\u00e7in <strong>R<\/strong>asans\u00f6r <strong>E<\/strong>uyku bozukluklar\u0131 s\u0131ras\u0131nda <strong>A<\/strong>de ile ya\u015fl\u0131 bireyler aras\u0131nda<strong>M<\/strong>Bristol&#039;deki hem beyaz hem de etnik az\u0131nl\u0131k topluluklar\u0131nda entia ve onlar\u0131n bak\u0131c\u0131lar\u0131 (DREAM)<\/h1>\n<h2><strong>Sorun nedir?<\/strong><\/h2>\n<p><strong>\u00a0<\/strong>RCF tip 1 \u00f6d\u00fcl\u00fcyle finanse edilen odak grup g\u00f6r\u00fc\u015fmeleri, yak\u0131n zamanda yerel beyaz bir topluluktan ve Karayip, \u00c7in ve G\u00fcney Asya k\u00f6kenli \u00e7e\u015fitli etnik az\u0131nl\u0131k gruplar\u0131ndan demansl\u0131 24 ya\u015fl\u0131 birey ve bak\u0131c\u0131 \u00e7iftiyle, uyku sorunlar\u0131yla ba\u015fa \u00e7\u0131kmak i\u00e7in ila\u00e7 d\u0131\u015f\u0131 y\u00f6ntemleri ara\u015ft\u0131rmak amac\u0131yla ger\u00e7ekle\u015ftirildi. Kat\u0131l\u0131mc\u0131lar, mevcut ara\u015ft\u0131rma bulgular\u0131n\u0131 yans\u0131tacak \u015fekilde, s\u00fcrekli olarak bozulmu\u015f uyku d\u00fczenleri ve d\u00fc\u015f\u00fck uyku kalitesi bildirdiler.<sup>1<\/sup>. Baz\u0131lar\u0131 k\u0131sa s\u00fcreli ila\u00e7 tedavisi denemi\u015f olsa da, s\u0131kl\u0131kla a\u015f\u0131r\u0131 g\u00fcnd\u00fcz uykusuzlu\u011fu ve di\u011fer yan etkiler ya\u015fam\u0131\u015flard\u0131r. Bir\u00e7ok kat\u0131l\u0131mc\u0131, gev\u015feme tekniklerini ve hafif hareket egzersizlerini b\u00fct\u00fcnc\u00fcl bir zihin-beden yakla\u015f\u0131m\u0131na entegre etmenin, etkili ila\u00e7 d\u0131\u015f\u0131 alternatifler i\u00e7in \u00f6ncelikli oldu\u011funu belirtmi\u015ftir. Bu geri bildirim, demansl\u0131 bireylerde melatonin kullan\u0131m\u0131 \u00fczerine ICB taraf\u0131ndan finanse edilen di\u011fer projemin bulgular\u0131yla da tutarl\u0131d\u0131r ve farmakolojik olmayan ba\u015fa \u00e7\u0131kma stratejilerine olan artan ilgiyi vurgulamaktad\u0131r.<\/p>\n<p>DH&amp;SC, \u0130ngiltere&#039;deki bireyleri etkileyen \u00f6nemli sa\u011fl\u0131k sorunlar\u0131yla, \u00f6zellikle de demansla m\u00fccadele etmek i\u00e7in bir strateji geli\u015ftiriyor.<sup>2<\/sup>. Bu nedenle, demans BNSSG b\u00f6lgesinde \u00f6ncelikli bir konudur.<sup>3<\/sup>. Bir\u00e7ok insan\u0131n deste\u011fe ihtiyac\u0131 olsa da, az\u0131nl\u0131k etnik gruplar aras\u0131ndaki sa\u011fl\u0131k e\u015fitsizlikleri, onlar\u0131n temel hizmetlere eri\u015fmesini genellikle zorla\u015ft\u0131rmaktad\u0131r.<sup>4<\/sup>. Toplumsal destekteki bu eksiklik, farkl\u0131 topluluklar\u0131n benzersiz ihtiya\u00e7lar\u0131n\u0131 kar\u015f\u0131lamak \u00fczere tasarlanm\u0131\u015f, k\u00fclt\u00fcrel olarak uygun m\u00fcdahalelerin gereklili\u011fini vurgulamaktad\u0131r.<\/p>\n<h2><strong>Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/strong><\/h2>\n<ol>\n<li>Demans hastas\u0131 ya\u015fl\u0131lar ve onlar\u0131n bak\u0131c\u0131lar\u0131 da dahil olmak \u00fczere, d\u00f6rt farkl\u0131 etnik topluluktan (Beyaz \u0130ngiliz, Karayipli, \u00c7inli ve G\u00fcney Asyal\u0131) payda\u015flarla, ayr\u0131ca hasta ve halk sa\u011fl\u0131\u011f\u0131 temsilcileri ve zihin-beden uzmanlar\u0131yla ortak bir geli\u015ftirme s\u00fcrecine girmek.<\/li>\n<li>Tasarlanan ikili zihin-beden m\u00fcdahalesini, bu d\u00f6rt etnik topluluktan demans hastas\u0131 12 birey ve onlar\u0131n bak\u0131c\u0131lar\u0131ndan olu\u015fan 12 \u00e7iftle test ederek uygulamaya koymak.<\/li>\n<li>M\u00fcdahalenin kabul edilebilirli\u011fini, Uygulama Ara\u015ft\u0131rmalar\u0131 i\u00e7in Birle\u015ftirilmi\u015f \u00c7er\u00e7eve (CFIR) kullanarak de\u011ferlendirmek.<sup>5<\/sup>.<\/li>\n<li>NIHR RfPB Tier 2 fonuna ba\u015fvurulmak \u00fczere bir fizibilite deneyi i\u00e7in veri toplamak ve bir fonlama \u00f6nerisi geli\u015ftirmek.<\/li>\n<\/ol>\n<h2><strong>BNSSG ICB RCF nas\u0131l kullan\u0131lacak?<\/strong><\/h2>\n<h3>Ortak geli\u015ftirme (0-4 ay):<\/h3>\n<ul>\n<li>Bristol&#039;deki d\u00f6rt toplulu\u011fun her birinde, bir zihin-beden uzman\u0131, demansl\u0131 \u00fc\u00e7 birey ve onlar\u0131n bak\u0131c\u0131lar\u0131ndan olu\u015fan \u00fc\u00e7 \u00e7ift ve her topluluktan bir hasta-\u00f6zel sekt\u00f6r temsilcisinin kat\u0131l\u0131m\u0131yla iki ortak yarat\u0131m at\u00f6lyesi d\u00fczenleyin.<\/li>\n<li>Uyku sorunlar\u0131na y\u00f6nelik ila\u00e7 d\u0131\u015f\u0131 yakla\u015f\u0131mlar \u00fczerine odak grup g\u00f6r\u00fc\u015fmelerinden (RCF Tip 1) elde edilen temel temalar\u0131 ve fark\u0131ndal\u0131k ve uyku \u00fczerine yap\u0131lan bir kapsaml\u0131 incelemeden elde edilen bilgileri kullanarak ikili bir zihin-beden m\u00fcdahalesi tasarlay\u0131n.<sup>6<\/sup>, ve \u00f6nceki ara\u015ft\u0131rmalar<sup>7-10<\/sup> Ekibim taraf\u0131ndan benzer m\u00fcdahale protokolleri \u00fczerinde \u00e7al\u0131\u015f\u0131lm\u0131\u015ft\u0131r.<\/li>\n<\/ul>\n<h3>Uygulama (5-8 ay):<\/h3>\n<ul>\n<li>Deneyimli bir fark\u0131ndal\u0131k e\u011fitmeni ve Tai Chi uygulay\u0131c\u0131s\u0131 olarak, birlikte tasarlad\u0131\u011f\u0131m\u0131z m\u00fcdahalenin uygulanmas\u0131na \u00f6nc\u00fcl\u00fck edece\u011fim.<\/li>\n<li>M\u00fcdahale, d\u00f6rt toplulu\u011fun her birinde, her topluluktan demans hastas\u0131 ve onlar\u0131n bak\u0131c\u0131lar\u0131ndan olu\u015fan \u00fc\u00e7 \u00e7iftle ger\u00e7ekle\u015ftirilecektir.<\/li>\n<\/ul>\n<h3>Kabul edilebilirlik de\u011ferlendirmesi (9-10 ay):<\/h3>\n<ul>\n<li>M\u00fcdahalenin kabul edilebilirli\u011fini etkileyen temel CFIR alan yap\u0131lar\u0131n\u0131 (\u00f6rne\u011fin, m\u00fcdahale \u00f6zellikleri, d\u0131\u015f ortam veya bireysel \u00f6zellikler) belirleyin.<\/li>\n<li>\u0130lgili payda\u015flar\u0131n m\u00fcdahaleye ili\u015fkin deneyim ve alg\u0131lar\u0131na dair bak\u0131\u015f a\u00e7\u0131lar\u0131n\u0131 toplay\u0131n.<\/li>\n<\/ul>\n<h3>NIHR fonlama teklifi haz\u0131rl\u0131\u011f\u0131 (11-12 ay):<\/h3>\n<ul>\n<li>Proje tasla\u011f\u0131n\u0131 haz\u0131rlamadan \u00f6nce potansiyel ortak ba\u015fvuru sahipleri ve NIHR Ara\u015ft\u0131rma Destek Hizmeti ile bir toplant\u0131 d\u00fczenleyin.<\/li>\n<li>NIHR&#039;ye sunulacak bir e\u011fitim k\u0131lavuzu, e\u011fitmen yeti\u015ftirme program\u0131 ve uygulanabilirlik deneyi i\u00e7in fonlama teklifi haz\u0131rlamak \u00fczere veri ve kan\u0131t toplay\u0131n.<\/li>\n<\/ul>\n<h2>Ara\u015ft\u0131rmay\u0131 kim y\u00fcr\u00fct\u00fcyor?<\/h2>\n<p>Ara\u015ft\u0131rma, Bristol&#039;deki Bat\u0131 \u0130ngiltere \u00dcniversitesi Sa\u011fl\u0131k ve Sosyal Refah Okulu&#039;ndan Dr. Sunny Chan taraf\u0131ndan y\u00fcr\u00fct\u00fcl\u00fcyor.<\/p>\n<h2><strong>Daha fazla bilgi<\/strong><\/h2>\n<p>Daha fazla bilgi almak veya bu projeye kat\u0131lmak i\u00e7in l\u00fctfen ileti\u015fime ge\u00e7in.\u00a0<a href=\"mailto:bnssg.research@nhs.net\"><strong>bnssg.research@nhs.net<\/strong><\/a>.<\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_1.assembler_module_1..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>Section titled module-1 Co-developing and evaluating the acceptability of a Dyadic mind-body intervention for Relieving Enduring sleep disturbances Among older individuals with deMentia and their caregivers (DREAM) in both white and ethnic minority communities in Bristol What is the problem? \u00a0Focus group interviews, funded by an RCF-type 1 award, were conducted recently with 24 pairs [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-37738","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/37738","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/comments?post=37738"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/37738\/revisions"}],"predecessor-version":[{"id":37781,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/37738\/revisions\/37781"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=37738"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=37738"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}