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系統識別號 U0026-0608202015183100
論文名稱(中文) 認知策略訓練於社區主觀認知衰退長者之可行性與成效初探
論文名稱(英文) Cognitive Strategy Training in Community-Dwelling Older Adults with Subjective Cognitive Decline: Feasibility and Preliminary Outcomes
校院名稱 成功大學
系所名稱(中) 職能治療學系
系所名稱(英) Department of Occupational Therapy
學年度 108
學期 2
出版年 109
研究生(中文) 劉書辰
研究生(英文) Shu-Chen Liu
學號 T76074040
學位類別 碩士
語文別 中文
論文頁數 130頁
口試委員 指導教授-張玲慧
口試委員-毛慧芬
口試委員-范聖育
口試委員-黃百川
中文關鍵字 主觀認知衰退  認知策略訓練  社區 
英文關鍵字 subjective cognitive decline  cognitive strategy training  community-based 
學科別分類
中文摘要 背景與目的:主觀認知衰退為正常老化與輕度認知障礙之間的過渡階段,主觀認知衰退者的認知困難可能會造成其日常功能、自我效能及生活品質下降。認知策略訓練針對認知困擾造成的日常活動問題,發展個別化策略;過程中需要長者主動參與,並在生活中實踐,才能有效提升日常功能及表現;雖已有研究支持認知策略訓練能改善日常功能與主觀狀態,但多在標準化實驗情境進行,於社區情境之介入尚未有人探討。本研究目的為(1)探討認知策略訓練使用於社區主觀認知衰退者之可行性;(2)探討使用認知策略訓練於主觀認知衰退者,是否改善日常功能、自我效能、改變動機、生活品質;(3)蒐集主觀認知衰退者認知相關日常目標,以及相對應使用策略。

研究方法:準實驗研究,兩組前後測,共招募44位社區中55歲以上主觀認知衰退者,每組各22人;介入每次1小時,每週一次,共8週;介入組接受認知策略訓練,控制組接受團體認知遊戲。蒐集可行性資料;主要成果為日常功能;次要成果為自我效能、改變動機、生活品質。兩組人口學資料使用卡方檢定、獨立樣本t檢定分析,兩組間成果測量前後測差異使用配對樣本t檢定、雙因子變異數分析。

結果:可行性結果呈現整體招募率高(71%),認知策略訓練組保留率高(100%),出席率高(86%);回家功課完成率偏低(69%),居家訪視接受率低(23%);課程滿意度大部分為3分同意以上。初步成效顯示認知策略訓練組於日常功能(p=0.001)、自我效能(p=0.013)、改變動機(p=0.001)、生活品質(p=0.001)皆有顯著組內進步;兩組相比,認知策略訓練組於改變動機有顯著進步(p=0.036)。

結論:認知策略訓練於社區主觀認知衰退者可行性高,認知策略訓練能提升主觀認知衰退者日常功能及主觀狀態。
英文摘要 People with subjective cognitive decline (SCD) may undergo decreased daily function, self-efficacy and quality of life. Cognitive strategy training (CST) helps to develop strategies to manage functional problems caused by cognitive decline. This study explored (1) the feasibility of CST for community-dwelling older adults with SCD; (2) the effectiveness of CST on daily function, self-efficacy, motivation for change, and quality of life for SCD; (3) the daily goals and corresponding cognitive strategies in people with SCD. This was a quasi-experimental study. We recruited 44 community-dwelling people with SCD over 55 years old. Twenty-two in the experimental group received the CST. Twenty-two in the control group participated in cognitive group games. The intervention consisted of eight one-hour weekly sessions. The primary outcome was daily function, measured by Canadian Occupational Peformance Measure. Secondary outcomes were self-efficacy, motivation for change, and quality of life. Within and between group differences were analyzed by paired sample t-test and two-way ANOVA. Both groups had high recruitment rates (71%). The CST group had a 100% retention rates, 86% attendance rates, and improved significantly in daily function (p=0.001), self-efficacy (p=0.013), motivation for change (p=0.001), and quality of life (p=0.001). Between-group differences showed that the CST group improved significantly in motivation for change (p=0.036). These findings support the feasibility of using CST in community-dwelling older adults with SCD and benefits in terms of daily function and subjective outcomes.
論文目次 中英文摘要 I
誌謝 VII
目錄 VIII
表目錄 X
圖目錄 XI
第壹章 緒論 1
第貳章 文獻回顧 3
第一節 主觀認知衰退 3
第二節 認知相關日常功能與生活品質 6
第三節 主觀認知衰退與自我效能 9
第四節 認知策略訓練 11
第五節 改變動機 19
第六節 主觀認知衰退之認知介入 23
第七節 可行性研究 31
第八節 文獻回顧小結 33
第參章 研究方法 34
第一節 研究設計 34
第二節 研究對象 36
第三節 資料蒐集 37
第四節 介入內容 44
第五節 資料分析 47
第肆章 結果 48
第一節 招募結果及樣本人口學資料 48
第二節 兩組前測評估 51
第三節 兩組介入之可行性 53
第四節 兩組組內及組間成效比較 62
第伍章 討論 65
第一節 認知策略訓練於社區主觀認知衰退者之可行性 65
第二節 認知策略訓練於社區主觀認知衰退者之初步成效 71
第三節 研究優勢與限制 76
第陸章 結論 77
第柒章 參考文獻 78
第捌章 附錄 88
附錄一 認知衰退問卷 88
附錄二 台灣版蒙特利爾智能測驗 89
附錄三 簡式健康量表 90
附錄四 課程滿意度問卷 91
附錄五 加拿大職能表現測驗 92
附錄六 一般性自我效能量表 94
附錄七 思動階梯 95
附錄八 COOP/WONCA charts 96
附錄九 介入組團體計畫書 98
附錄十 介入組回家功課 113
附錄十一 控制組團體計畫書 114
附錄十二 目標對應認知策略 129

參考文獻 American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1-S48. doi:10.5014/ajot.2014.682006
Amodei, N., & Lamb, R. J. (2004). Convergent and concurrent validity of the Contemplation Ladder and URICA scales. Drug and Alcohol Dependence, 73(3), 301-306. doi:10.1016/j.drugalcdep.2003.11.005
Arain, M., Campbell, M. J., Cooper, C. L., & Lancaster, G. A. (2010). What is a pilot or feasibility study? A review of current practice and editorial policy. BMC Medical Research Methodology, 10, 67. doi:10.1186/1471-2288-10-67
Atkins, A. S., Khan, A., Ulshen, D., Vaughan, A., Balentin, D., Dickerson, H., . . . Keefe, R. S. E. (2018). Assessment of instrumental activities of daily living in older adults with subjective cognitive decline using the virtual reality functional capacity assessment tool (VRFCAT). Journal of Prevention of Alzheimer’s Disease, 5(4), 216-234. doi:10.14283/jpad.2018.28
Aycock, D. M., Hayat, M. J., Helvig, A., Dunbar, S. B., & Clark, P. C. (2018). Essential considerations in developing attention control groups in behavioral research. Research in Nursing and Health, 41(3), 320-328. doi:10.1002/nur.21870
Bahar-Fuchs, A., Clare, L., & Woods, B. (2013). Cognitive training and cognitive
rehabilitation for mild to moderate Alzheimer's disease and vascular dementia.
Cochrane Database of Systematic Reviews(6), CD003260.
doi:10.1002/14651858.CD003260.pub2
Bandura, A. (2004). Health promotion by social cognitive means. Health Education and Behavior, 31(2), 143-164. doi:10.1177/1090198104263660
Bertens, D., Fasotti, L., Boelen, D. H., & Kessels, R. P. (2013). A randomized controlled trial on errorless learning in goal management training: Study rationale and protocol. BMC Neurology, 13, 64. doi:10.1186/1471-2377-13-64
Bertens, D., Kessels, R. P., Boelen, D. H., & Fasotti, L. (2016). Transfer effects of errorless Goal Management Training on cognitive function and quality of life in brain-injured persons. NeuroRehabilitation, 38(1), 79-84. doi:10.3233/nre-151298
Bhome, R., Berry, A. J., Huntley, J. D., & Howard, R. J. (2018). Interventions for subjective cognitive decline: Systematic review and meta-analysis. BMJ Open, 8(7), e021610. doi:10.1136/bmjopen-2018-021610
Biener, L., & Abrams, D. B. (1991). The Contemplation Ladder: Validation of a measure of readiness to consider smoking cessation. Health Psychology, 10(5), 360-365.
Boa Sorte Silva, N. C., Gill, D. P., Owen, A. M., Liu-Ambrose, T., Hachinski, V., Shigematsu, R., & Petrella, R. J. (2018). Cognitive changes following multiple-modality exercise and mind-motor training in older adults with subjective cognitive complaints: The M4 study. PloS One, 13(4), e0196356. doi:10.1371/journal.pone.0196356
Bowen, D. J., Kreuter, M., Spring, B., Cofta-Woerpel, L., Linnan, L., Weiner, D., . . . Fernandez, M. (2009). How we design feasibility studies. American Journal of Preventive Medicine, 36(5), 452-457. doi:10.1016/j.amepre.2009.02.002
Broadbent, D. E., Cooper, P. F., FitzGerald, P., & Parkes, K. R. (1982). The Cognitive Failures Questionnaire (CFQ) and its correlates. British Journal of Clinical Psychology, 21 (Pt 1), 1-16.
Buschert, V., Bokde, A. L., & Hampel, H. (2010). Cognitive intervention in Alzheimer
disease. Nature Reviews: Neurology, 6(9), 508-517.
doi:10.1038/nrneurol.2010.113
Canevelli, M., Adali, N., Tainturier, C., Bruno, G., Cesari, M., & Vellas, B. (2013). Cognitive interventions targeting subjective cognitive complaints. American Journal of Alzheimer's Disease and Other Dementias, 28(6), 560-567. doi:10.1177/1533317513494441
Chen, J. Y., Yu, J. C., Cao, J. P., Xiao, Y., Gu, H., Zhong, R. L., . . . Wang, Z. Z. (2019). Abstinence following a motivation-skill-desensitization-mental energy intervention for heroin dependence: A three-year follow-up result of a randomized controlled trial. Current Medical Science, 39(3), 472-482. doi:10.1007/s11596-019-2062-y
Chen, Y. H., Rodger, S., & Polatajko, H. (2002). Experiences with the COPM and client‐centred practice in adult neurorehabilitation in Taiwan. Occupational Therapy International, 9(3), 167-184.
Choi, J., & Twamley, E. W. (2013). Cognitive rehabilitation therapies for Alzheimer's disease: A review of methods to improve treatment engagement and self-efficacy. Neuropsychology Review, 23(1), 48-62. doi:10.1007/s11065-013-9227-4
Ciesielska, N., Sokolowski, R., Mazur, E., Podhorecka, M., Polak-Szabela, A., & Kedziora-Kornatowska, K. (2016). Is the Montreal Cognitive Assessment (MoCA) test better suited than the Mini-Mental State Examination (MMSE) in mild cognitive impairment (MCI) detection among people aged over 60? Meta-analysis. Psychiatria Polska, 50(5), 1039-1052. doi:10.12740/pp/45368
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155-159. doi:10.1037//0033-2909.112.1.155
Cole, M. B., & Tufano, R. (2008). Applied theories in occupational therapy: A
practical approach. Slack Incorporated.
Coolidge, T., Skaret, E., Heima, M., Johnson, E. K., Hillstead, M. B., Farjo, N., . . . Weinstein, P. (2011). Thinking about going to the dentist: A Contemplation Ladder to assess dentally-avoidant individuals' readiness to go to a dentist. BMC Oral Health, 11(1), 4. doi:10.1186/1472-6831-11-4
Dawson, D., Richardson, J., Troyer, A., Binns, M., Clark, A., Polatajko, H., . . . Bar, Y. (2014). An occupation-based strategy training approach to managing age-related executive changes: A pilot randomized controlled trial. Clinical Rehabilitation, 28(2), 118-127. doi:10.1177/0269215513492541
Dawson, D. R., Binns, M. A., Hunt, A., Lemsky, C., & Polatajko, H. J. (2013). Occupation-based strategy training for adults with traumatic brain injury: A pilot study. Archives of Physical Medicine and Rehabilitation, 94(10), 1959-1963. doi:10.1016/j.apmr.2013.05.021
Dawson, D. R., McEwen, S. E., & Polatajko, H. J. (2017). Cognitive orientation to daily occupational performance in occupational therapy: Using the CO-OP approach to enable participation across the lifespan. AOTA Press, The American Occupational Therapy Association, Incorporated.
DiClemente, C. C., & Prochaska, J. O. (1982). Self-change and therapy change of smoking behavior: A comparison of processes of change in cessation and maintenance. Addictive Behaviors, 7(2), 133-142.
Djabelkhir, L., Wu, Y. H., Vidal, J. S., Cristancho-Lacroix, V., Marlats, F., Lenoir, H., . . . Rigaud, A. S. (2017). Computerized cognitive stimulation and engagement programs in older adults with mild cognitive impairment: Comparing feasibility, acceptability, and cognitive and psychosocial effects. Clinical Interventions in Aging, 12, 1967-1975. doi:10.2147/cia.S145769
Eyssen, I. C., Steultjens, M. P., Oud, T. A., Bolt, E. M., Maasdam, A., & Dekker, J. (2011). Responsiveness of the Canadian occupational performance measure. Journal of Rehabilitation Research and Development, 48(5), 517-528. doi:10.1682/jrrd.2010.06.0110
Foster, E. R., Spence, D., & Toglia, J. (2018). Feasibility of a cognitive strategy training intervention for people with Parkinson's disease. Disability and Rehabilitation, 40(10), 1127-1134. doi:10.1080/09638288.2017.1288275
Frankenmolen, N. L., Overdorp, E. J., Fasotti, L., Claassen, J., Kessels, R. P. C., & Oosterman, J. M. (2018). Memory strategy training in older adults with subjective memory complaints: A randomized controlled trial. Journal of the International Neuropsychological Society, 24(10), 1110-1120. doi:10.1017/s1355617718000619
Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89(9), 1322-1327. doi:10.2105/ajph.89.9.1322
Haussmann, R., Mayer-Pelinski, R., Borchardt, M., Beier, F., Helling, F., Buthut, M., . . . Donix, M. (2018). Extrinsic and intrinsic help-seeking motivation in the assessment of cognitive decline. American Journal of Alzheimer's Disease and Other Dementias, 33(4), 215-220. doi:10.1177/1533317518755332
Hedden, T., & Gabrieli, J. D. (2004). Insights into the ageing mind: A view from cognitive neuroscience. Nature Reviews: Neuroscience, 5(2), 87-96. doi:10.1038/nrn1323
Hindle, J. V., Watermeyer, T. J., Roberts, J., Brand, A., Hoare, Z., Martyr, A., & Clare, L. (2018). Goal-orientated cognitive rehabilitation for dementias associated with Parkinson's disease-A pilot randomised controlled trial. International Journal of Geriatric Psychiatry, 33(5), 718-728. doi:10.1002/gps.4845
Hong, Y. J., Lee, J. H., Choi, E. J., Han, N., Kim, J. E., Park, S. H., . . . Kang, D. W. (2020). Efficacies of cognitive interventions in the elderly with subjective cognitive decline: A prospective, three-arm, controlled trial. Journal of Clinical Neurology (Seoul, Korea), 16(2), 304-313. doi:10.3988/jcn.2020.16.2.304
Jessen, F., Amariglio, R. E., van Boxtel, M., Breteler, M., Ceccaldi, M., Chetelat, G., . . . Wagner, M. (2014). A conceptual framework for research on subjective cognitive decline in preclinical Alzheimer's disease. Alzheimer's & dementia, 10(6), 844-852. doi:10.1016/j.jalz.2014.01.001
Jonker, C., Geerlings, M. I., & Schmand, B. (2000). Are memory complaints predictive for dementia? A review of clinical and population-based studies. International Journal of Geriatric Psychiatry, 15(11), 983-991.
Kaizerman-Dinerman, A., Roe, D., & Josman, N. (2018). An efficacy study of a metacognitive group intervention for people with schizophrenia. Psychiatry Research, 270, 1150-1156. doi:10.1016/j.psychres.2018.10.037
Kao, C. C., Chiu, H. L., Liu, D., Chan, P. T., Tseng, I. J., Chen, R., . . . Chou, K. R. (2018). Effect of interactive cognitive motor training on gait and balance among older adults: A randomized controlled trial. International Journal of Nursing Studies, 82, 121-128. doi:10.1016/j.ijnurstu.2018.03.015
Kwok, T. C., Bai, X., Li, J. C., Ho, F. K., & Lee, T. M. (2013). Effectiveness of cognitive training in Chinese older people with subjective cognitive complaints: A randomized placebo-controlled trial. International Journal of Geriatric Psychiatry, 28(2), 208-215. doi:10.1002/gps.3812
Lam, C. L., van Weel, C., & Lauder, I. J. (1994). Can the Dartmouth COOP/WONCA charts be used to assess the functional status of Chinese patients? Family Practice, 11(1), 85-94. doi:10.1093/fampra/11.1.85
Law, M., Baptiste, S., Carswell, A., McColl, M., Polatajko, H., & Pollock, N. (2014). Canadian Occupational Therapy Performance Measure (COPM): 5th ed. Ottawa: Canadian Association of Occupational Therapy Publications.
Law, M., Baptiste, S., Carswell, A., McColl, M., Polatajko, H., & Pollock, N. (2015). COPM Canadian Occupational Performance Measure (Norwegian version). Oslo: NKRR National advisory unit on rehabilitation in rheumatology.
Law, M., Baptiste, S., McColl, M., Opzoomer, A., Polatajko, H., & Pollock, N. (1990). The Canadian occupational performance measure: An outcome measure for occupational therapy. Canadian Journal of Occupational Therapy, 57(2), 82-87. doi:10.1177/000841749005700207
Lee, M. B., Lee, Y. J., Yen, L. L., Lin, M. H., & Lue, B. H. (1990). Reliability and validity of using a Brief Psychiatric Symptom Rating Scale in clinical practice. Journal of the Formosan Medical Association, 89(12), 1081-1087.
Levack, W. M., Weatherall, M., Hay-Smith, J. C., Dean, S. G., McPherson, K., & Siegert, R. J. (2016). Goal setting and strategies to enhance goal pursuit in adult rehabilitation: Summary of a Cochrane systematic review and meta-analysis. European Journal of Physical and Rehabilitation Medicine, 52(3), 400-416.
Levine, B., Robertson, I. H., Clare, L., Carter, G., Hong, J., Wilson, B. A., . . . Stuss, D. T. (2000). Rehabilitation of executive functioning: an experimental-clinical validation of goal management training. Journal of the International Neuropsychological Society, 6(3), 299-312.
Lin, Y.-N., Wu, C.-Y., Yeh, P.-C., Wu, Y.-H., Lin, W.-C., Skidmore, E. R., & Chang, F.-H. (2020). Adapting strategy training for adults with acquired brain injury: A feasibility study in a Chinese Population. American Journal of Occupational Therapy, 74(3), 7403205130p1-p10. doi:10.5014/ajot.2020.035923
Lucas, H. D., Monti, J. M., McAuley, E., Watson, P. D., Kramer, A. F., & Cohen, N. J. (2016). Relational memory and self-efficacy measures reveal distinct profiles of subjective memory concerns in older adults. Neuropsychology, 30(5), 568-578. doi:10.1037/neu0000275
Lung, F. W., & Lee, M. B. (2008). The five-item Brief-Symptom Rating Scale as a suicide ideation screening instrument for psychiatric inpatients and community residents. BMC Psychiatry, 8, 53. doi:10.1186/1471-244x-8-53
Lyons, K. D., Bruce, M. L., Hull, J. G., Kaufman, P. A., Li, Z., Stearns, D. M., . . . Hegel, M. T. (2019). Health through activity: Initial evaluation of an in-home intervention for older adults with cancer. American journal of occupational therapy, 73(5), 7305205070p1-7305205070p11. doi:10.5014/ajot.2019.035022
Maki, Y., Yamaguchi, T., Yamagami, T., Murai, T., Hachisuka, K., Miyamae, F., . . . Yamaguchi, H. (2014). The impact of subjective memory complaints on quality of life in community-dwelling older adults. Psychogeriatrics, 14(3), 175-181. doi:10.1111/psyg.12056
McEwen, S., Polatajko, H., Baum, C., Rios, J., Cirone, D., Doherty, M., & Wolf, T. (2015). Combined cognitive-strategy and task-specific training improve transfer to untrained activities in subacute stroke: An exploratory randomized controlled trial. Neurorehabilitation and Neural Repair, 29(6), 526-536. doi:10.1177/1545968314558602
Missiuna, C., Mandich, A. D., Polatajko, H. J., & Malloy-Miller, T. (2001). Cognitive Orientation to Daily Occupational Performance (CO-OP). Physical & Occupational Therapy in Pediatrics, 20(2-3), 69-81. doi:10.1080/J006v20n02_05
Mol, M. E., van Boxtel, M. P., Willems, D., Verhey, F. R., & Jolles, J. (2009). Subjective forgetfulness is associated with lower quality of life in middle-aged and young-old individuals: A 9-year follow-up in older participants from the Maastricht Aging Study. Aging & Mental Health, 13(5), 699-705. doi:10.1080/13607860902845541
Montejo, P., Montenegro, M., Fernandez, M. A., & Maestu, F. (2012). Memory complaints in the elderly: Quality of life and daily living activities. A population based study. Archives of Gerontology and Geriatrics, 54(2), 298-304. doi:10.1016/j.archger.2011.05.021
National Institute for Health Research. (2012). NIHR Evaluation, Trials and Studies Coordination Centre: Glossary. Retrieved from http://www.netscc.ac.uk/glossary/#glos6/
Oliveira, J. S., Hassett, L., Sherrington, C., Ramsay, E., Kirkham, C., Manning, S., & Tiedemann, A. (2018). Factors associated with the setting of health-related goals among community-dwelling older people. Journal of Aging and Physical Activity, 26(3), 499-505. doi:10.1123/japa.2017-0172
Orsmond, G. I., & Cohn, E. S. (2015). The distinctive features of a feasibility study: Objectives and guiding questions. Otjr-Occupation Participation and Health, 35(3), 169-177. doi:10.1177/1539449215578649
Pan, A. W., Chung, L., & Hsin-Hwei, G. (2003). Reliability and validity of the Canadian Occupational Performance Measure for clients with psychiatric disorders in Taiwan. Occupational Therapy International, 10(4), 269-277.
Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23(10), 433-441. doi:10.1111/j.1532-5415.1975.tb00927.x
Polatajko, H. J., Mandich, A. D., Missiuna, C., Miller, L. T., Macnab, J. J., Malloy-Miller, T., & Kinsella, E. A. (2001). Cognitive Orientation to Daily Occupational Performance(CO-OP). Physical & Occupational Therapy in Pediatrics, 20(2-3), 107-123. doi:10.1080/J006v20n02_07
Poulin, V., Korner-Bitensky, N., Bherer, L., Lussier, M., & Dawson, D. R. (2017). Comparison of two cognitive interventions for adults experiencing executive dysfunction post-stroke: A pilot study. Disability and Rehabilitation, 39(1), 1-13. doi:10.3109/09638288.2015.1123303
Ramakers, I. H., Visser, P. J., Bittermann, A. J., Ponds, R. W., van Boxtel, M. P., & Verhey, F. R. (2009). Characteristics of help-seeking behaviour in subjects with subjective memory complaints at a memory clinic: A case-control study. International Journal of Geriatric Psychiatry, 24(2), 190-196. doi:10.1002/gps.2092
Reisberg, B., Prichep, L., Mosconi, L., John, E. R., Glodzik-Sobanska, L., Boksay, I., . . . de Leon, M. J. (2008). The pre-mild cognitive impairment, subjective cognitive impairment stage of Alzheimer's disease. Alzheimer’s & Dementia, 4(1 Suppl 1), S98-S108. doi:10.1016/j.jalz.2007.11.017
Ricci, R. P., Morichelli, L., Quarta, L., Sassi, A., Porfili, A., Laudadio, M. T., . . . Santini, M. (2010). Long-term patient acceptance of and satisfaction with implanted device remote monitoring. Europace, 12(5), 674-679. doi:10.1093/europace/euq046
Robertson, I. H. (1996). Goal management training: A clinical manual. Cambridge, UK: PsyConsult.
Rodakowski, J., Golias, K. W., Reynolds, C. F., 3rd, Butters, M. A., Lopez, O. L., Dew, M. A., & Skidmore, E. R. (2019). Preventing disability in older adults with mild cognitive impairment: A strategy training intervention study. Contemporary Clinical Trials Communications, 15, 100368. doi:10.1016/j.conctc.2019.100368
Rotenberg, S., Maeir, A., & Dawson, D. R. (2020). Changes in activity participation among older adults with subjective cognitive decline or objective cognitive deficits. Frontiers in Neurology, 10. doi:10.3389/fneur.2019.01393
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68–78. https://doi.org/10.1037/0003-066X.55.1.68
Scaffa, M. E., & Reitz, S. M. (2013). Occupational therapy community-based practice settings. Philadelphia: F. A. Davis Company.
Schaie, K. W., Willis, S. L., & Caskie, G. I. (2004). The Seattle longitudinal study: Relationship between personality and cognition. Neuropsychology, Development, and Cognition. Section B: Aging, Neuropsychology and Cognition, 11(2-3), 304-324. doi:10.1080/13825580490511134
Schell, B. A., & Gillen, G. (2019). Willard and Spackman's occupational therapy. Lippincott Williams & Wilkins.
Schwarzer, R. & Jerusalem, M. (2013). General Self-Efficacy Scale (GSE): Measurement instrument database for the social science. Retrieved from http://www.midss.org/sites/default/files/faq_gse.pdf
Silva, M. N., Marques, M. M., & Teixeira, P. J. (2014). Testing theory in practice: The example of self-determination theory-based interventions. European Health Psychologist, 16(5), 171-180.
Simard, M., Rouleau, I., Kadlec, H., Taler, V., Tuokko, H., Voll, S., . . . Raina, P. (2019). Miami prospective memory test in the canadian longitudinal study on aging. Clinical Neuropsychologist, 33(1), 137-165. doi:10.1080/13854046.2018.1435824
Tickle-Degnen, L. (2013). Nuts and bolts of conducting feasibility studies. The American journal of occupational therapy, 67(2), 171-176. doi:10.5014/ajot.2013.006270
Toglia, J., Goverover, Y., Johnston, M. V., & Dain, B. (2011). Application of the multicontextual approach in promoting learning and transfer of strategy use in an individual with TBI and executive dysfunction. OTJR: Occupation, Participation and Health, 31(1), S53-60. doi:10.3928/15394492-20101108-09
Toglia, J. P. (1991). Generalization of treatment: A multicontext approach to cognitive perceptual impairment in adults with brain injury. American Journal of Occupational Therapy, 45(6), 505-516. doi:10.5014/ajot.45.6.505
Tornås, S., Løvstad, M., Solbakk, A. K., Schanke, A. K., & Stubberud, J. (2016). Goal management training combined with external cuing as a means to improve emotional regulation, psychological functioning, and quality of life in patients with acquired brain injury: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 97(11), 1841-1852.e1843. doi:10.1016/j.apmr.2016.06.014
Tsai, A. Y., Yang, M. J., Lan, C. F., & Chen, C. S. (2008). Evaluation of effect of cognitive intervention programs for the community-dwelling elderly with subjective memory complaints. International Journal of Geriatric Psychiatry, 23(11), 1172-1174. doi:10.1002/gps.2050
Tsai, C. F., Lee, W. J., Wang, S. J., Shia, B. C., Nasreddine, Z., & Fuh, J. L. (2012). Psychometrics of the Montreal Cognitive Assessment (MoCA) and its subscales: validation of the Taiwanese version of the MoCA and an item response theory analysis. International Psychogeriatrics, 24(4), 651-658. doi:10.1017/s1041610211002298
Tung, Y.-C., Cooke, M., & Moyle, W. (2012). Sources older people draw on to nurture, strengthen and improve self-efficacy in managing home rehabilitation following orthopaedic surgery. Journal of Clinical Nursing, 22(9-10), 1217-1225. doi:10.1111/j.1365-2702.2012.04252.x
Tuntland, H., Aaslund, M. K., Langeland, E., Espehaug, B., & Kjeken, I. (2016). Psychometric properties of the Canadian Occupational Performance Measure in home-dwelling older adults. Journal of Multidisciplinary Healthcare, 9, 411-423. doi:10.2147/jmdh.S113727
Ukawa, S., Satoh, H., Yuasa, M., Ikeno, T., Kawabata, T., Araki, A., . . . Kishi, R. (2012). A randomized controlled trial of a functioning improvement tool home-visit program and its effect on cognitive function in older persons. International Journal of Geriatric Psychiatry, 27(6), 557-564. doi:10.1002/gps.2753
Valentijn, S. A., van Hooren, S. A., Bosma, H., Touw, D. M., Jolles, J., van Boxtel, M. P., & Ponds, R. W. (2005). The effect of two types of memory training on subjective and objective memory performance in healthy individuals aged 55 years and older: A randomized controlled trial. Patient Education and Counseling, 57(1), 106-114. doi:10.1016/j.pec.2004.05.002
van Hooren, S. A., Valentijn, S. A., Bosma, H., Ponds, R. W., van Boxtel, M. P., Levine, B., . . . Jolles, J. (2007). Effect of a structured course involving goal management training in older adults: A randomised controlled trial. Patient Education and Counseling, 65(2), 205-213. doi:10.1016/j.pec.2006.07.010
Van Weel, C., König-Zahn, C., Touw-Otten, F., Van Duijn, N., & Meyboom-de Jong, B. (2012). Measuring functional status with the COOP/WONCA charts: A manual. Northern Centre of Health Care Research, (7).
Wang, C. S., Pai, M. C., Chen, P. L., Hou, N. T., Chien, P. F., & Huang, Y. C. (2013). Montreal Cognitive Assessment and Mini-Mental State Examination performance in patients with mild-to-moderate dementia with Lewy bodies, Alzheimer's disease, and normal participants in Taiwan. International Psychogeriatrics, 25(11), 1839-1848. doi:10.1017/s1041610213001245
Wen, L. M., Orr, N., & Rissel, C. (2007). The role of ethnicity in determining access to and acceptability of home visiting for early childhood health and wellbeing. Australian Health Review, 31(1), 132-139. doi:10.1071/ah070132
Wilcock, A. A. (2006). An occupational perspective of health. Slack Incorporated.
Zhang, J. X., & Schwarzer, R. (1995). Measuring optimistic self-beliefs:
A Chinese adaptation of the General Self-Efficacy Scale. Psychologia, 38(3), 174-181.
內政部(2020)。十五歲以上人口識字率。取自https://www.gender.ey.gov.tw/gecdb
林家緯(2017)。桌上遊戲運用在社區工作經驗分享:以「故事骰」為例。台灣社區工作與社區研究學刊,7(1),151-166。
林智偉、劉文俊、吳風鈴、陳慶餘(2013)。老人主觀記憶力障礙與功能缺損有
關-以社區醫院病人為對象的研究。台灣老年醫學暨老年學雜誌,
8(1),14-27。
陳柏言(2017)。進行複合式職能治療認知團體在改善輕度認知障礙者注意力、記憶力與日常生活表現之成效。國立成功大學職能治療學系碩士論文,台南市。取自https://hdl.handle.net/11296/8ye9h5
張利中、何采諭、周鉦翔、吳瓊滿、楊雅琪、邱思華、⋯葉在庭(譯)(2013)。老人心理學(原作者:K. W. Schaie, & S. L. Willis)。臺北市:華騰文化。
張德永、陳柏霖(2013)。高齡學習者學習行為觀察與評估。T&D 飛訊,163,6-7。
梁淑媛、蔡秀鸞、莊宇慧、吳淑芳、童恆新、王采芷、李慧貞(2013)。淺談自我效能信念及測量工具。馬偕護理雜誌,7(2),7-12。doi:10.29415/jmkn.201307_7(2).0001
國家發展委員會(2018年8月)。中華民國人口推估(2018至2065年)。取自
https://www.ndc.gov.tw/Content_List.aspx?n=695E69E28C6AC7F3
智榮基金會(2018)。樂樂活大解析全台長者生活需求大調查圖表書。取自http://ccc.stansfoundation.org/?p=4505
衛生福利部(2017)。中華民國106年老人狀況調查報告。取自https://dep.mohw.gov.tw/dos/lp-1767-113.html
衛生福利部(2018)。民眾版失智症防治照護政策綱領暨行動方案2.0 (2018
版)。取自https://www.mohw.gov.tw/dl-46488-fb9e4ca3-2ce1-4a5b-adef-
159b2dc0c11a.html
劉文瑜、林燕慧、黃維彬、陳美慧、郭侃佩、陳嘉玲(2000)。高危險群動作發展遲
緩嬰幼兒家長對施行團體治療早期介入的主觀性評估-初步報告。物理治療,
25(4),201-214。
潘璦琬、喬慧燕、熊秉荃、陳詞章、鍾麗英(2007)。中文版加拿大職能表現測驗於精神分裂症患者之效度研究。職能治療學會雜誌,25(2),1-14。doi:10.6594/jtota.2007.25(2).01
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