Perspectives of the Elderly with Mild Cognitive Impairment Living Alone on Participating in a Dementia Prevention Program: A Q Methodology Study

Li-Ting Lu, Chiu-Mieh Huang, Su-Fei Huang, Shu-I Wu and Jong-Long Guo
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Li-Ting Lu: Department of Nursing, University of Kang Ning, Taipei 114, Taiwan
Chiu-Mieh Huang: Institute of Clinical Nursing, School of Nursing, National Yang-Ming University, Taipei 112, Taiwan
Su-Fei Huang: Department of Senior Citizen Service, Mackay Junior College of Medicine, Nursing, and Management, Taipei 112, Taiwan
Shu-I Wu: Xinyi District Health Center, Taipei City 110, Taiwan
Jong-Long Guo: Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei 106, Taiwan

IJERPH, 2020, vol. 17, issue 21, 1-11

Abstract: This study aimed to identify and describe the various patterns of perspectives among older adults with mild cognitive impairment (MCI) living alone on participating in a dementia prevention program. Q methodology was applied to investigate the perspectives of 30 community-dwelling elderly people with MCI living alone from March to August 2018. As Q methodology applies a forced distribution through the Q-sorting technique, it could capture participants’ perspective patterns. Thirty-two Q-statements were constructed to explore the participants’ attitudes regarding their participation in a dementia prevention program. The participants performed Q-sorting to rank the 32 statements into a Q-sort grid. Principal component analysis was conducted using the PQ Method 2.35 software to identify patterns in participants’ perspectives. Four patterns of shared perspectives, accounting for 54.65% of the total variance, were identified: (a) awareness of health benefits and readiness to take preventive actions; (b) emphasis on cost consideration, and not ready to participate; (c) concern about family’s attitude and needing family support; (d) emphasis on medical care and needing providers’ recommendation. The exploration of clusters of the elderly with MCI could assist health professionals in acknowledging elderly people’s attitudes and responses towards participating in a dementia prevention program.

Keywords: community-dwelling; elderly living alone; mild cognitive impairment; Q methodology; dementia prevention (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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