Abstract：
OBJECTIVE: The number of people with dementia is on the rise in Kenya and across Africa. Although family carers act as the main providers of dementia care in Kenya, there is still a significant knowledge gap regarding why family members care for someone with dementia. This study explores perceived drivers of care for people with dementia in a rural Kenyan context.
METHODS: Participants were recruited in Makueni County, Kenya. Primary data were derived from a focus group discussion (FGD) and five individual interviews with family carers of people with dementia. To complement interpretation, triangulation occurred through using data from FGDs with healthcare workers and members of the general public. All audio recordings were transcribed verbatim and inductive thematic analysis performed using NVIVO 12.
RESULTS: Using the Positioning Theory, we sought to generate information pertaining to motivation for becoming a family carer. Five themes emerged from the analysis and included: (i) self-fulfillment, (ii) familial obligation, (iii) cultural and religious beliefs, (iv) reciprocity, and (v) societal pressures. These themes described the nature of care given to people with dementia, based on what the participants perceived as compelling and/or motivating factors.
CONCLUSIONS: Our findings describe the unique motivators of family carers for people with dementia in Kenya. The ability to find meaning in the caregiving experience could contribute to development of effective support systems, interventions and policies for dementia carers with the aim of improving the overall quality of dementia care in Kenya.
METHODS: Participants were recruited in Makueni County, Kenya. Primary data were derived from a focus group discussion (FGD) and five individual interviews with family carers of people with dementia. To complement interpretation, triangulation occurred through using data from FGDs with healthcare workers and members of the general public. All audio recordings were transcribed verbatim and inductive thematic analysis performed using NVIVO 12.
RESULTS: Using the Positioning Theory, we sought to generate information pertaining to motivation for becoming a family carer. Five themes emerged from the analysis and included: (i) self-fulfillment, (ii) familial obligation, (iii) cultural and religious beliefs, (iv) reciprocity, and (v) societal pressures. These themes described the nature of care given to people with dementia, based on what the participants perceived as compelling and/or motivating factors.
CONCLUSIONS: Our findings describe the unique motivators of family carers for people with dementia in Kenya. The ability to find meaning in the caregiving experience could contribute to development of effective support systems, interventions and policies for dementia carers with the aim of improving the overall quality of dementia care in Kenya.
摘要：
目标：在肯尼亚和整个非洲，痴呆症患者的数量正在上升。尽管家庭照顾者是肯尼亚痴呆症护理的主要提供者，关于为什么家庭成员照顾痴呆症患者，仍然存在很大的知识差距。这项研究探讨了肯尼亚农村地区痴呆症患者护理的驱动因素。
方法：参与者在Makueni县招募，肯尼亚。主要数据来自焦点小组讨论（FGD）和对痴呆症患者家庭照顾者的五次个人访谈。为了补充解释，通过使用FGD与医护人员和公众的数据进行三角测量。所有录音均使用NVIVO12进行逐字转录和归纳主题分析。
结果：使用定位理论，我们试图生成有关成为家庭照顾者的动机的信息。分析中出现了五个主题，包括：(I)自我实现，(ii)家庭义务，（三）文化和宗教信仰；(iv)互惠，（五）社会压力。这些主题描述了对痴呆症患者的护理性质，基于参与者认为的令人信服和/或激励因素。
结论：我们的发现描述了肯尼亚痴呆症患者家庭护理者的独特动机。在护理经验中找到意义的能力可以有助于发展有效的支持系统，旨在提高肯尼亚痴呆症护理的整体质量的痴呆症护理干预措施和政策。
方法：参与者在Makueni县招募，肯尼亚。主要数据来自焦点小组讨论（FGD）和对痴呆症患者家庭照顾者的五次个人访谈。为了补充解释，通过使用FGD与医护人员和公众的数据进行三角测量。所有录音均使用NVIVO12进行逐字转录和归纳主题分析。
结果：使用定位理论，我们试图生成有关成为家庭照顾者的动机的信息。分析中出现了五个主题，包括：(I)自我实现，(ii)家庭义务，（三）文化和宗教信仰；(iv)互惠，（五）社会压力。这些主题描述了对痴呆症患者的护理性质，基于参与者认为的令人信服和/或激励因素。
结论：我们的发现描述了肯尼亚痴呆症患者家庭护理者的独特动机。在护理经验中找到意义的能力可以有助于发展有效的支持系统，旨在提高肯尼亚痴呆症护理的整体质量的痴呆症护理干预措施和政策。
