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https://www.readbyqxmd.com/read/29785228/evaluating-the-utility-of-a-structured-clinical-protocol-for-reducing-the-impact-of-behavioural-and-psychological-symptoms-of-dementia-in-progressive-neurological-diseases-a-pilot-study
#1
Nicholas P Ryan, Laura Scott, Maryanne McPhee, Susan Mathers, Marie-Claire Davis, Roxanne Maule, Fiona Fisher
Objectives: Behavioural and psychological symptoms of dementia (BPSD) cause significant distress to both aged care residents and staff. Despite the high prevalence of BPSD in progressive neurological diseases (PNDs) such as multiple sclerosis, Huntington's disease, and Parkinson's disease, the utility of a structured clinical protocol for reducing BPSD has not been systematically evaluated in PND populations. Method: Staff ( n = 51) and individuals with a diagnosis of PND ( n = 13) were recruited into the study, which aimed to evaluate the efficacy of a PND-specific structured clinical protocol for reducing the impact of BPSD in residential aged care (RAC) and specialist disability accommodation (SDA) facilities...
2018: Behavioural Neurology
https://www.readbyqxmd.com/read/29772924/access-to-care-among-children-with-disabilities-enrolled-in-the-masshealth-commonhealth-buy-in-program
#2
Melissa Hirschi, Angela Wangari Walter, Kasey Wilson, Kate Jankovsky, Beth Dworetzky, Meg Comeau, Sara S Bachman
Children with disabilities utilize more health-care services and incur higher costs than other children do. Medicaid Buy-In programs for children with disabilities have the potential to increase access to benefits while reducing out-of-pocket costs for families whose income exceeds Medicaid eligibility. This study sought to understand how parents and caregivers of Massachusetts children with disabilities perceive access to care under CommonHealth, Massachusetts's Medicaid Buy-In program. Parents and caregivers ( n = 615) whose children were enrolled in CommonHealth participated in a survey assessing the impact of the program...
January 1, 2018: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://www.readbyqxmd.com/read/29764342/barriers-to-and-facilitators-of-employment-for-people-with-psychiatric-disabilities-in-africa-a-scoping-review
#3
I D Ebuenyi, E V Syurina, J F G Bunders, B J Regeer
BACKGROUND: Despite the importance of inclusive employment, described in Goal 8 of the Sustainable Development Goals (SDGs), employment of persons with psychiatric disabilities in Africa is lower than among the general population. OBJECTIVE: The aim of this scoping review is to explore evidence related to the barriers to and facilitators of employment of persons with psychiatric disabilities in Africa. METHODS: A literature search was conducted using six relevant electronic databases of articles published between 1990 and 2017...
2018: Global Health Action
https://www.readbyqxmd.com/read/29763271/adults-with-developmental-disabilities-a-comprehensive-approach-to-medical-care
#4
Clarissa Kripke
Developmental disabilities are attributable to a cognitive impairment, physical impairment, or both. They manifest during the developmental period from birth to early adulthood, and are likely to continue indefinitely. The life expectancy of most persons with developmental disabilities now approaches that of the general population. According to the neurodiversity model of care, developmental disability is accepted as a valued part of human neurologic diversity. The social model focuses on improving participation in society with accommodations such as adaptive equipment or improvements to the social and physical environment...
May 15, 2018: American Family Physician
https://www.readbyqxmd.com/read/29758387/exploring-the-impact-of-disability-on-self-determination-measurement
#5
Cristina Mumbardó-Adam, Joan Guàrdia-Olmos, Climent Giné
BACKGROUND: Self-determination is a psychological construct that applies to both the general population and to individuals with disabilities that can be self-determined with adequate accommodations and opportunities. As the relevance of self-determination-related skills in life has been recently acknowledged, researchers have created a measure to assess self-determination in adolescents and young adults with and without disabilities. The Self-Determination Inventory: Student Report (Spanish interim version) is empirically being validated into Spanish...
May 10, 2018: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29752027/reducing-challenging-behaviour-of-adults-with-intellectual-disabilities-in-supported-accommodation-a-cluster-randomized-controlled-trial-of-setting-wide-positive-behaviour-support
#6
Peter McGill, Leah Vanono, Will Clover, Emmett Smyth, Vivien Cooper, Lisa Hopkins, Nick Barratt, Christopher Joyce, Kate Henderson, Sheila Sekasi, Susy Davis, Roy Deveau
BACKGROUND: Improving the quality of social care through the implementation of setting-wide positive behaviour support (SWPBS) may reduce and prevent challenging behaviour. METHOD: Twenty-four supported accommodation settings were randomized to experimental or control conditions. Settings in both groups had access to individualized PBS either via the organisation's Behaviour Support Team or from external professionals. Additionally, within the experimental group, social care practice was reviewed and improvement programmes set going...
May 8, 2018: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29733052/the-efficacy-and-efficiency-of-disability-management-in-job-retention-and-job-reintegration-a-systematic-review
#7
Marlies Lefever, Saskia Decuman, François Perl, Lutgart Braeckman, Dominique Van de Velde
BACKGROUND: Disability management (DM) is a systematic method to ensure job-retention and job-reintegration in competitive employment for individuals with a disability. There is evidence that 'returning to work' has a positive impact on the individual, the company and on the society. However, a clear overview of the efficacy and efficiency of the DM programs is scarce. OBJECTIVE: To systematically review the efficacy and efficiency of the disability management programs...
2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/29703092/hearing-loss-and-work-participation-a-cross-sectional-study-in-norway
#8
Elisabeth Vigrestad Svinndal, Jorunn Solheim, Marit By Rise, Chris Jensen
OBJECTIVE: To study work participation of persons with hearing loss, and associations with hearing disabilities, self-reported workability, fatigue and work accommodation. DESIGN: Cross-sectional internet-based survey. STUDY SAMPLE: A total of 10,679 persons with hearing loss within working-age were invited to answer the survey, where 3330 answered (35.6%). RESULTS: Degree of hearing loss was associated with low workability, fatigue and work place accommodation, while sick leave was associated with fatigue...
April 27, 2018: International Journal of Audiology
https://www.readbyqxmd.com/read/29701182/wearable-technology-reveals-gait-compensations-unstable-walking-patterns-and-fatigue-in-people-with-multiple-sclerosis
#9
Michael Psarakis, David Greene, Michael H Cole, Stephen R Lord, Phu Hoang, Matthew A D Brodie
People with Multiple Sclerosis (PwMS) often experience a decline in gait performance, which can compromise their independence and increase falls. Ankle joint contractures in PwMS are common and often result in compensatory gait patterns to accommodate reduced ankle range of motion (ROM). Using advances in wearable technology, the aim of this study was to quantify head and pelvis movement patterns that occur in PwMS with disability and determine how these secondary gait compensations impact on gait stability...
April 27, 2018: Physiological Measurement
https://www.readbyqxmd.com/read/29699410/using-normalisation-process-theory-to-understand-barriers-and-facilitators-to-implementing-mindfulness-based-stress-reduction-for-people-with-multiple-sclerosis
#10
Robert Simpson, Sharon Simpson, Karen Wood, Stewart W Mercer, Frances S Mair
Objectives To study barriers and facilitators to implementation of mindfulness-based stress reduction for people with multiple sclerosis. Methods Qualitative interviews were used to explore barriers and facilitators to implementation of mindfulness-based stress reduction, including 33 people with multiple sclerosis, 6 multiple sclerosis clinicians and 2 course instructors. Normalisation process theory provided the underpinning conceptual framework. Data were analysed deductively using normalisation process theory constructs (coherence, cognitive participation, collective action and reflexive monitoring)...
January 1, 2018: Chronic Illness
https://www.readbyqxmd.com/read/29696476/supporting-the-transition-into-employment-a-study-of-canadian-young-adults-living-with-disabilities
#11
Arif Jetha, Julie Bowring, Adele Furrie, Frank Smith, Curtis Breslin
Objective To examine the job accommodation and benefit needs of young adults with disabilities as they transition into employment, and their perceived barriers to meeting support needs. Methods An online survey was conducted of 155 Canadian young adults with disabilities (mean age = 25.8 years). Respondents were either employed or seeking employment, and were asked about their need for health benefits, and soft (e.g., flexible scheduling) and hard accommodations (e.g., ergonomic interventions), and perceived accommodation barriers...
April 25, 2018: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/29691707/the-multiple-deficit-model-of-dyslexia-what-does-it-mean-for-identification-and-intervention
#12
Jeremiah Ring, Jeffrey L Black
Research demonstrates that phonological skills provide the basis of reading acquisition and are a primary processing deficit in dyslexia. This consensus has led to the development of effective methods of reading intervention. However, a single phonological deficit is not sufficient to account for the heterogeneity of individuals with dyslexia, and recent research provides evidence that supports a multiple-deficit model of reading disorders. Two studies are presented that investigate (1) the prevalence of phonological and cognitive processing deficit profiles in children with significant reading disability and (2) the effects of those same phonological and cognitive processing skills on reading development in a sample of children that received treatment for dyslexia...
April 24, 2018: Annals of Dyslexia
https://www.readbyqxmd.com/read/29688265/development-and-validation-of-a-functional-outcome-measure-in-the-national-health-and-aging-trends-study
#13
Thomas M Gill, Christianna S Williams
Background: Despite the rich array of data available on seven self-care and mobility activities, a functional outcome measure, which sums the scores across these activities, has not yet been developed or validated for use in the National Health and Aging Trends Study (NHATS). Methods: Using longitudinal data from NHATS, we evaluted 7,609 participants who were living in community settings. Development of the functional outcome measure was guided by the presence of consistent mortality gradients across a 5-category, 4-category, and two 3-category scales for each of the seven activities; while validation was based on predictive accuracy for mortality and concurrent change in physical performance...
April 21, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29674987/the-complex-interplay-between-depression-anxiety-and-executive-functioning-insights-from-the-ecas-in-a-large-als-population
#14
Laura Carelli, Federica Solca, Andrea Faini, Fabiana Madotto, Annalisa Lafronza, Alessia Monti, Stefano Zago, Alberto Doretti, Andrea Ciammola, Nicola Ticozzi, Vincenzo Silani, Barbara Poletti
Introduction: The observed association between depressive symptoms and cognitive performances has not been previously clarified in patients with amyotrophic lateral sclerosis (pALS). In fact, the use of cognitive measures often not accommodating for motor disability has led to heterogeneous and not conclusive findings about this issue. The aim of the present study was to evaluate the relationship between cognitive and depressive/anxiety symptoms by means of the recently developed Edinburgh Cognitive and Behavioral ALS Screen (ECAS), a brief assessment specifically designed for pALS...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29649613/anxiety-and-depression-in-spine-surgery-a-systematic-integrative-review
#15
REVIEW
Janni Strøm, Merete B Bjerrum, Claus V Nielsen, Cecilie N Thisted, Tove L Nielsen, Malene Laursen, Lene B Jørgensen
BACKGROUND: Symptoms of preoperative anxiety and depression occur in approximately one-third of patients with chronic back pain undergoing surgery. In the last 2 decades, several studies have established that preoperative anxiety and depression are important outcome predictors of greater pain and physical impairments, and lower health-related quality of life in patients undergoing spine surgery. To accommodate symptoms of anxiety and depression and thereby better surgical outcomes, we need to identify factors associated with these symptoms...
April 9, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29562316/racial-and-ethnic-differences-in-disability-transitions-among-older-adults-in-the-united-states
#16
Liming Dong, Vicki A Freedman, Brisa N Sánchez, Carlos F Mendes de Leon
Background: Racial and ethnic differences in disability persist and are possibly widening in recent years, but evidence is limited for racial and ethnic differences in disability progression through the entire disablement process and potential influential factors. The objective of this study is to examine racial and ethnic differences in patterns of late-life disability transitions, using a new disability spectrum that incorporates successful accommodation with assistive devices in response to capacity limitations to prolong independence...
March 19, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29558221/disability-disclosure-and-workplace-accommodations-among-youth-with-disabilities
#17
Sally Lindsay, Elaine Cagliostro, Joanne Leck, Winny Shen, Jennifer Stinson
PURPOSE: Many youths with disabilities find it challenging to disclose their medical condition and request workplace accommodations. Our objective was to explore when and how young people with disabilities disclose their condition and request workplace accommodations. METHODS: We conducted 17 in-depth interviews (11 females, six males) with youth with disabilities aged 15-34 (mean age 26). We analyzed our data using an interpretive, qualitative, and thematic approach...
March 20, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29553783/perceptions-of-appropriateness-of-accommodations-for-university-students-does-disability-type-matter
#18
Alexandra Deckoff-Jones, Mary N Duell
PURPOSE: The purpose of this experiment was to examine the impact of disability type and accommodation type on participants' perceptions of the appropriateness of accommodations on university campuses. RESEARCH METHOD: Participants were 223 university students who evaluated the written symptom descriptions of 8 hypothetical university students with disabilities to determine whether a series of 8 different accommodations would be appropriate for them. RESULTS: Perceptions of accommodation appropriateness were impacted by both the type of disability and the type of accommodation under consideration...
February 2018: Rehabilitation Psychology
https://www.readbyqxmd.com/read/29535918/dyslexic-learners-experiences-with-their-peers-and-teachers-in-special-and-mainstream-primary-schools-in-north-west-province
#19
Monicca Leseyane, Peter Mandende, Mary Makgato, Madoda Cekiso
Background: Inclusive education requires that the framework within which education is delivered should be broad enough to accommodate equally the needs and circumstances of every learner in the society. This includes learners with disabilities like dyslexia who have been excluded from the formal education system. This article reports the findings of a qualitative study that explored and described the dyslexic learners' experiences with their peers and teachers in special and public schools in North-West Province of South Africa...
2018: African Journal of Disability
https://www.readbyqxmd.com/read/29529000/patient-s-subjective-impression-of-cervical-range-of-motion-a-mixed-methods-approach
#20
Anke Langenfeld, Carolien Bastiaenen, Judith Sieben, B Kim Humphreys, Jaap Swanenburg
STUDY DESIGN: Mixed-method. OBJECTIVE: To evaluate the association between objective and subjective cervical range of motion (ROM) among patients with neck pain, and to assess the awareness of impairments. SUMMARY OF BACKGROUND DATA: Cervical ROM is frequently used to evaluate neck pain, but it is also important to know what a patient expects from treatment, because this can profoundly affect treatment outcomes and patient satisfaction. METHODS: We used a cervical ROM instrument, the Neck Disability Index (NDI), and a self-administered ROM questionnaire for the neck (S-ROM-Neck)...
March 9, 2018: Spine
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