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https://www.readbyqxmd.com/read/27893087/targeting-functional-decline-in-alzheimer-disease-a-randomized-trial
#1
Christopher M Callahan, Malaz A Boustani, Arlene A Schmid, Michael A LaMantia, Mary G Austrom, Douglas K Miller, Sujuan Gao, Denisha Y Ferguson, Kathleen A Lane, Hugh C Hendrie
Background: Alzheimer disease results in progressive functional decline, leading to loss of independence. Objective: To determine whether collaborative care plus 2 years of home-based occupational therapy delays functional decline. Design: Randomized, controlled clinical trial. (ClinicalTrial.gov: NCT01314950). Setting: Urban public health system. Patients: 180 community-dwelling participants with Alzheimer disease and their informal caregivers...
November 22, 2016: Annals of Internal Medicine
https://www.readbyqxmd.com/read/27758957/an-occupational-perspective-of-the-lived-experience-of-familial-dementia-caregivers-a-thematic-review-of-qualitative-literature
#2
Emma K Hooper, Tracy Collins
Dementia caregiving is thought to have a negative impact on health and wellbeing. This critical review of qualitative literature explored the lived experience of familial dementia caregivers from an occupational therapy perspective. The method was informed by systematic review and qualitative research methodologies and was structured within the occupational dimensions framework of doing-being-becoming-belonging. A comprehensive search of major databases was undertaken which identified 484 studies on the topic; 14 met the inclusion criteria and were included in the review...
October 6, 2016: Dementia
https://www.readbyqxmd.com/read/27699792/evidence-based-occupational-therapy-for-people-with-dementia-and-their-families-what-clinical-practice-guidelines-tell-us-and-implications-for-practice
#3
Kate Laver, Robert Cumming, Suzanne Dyer, Meera Agar, Kaarin J Anstey, Elizabeth Beattie, Henry Brodaty, Tony Broe, Lindy Clemson, Maria Crotty, Margaret Dietz, Brian Draper, Leon Flicker, Meg Friel, Louise Heuzenroeder, Susan Koch, Sue Kurrle, Rhonda Nay, Dimity Pond, Jane Thompson, Yvonne Santalucia, Craig Whitehead, Mark Yates
BACKGROUND/AIM: The first evidence-based Clinical Practice Guidelines and Principles of Care for People with Dementia in Australia have been released. The Guidelines detail a number of important evidence-based recommendations for occupational therapists. The aim of this paper is (1) to provide an overview of Guideline development, and (2) to describe the evidence supporting a recommendation for occupational therapy. Common characteristics of effective occupational therapy programmes for people with dementia are described...
October 3, 2016: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/27664357/-robotics-and-improvement-of-the-quality-of-geriatric-care
#4
Éric Ettore, Emeline Wyckaert, Renaud David, Philippe Robert, Olivier Guérin, Frédéric Prate
New technologies offer innovations to improve the care of the elderly with Alzheimer's or and other forms of dementia. Robots, endowed with features such as monitoring of physiological parameters, cognitive training or occupational therapy, have appeared. They are not, however, intended to replace humans. Still underutilized, these robots are in development, much like the digital literacy of the elderly.
September 2016: Soins. Gérontologie
https://www.readbyqxmd.com/read/27648106/use-and-adoption-of-an-assisted-cognition-system-to-support-therapies-for-people-with-dementia
#5
René F Navarro, Marcela D Rodríguez, Jesús Favela
The cognitive deficits in persons with dementia (PwD) can produce significant functional impairment from early stages. Although memory decline is most prominent, impairments in attention, orientation, language, reasoning, and executive functioning are also common. Dementia is also characterized by changes in personality and behavioral functioning that can be very challenging for caregivers and patients. This paper presents results on the use and adoption of an assisted cognition system to support occupational therapy to address psychological and behavioral symptoms of dementia...
2016: Computational and Mathematical Methods in Medicine
https://www.readbyqxmd.com/read/27618848/psychometric-properties-of-the-functional-capacity-card-sort-for-caregivers-of-people-with-dementia
#6
Catherine Verrier Piersol, E Adel Herge, Albert E Copolillo, Benjamin E Leiby, Laura N Gitlin
Caregiver appraisal influences care decisions and may place the person with dementia at risk. The Functional Capacity Card Sort (FCCS) was developed to determine caregiver appraisal. The objective of this study was to examine FCCS psychometric properties and utility, using data from a cross-sectional study (N = 86). The FCCS had moderately positive association (convergent validity) with a related activities of daily living (ADL) index (r = .43, p < .0001), weak negative association (discriminant validity) with an unrelated neuropsychiatric symptom index (r = -...
July 2016: OTJR: Occupation, Participation and Health
https://www.readbyqxmd.com/read/27509919/how-do-activating-interventions-fit-the-personal-needs-characteristics-and-preferences-of-people-with-dementia-living-in-the-community-and-their-informal-caregivers
#7
Netta Van't Leven, Jacomine de Lange, Anna-Eva Prick, Anne Margriet Pot
Psychosocial interventions aim to mitigate the serious consequences of dementia for the daily life of people with dementia and their informal caregivers. To deliver a person-centred approach, it is crucial to take needs, characteristics and preferences of people with dementia and their informal caregivers into account. However, these factors are generally not systematically checked in order to determine which intervention will be most appropriate. Additionally, little is known about which intervention suits which needs, characteristics and preferences...
August 10, 2016: Dementia
https://www.readbyqxmd.com/read/27504691/non-pharmacological-approaches-to-reducing-negative-behavioral-symptoms-a-scoping-review
#8
Carin Wong, Natalie E Leland
The management of negative behavioral symptoms among residents with dementia is a challenge that nursing homes face in delivering quality care. This study examines evidence documenting non-pharmacological interventions that reduce negative behavioral symptoms among nursing home residents with dementia and the role occupational therapy practitioners have in this area. A scoping review was completed for intervention studies published from 1987 to 2014, targeting negative behavioral symptoms among nursing home residents above 60 years of age with dementia...
January 2016: OTJR: Occupation, Participation and Health
https://www.readbyqxmd.com/read/27432811/the-lived-environment-life-quality-model-for-institutionalized-people-with-dementia-le-lived-environment-life-quality-model-pour-intervenir-dans-les-%C3%A3-tablissements-de-soins-aupr%C3%A3-s-des-personnes-atteintes-d-une-d%C3%A3-mence
#9
Wendy Wood, Jenna L Lampe, Christina A Logan, Amy R Metcalfe, Beth E Hoesly
BACKGROUND: There is a need for a conceptual practice model that explicates ecological complexities involved in using occupation to optimize the quality of life of institutionalized people with dementia. PURPOSE: This study aimed to prepare the Lived Environment Life Quality Model, a dementia-specific conceptual practice model of occupational therapy in institutional facilities, for publication and application to practice. METHOD: Interviews and focus groups with six expert occupational therapists were subjected to qualitative content analysis to confirm, disconfirm, and further develop the model...
July 18, 2016: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
https://www.readbyqxmd.com/read/27394383/translation-of-the-care-of-persons-with-dementia-in-their-environments-cope-intervention-in-a-publicly-funded-home-care-context-rationale-and-research-design
#10
Richard H Fortinsky, Laura N Gitlin, Laura T Pizzi, Catherine Verrier Piersol, James Grady, Julie T Robison, Sheila Molony
BACKGROUND: Dementia is the leading cause of loss of independence in older adults worldwide. In the U.S., approximately 15 million family members provide care to relatives with dementia. This paper presents the rationale and design for a translational study in which an evidence-based, non-pharmacologic intervention for older adults with dementia and family caregivers (CGs) is incorporated into a publicly-funded home care program for older adults at risk for nursing home admission. METHODS: The 4-month Care of Persons with Dementia in their Environments (COPE) intervention is designed to optimize older adults' functional independence, and to improve CG dementia management skills and health-related outcomes...
July 2016: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/27338678/do-occupational-therapy-interventions-improve-quality-of-life-in-persons-with-dementia-a-meta-analysis-with-implications-for-future-directions
#11
Akin Ojagbemi, Mayowa Owolabi
Occupational therapy (OT) interventions have shown positive effects on physical functioning in persons with dementia (PwD). However, their effect on quality of life (QoL) has been inconsistent in individual clinical trials. The present review appraises current evidence for the use of OT interventions in improving QoL of PwD. Records in the Cochrane Database, MEDLINE, EMBASE, PsycINFO, and Cumulative Index to Nursing and Allied Health Literature were searched for relevant citations, and PubMed was searched for in-process articles...
June 24, 2016: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
https://www.readbyqxmd.com/read/27291392/technology-for-dementia-attitudes-and-practices-of-occupational-therapists-in-providing-assistive-technology-for-way-finding
#12
Fiona Jarvis, Lindy Maxted Clemson, Lynette Mackenzie
PURPOSE: One of the many difficulties a person with dementia can experience is difficulty with way finding and subsequently getting lost in the community. Prescriptions of assistive technology are a key role for occupational therapists. This study aimed to describe the attitudes and practices of occupational therapists in recommending and using assistive technology for persons with dementia who have difficulties with way finding in the community. METHODS: An online survey was distributed to members of Occupational Therapy Australia NSW and included 25 items on demographics, frequency of use of assistive technology and assessment...
June 13, 2016: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/27245986/effectiveness-of-respite-care-in-supporting-informal-caregivers-of-persons-with-dementia-a-systematic-review
#13
Sophie Vandepitte, Nele Van Den Noortgate, Koen Putman, Sofie Verhaeghe, Caroline Verdonck, Lieven Annemans
OBJECTIVE: Supporting informal caregivers of persons with dementia is considered to be an effective strategy for improving the well-being of caregivers and care recipients and for delaying nursing home placement. Although considerable research has been conducted to investigate the effectiveness of psychoeducational interventions, cognitive behavioral therapy, and occupational therapy, research into the effectiveness of respite care is rare. This systematic review aims to investigate the effectiveness of different types of respite care in supporting informal caregivers of persons with dementia...
June 1, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27245979/acute-hospital-dementia-care-results-from-a-national-audit
#14
Suzanne Timmons, Emma O'Shea, Desmond O'Neill, Paul Gallagher, Anna de Siún, Denise McArdle, Patricia Gibbons, Sean Kennelly
BACKGROUND: Admission to an acute hospital can be distressing and disorientating for a person with dementia, and is associated with decline in cognitive and functional ability. The objective of this audit was to assess the quality of dementia care in acute hospitals in the Republic of Ireland. METHODS: Across all 35 acute public hospitals, data was collected on care from admission through discharge using a retrospective chart review (n = 660), hospital organisation interview with senior management (n = 35), and ward level organisation interview with ward managers (n = 76)...
2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27079704/effectiveness-of-supporting-informal-caregivers-of-people-with-dementia-a-systematic-review-of-randomized-and-non-randomized-controlled-trials
#15
Sophie Vandepitte, Nele Van Den Noortgate, Koen Putman, Sofie Verhaeghe, Kristof Faes, Lieven Annemans
BACKGROUND: Dementia is known as a major public health problem affecting both patients and caregivers, and placing a high financial strain upon society. In community-dwelling patients, it is important to support informal caregivers in order to help them sustain their demanding role. Previous reviews about effectiveness of such supporting strategies often included a small number of studies, focused only on particular supportive types, particular outcomes, or solely on caregivers. OBJECTIVE: A general systematic review was conducted investigating effectiveness of different supportive strategies on at least the well-being of the caregiver or the care-recipient...
April 8, 2016: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/27033715/design-of-evidence-based-gardens-and-garden-therapy-for-neurodisability-in-scandinavia-data-from-14-sites
#16
Josephine Anne Spring
AIM: A total of 14 Scandinavian therapy gardens were visited and data collected on plantings, therapeutic activities and assessment of effectiveness in Spring 2014. METHODOLOGY: Data were gathered by a questionnaire and by interviewing staff in Sweden, Denmark and Norway. The data collection structured proforma used the post-occupation assessment method. RESULTS: Gardening promoted physical movement, presented cognitive challenges and provided opportunities for social participation...
April 2016: Neurodegenerative Disease Management
https://www.readbyqxmd.com/read/26863544/developing-a-referral-protocol-for-community-based-occupational-therapy-services-in-taiwan-a-logistic-regression-analysis
#17
Hui-Fen Mao, Ling-Hui Chang, Athena Yi-Jung Tsai, Wen-Ni Huang, Jye Wang
Because resources for long-term care services are limited, timely and appropriate referral for rehabilitation services is critical for optimizing clients' functions and successfully integrating them into the community. We investigated which client characteristics are most relevant in predicting Taiwan's community-based occupational therapy (OT) service referral based on experts' beliefs. Data were collected in face-to-face interviews using the Multidimensional Assessment Instrument (MDAI). Community-dwelling participants (n = 221) ≥ 18 years old who reported disabilities in the previous National Survey of Long-term Care Needs in Taiwan were enrolled...
2016: PloS One
https://www.readbyqxmd.com/read/26841799/community-occupational-therapy-for-people-with-dementia-and-family-carers-cotid-uk-versus-treatment-as-usual-valuing-active-life-in-dementia-valid-programme-study-protocol-for-a-randomised-controlled-trial
#18
Jennifer Wenborn, Sinéad Hynes, Esme Moniz-Cook, Gail Mountain, Fiona Poland, Michael King, Rumana Omar, Steven Morris, Myrra Vernooij-Dassen, David Challis, Susan Michie, Ian Russell, Catherine Sackley, Maud Graff, Aidan O'Keeffe, Nadia Crellin, Martin Orrell
BACKGROUND: A community-based occupational therapy intervention for people with mild to moderate dementia and their family carers (Community Occupational Therapy in Dementia (COTiD)) was found clinically and cost effective in the Netherlands but not in Germany. This highlights the need to adapt and implement complex interventions to specific national contexts. The current trial aims to evaluate the United Kingdom-adapted occupational therapy intervention for people with mild to moderate dementia and their family carers living in the community (COTiD-UK) compared with treatment as usual...
February 3, 2016: Trials
https://www.readbyqxmd.com/read/26836164/predictors-of-response-to-cholinesterase-inhibitors-treatment-of-alzheimer-s-disease-date-mining-from-the-tredem-registry
#19
Maurizio Gallucci, Pierpaolo Spagnolo, Maria Aricò, Enzo Grossi
BACKGROUND: The pharmacological treatment of Alzheimer's disease (AD) is based largely on cholinesterase inhibitors (ChEI). OBJECTIVE: To investigate whether or not some non-pharmacological and contextual factors measured prior to starting treatment such as past occupation, lifestyles, marital status, degree of autonomy and cognitive impairment, living alone or with others, and the degree of brain atrophy are associated with a better response to ChEI treatment. METHODS: Eighty-four AD and six AD with cerebrovascular disease (AD + CVD) outpatients of Treviso Dementia (TREDEM) Registry, with an average cholinesterase inhibitors treatment length of four years, were considered...
2016: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/26709428/roles-and-coping-strategies-of-sons-caring-for-a-parent-with-dementia
#20
Alisa Grigorovich, Nira Rittenberg, Talia Dick, Ashley McCann, Amanda Abbott, Andrea Kmielauskas, Valerie Estioko, Sinthusha Kulasingham, Jill I Cameron
OBJECTIVE: Little is known about sons' roles in caring for a parent with dementia. To ensure that interventions and practices appropriately match sons' needs, we investigated their experiences. METHOD: A qualitative descriptive approach was used; 20 sons of a parent with dementia participated in semistructured interviews. RESULTS: Participants reported varied paths to becoming a caregiver, primarily undertaking a care management role and managing by using their own occupational experiences and receiving support from other family members, peers, and private and public community services...
January 2016: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
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