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https://www.readbyqxmd.com/read/28813187/twelve-steps-two-factors-coping-strategies-moderate-the-association-between-craving-and-daily-12-step-use-in-a-college-recovery-community
#1
Richard P Wiebe, Amanda M Griffin, Yao Zheng, Kitty S Harris, H Harrington Cleveland
BACKGROUND: Affiliating with 12-step groups appears to reduce relapse risk. By relying on between-person designs, extant research has been unable to examine daily mechanisms through which 12-step group affiliation contributes to recovery. OBJECTIVES: To examine the daily use and factor structure of the 12 steps and intrapersonal predictors and moderators of 12-step use. To determine whether the 12 steps were used in response to daily craving and, if so, which steps and in what contexts...
August 16, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28809653/effectiveness-of-environment-based-interventions-that-address-behavior-perception-and-falls-in-people-with-alzheimer-s-disease-and-related-major-neurocognitive-disorders-a-systematic-review
#2
Lou Jensen, René Padilla
OBJECTIVE: This systematic review evaluated the effectiveness of environment-based interventions that address behavior, perception, and falls in the home and other settings for people with Alzheimer's disease (AD) and related major neurocognitive disorders (NCDs). METHOD: Database searches were limited to outcomes studies published in English in peer-reviewed journals between January 2006 and April 2014. RESULTS: A total of 1,854 articles were initially identified, of which 42 met inclusion criteria...
September 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28805418/adaptation-of-a-nursing-home-culture-change-research-instrument-for-frontline-staff-quality-improvement-use
#3
Christine W Hartmann, Jennifer A Palmer, Whitney L Mills, Camilla B Pimentel, Rebecca S Allen, Nancy J Wewiorski, Kristen R Dillon, A Lynn Snow
Enhanced interpersonal relationships and meaningful resident engagement in daily life are central to nursing home cultural transformation, yet these critical components of person-centered care may be difficult for frontline staff to measure using traditional research instruments. To address the need for easy-to-use instruments to help nursing home staff members evaluate and improve person-centered care, the psychometric method of cognitive-based interviewing was used to adapt a structured observation instrument originally developed for researchers and nursing home surveyors...
August 2017: Psychological Services
https://www.readbyqxmd.com/read/28805415/actualizing-culture-change-the-promoting-excellent-alternatives-in-kansas-nursing-homes-peak-2-0-program
#4
Gayle A Doll, Laci J Cornelison, Heath Rath, Maggie L Syme
Nursing homes have been challenged in their attempts to achieve deep, organizational change (i.e., culture change) aimed at providing quality of care and quality of life for nursing home residents through person-centered care. To attain deep change, 2 well-defined components must be in place: a shared understanding of (a) the what, or content goals, and (b) the how, or process of change. However, there are few examples of this at a macro or micro level in long-term care. In an effort to enact true culture change in nursing homes statewide, the Kansas Department for Aging and Disability Services implemented the Promoting Excellent Alternatives in Kansas Nursing Homes program...
August 2017: Psychological Services
https://www.readbyqxmd.com/read/28805186/improving-the-social-health-of-community-dwelling-older-people-living-with-dementia-through-a-reablement-program
#5
Yun-Hee Jeon, Lindy Clemson, Sharon L Naismith, Loren Mowszowski, Niki McDonagh, Margaret Mackenzie, Caitlin Dawes, Luisa Krein, Sarah L Szanton
Psychological, neurological, and social impairments caused by dementia may limit the person's everyday living and experiences, but their capacity to enjoy a meaningful life is still retained. Increasingly, evidence has been shown the importance of reablement approaches to care in maximizing the older person's independence, health, and well-being through increased engagement in their daily, physical, social, and community activities. However, there is a major knowledge gap in providing reablement for people living with dementia...
August 14, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28797370/sexuality-in-the-older-adult
#6
REVIEW
Laura Morton
Sexuality is an important part of a person's life continuing into older age. Physiologic changes that occur with aging can affect sexual function and may be exacerbated by comorbid disease. To diagnose sexual dysfunction, providers must obtain a thorough history and physical examination, including psychosocial factors. The causes of sexual dysfunction along with patient preferences within the patient's social system serve as the foundation for developing person-centered strategies to address these concerns...
September 2017: Primary Care
https://www.readbyqxmd.com/read/28795829/patterns-of-interparental-conflict-parenting-and-children-s-emotional-insecurity-a-person-centered-approach
#7
Olena Kopystynska, Katherine W Paschall, Melissa A Barnett, Melissa A Curran
We examined the relations between interparental conflict (destructive and constructive), parenting behaviors (harshness and supportiveness) and children's emotional insecurity in early childhood when children were approximately 36 months of age. The sample consisted of low-income unmarried couples who were expectant/new parents who participated in the national Building Strong Families project. Interparental conflict was assessed through parents' reported perception of the other parent's conflict behavior. Parenting behaviors were measured through observational data, and children's emotional insecurity was based on parents' reports...
August 10, 2017: Journal of Family Psychology: JFP
https://www.readbyqxmd.com/read/28780910/drug-related-problems-in-community-dwelling-primary-care-patients-screened-positive-for-dementia
#8
D Wucherer, J R Thyrian, T Eichler, J Hertel, I Kilimann, S Richter, B Michalowsky, I Zwingmann, A Dreier-Wolfgramm, C A Ritter, S Teipel, W Hoffmann
BACKGROUND: Older people have a higher risk of drug-related problems (DRPs). However, little is known about the prevalence of DRPs in community-dwelling people who screened positive for dementia. Our study aimed to determine (1) the prevalence and types of DRPs and (2) the socio-demographic and clinical variables associated with DRPs in people screened positive for dementia in primary care. METHODS: The Dementia: life- and person-centered help in Mecklenburg-Western Pomerania (DelpHi-MV) study is a general practitioner (GP)-based cluster-randomized controlled intervention study to implement and evaluate an innovative concept of collaborative dementia care management in the primary care setting in Germany...
August 7, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28777973/predicting-risky-sexual-behaviors-among-college-student-drinkers-as-a-function-of-event-level-drinking-motives-and-alcohol-use
#9
Tess M Kilwein, Alison Looby
BACKGROUND: Risky sexual behaviors (e.g., sex without protection against pregnancy or sexually transmitted infections, sexual coercion, sex with unknown partners) are common among college students. To effectively decrease these behaviors, it is necessary to further understand factors associated with their occurrence. Drinking motives are a known predictor of both alcohol use and alcohol-related consequences, which may theoretically include risky sex. This study aimed to understand how drinking motivation interacts with alcohol use to predict risky sexual behaviors among college student drinkers...
July 25, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28776836/adolescent-athletic-participation-patterns-and-self-perceived-competence-associations-with-later-participation-depressive-symptoms-and-health
#10
Jennifer P Agans, Sara K Johnson, Richard M Lerner
Physical activity is important for well-being across the life span. However, links between patterns of adolescent activity, competence perceptions, and young adult outcomes are underexplored. We used data from seven waves of the 4-H Study of Positive Youth Development (N = 5,961) to assess patterns of adolescent athletic participation, whether these patterns were associated with self-perceived athletic competence and young adult physical activity, depressive symptoms, and health, and associations between changes in participation across adolescence and young adult outcomes...
September 2017: Journal of Research on Adolescence: the Official Journal of the Society for Research on Adolescence
https://www.readbyqxmd.com/read/28769145/assessing-how-participators-combine-acts-in-their-political-tool-kits-a-person-centered-measurement-approach-for-analyzing-citizen-participation
#11
Jennifer Oser
Scholars have recognized that a recent increase in the ways citizens participate beyond the electoral arena may be a promising avenue of renewal for citizen participation. In this article we test the theory that different kinds of citizenship norms motivate some citizens to specialize in electoral-oriented activities (e.g. voting), while others specialize in non-institutionalized activities (e.g. protest). The latent class analysis of data from the U.S. Citizen, Involvement and Democracy Survey (2005) in the current study assesses how actors combine a variety of acts in their "political tool kits" of participation, and facilitates a comparison to prior findings that analyze single political behaviors...
2017: Social Indicators Research
https://www.readbyqxmd.com/read/28768109/reflections-on-international-certified-nursing-assistants
#12
Penelope Ann Shaw
The author, a former university faculty member who taught English to speakers of other languages and now a nursing home resident, shares her observations about how English language proficiency, culture and religious differences affect her care. She provides examples of communication challenges that can be annoying or cause harm, her coping strategies and reasons why many certified nursing assistants might never be fully fluent in English. She explains how international certified nursing assistants can benefit residents because of skills developed by family-centered care in their countries of origin...
August 2, 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28767292/us-healthcare-experiences-of-hispanic-patients-with-diabetes-and-family-members-a-qualitative-analysis
#13
Karen A Amirehsani, Jie Hu, Debra C Wallace, Zulema A Silva, Sarah Dick, Lauren N West-Livingston, Christina R Hussami
Hispanics in the United States experience significant health disparities. Using focus groups conducted in Spanish, we explored the perspectives of 172 Hispanic adults regarding their healthcare experiences. Many participants were women (64.5%) and primarily from Mexico (80%). Four major qualitative themes emerged: (a) provide us with information, (b) want attentive and respectful relationships, (c) want better care, and (d) perceived discrimination. Suboptimal patient-provider interactions were described. Research is needed to explore interventions that address these issues...
July 2017: Journal of Community Health Nursing
https://www.readbyqxmd.com/read/28766695/prevention-of-alzheimer-s-disease-lessons-learned-and-applied
#14
James E Galvin
Alzheimer's disease (AD) affects more than 5 million Americans, with substantial consequences for individuals with AD, families, and society in terms of morbidity, mortality, and healthcare costs. With disease-modifying treatment trials unsuccessful at the present time and only medications to treat symptoms available, an emerging approach is prevention. Advances in diagnostic criteria, biomarker development, and greater understanding of the biophysiological basis of AD make these initiatives feasible. Ongoing pharmacological trials using anti-amyloid therapies are underway in sporadic and genetic forms of AD, although a large number of modifiable risk factors for AD have been identified in observational studies, many of which do not appear to exert effects through amyloid or tau...
August 2, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28758787/latent-profile-and-cluster-analysis-of-infant-temperament-comparisons-across-person-centered-approaches
#15
Maria A Gartstein, Amanda Prokasky, Martha Ann Bell, Susan Calkins, David J Bridgett, Julia Braungart-Rieker, Esther Leerkes, Carol L Cheatham, Rina D Eiden, Krystal D Mize, Nancy Aaron Jones, Gina Mireault, Erich Seamon
There is renewed interest in person-centered approaches to understanding the structure of temperament. However, questions concerning temperament types are not frequently framed in a developmental context, especially during infancy. In addition, the most common person-centered techniques, cluster analysis (CA) and latent profile analysis (LPA), have not been compared with respect to derived temperament types. To address these gaps, we set out to identify temperament types for younger and older infants, comparing LPA and CA techniques...
July 31, 2017: Developmental Psychology
https://www.readbyqxmd.com/read/28756788/what-is-good-communication-for-people-living-with-dementia-a-mixed-methods-systematic-review
#16
Sarah Alsawy, Warren Mansell, Phil McEvoy, Sara Tai
BACKGROUND: Many strategies have been recommended to support caregivers in communicating with people who live with dementia. However, less is known about what makes communication a good and meaningful experience from the perspective of people with dementia. Understanding this may enhance the person with dementia's sense of connectedness, strengthen their relationships, and facilitate person-centered care. The current review aimed to evaluate research that examined experiences of communication in people living with dementia...
July 31, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28754517/does-person-centered-care-improve-residents-satisfaction-with-nursing-home-quality
#17
Judith L Poey, Linda Hermer, Laci Cornelison, Migette L Kaup, Patrick Drake, Robyn I Stone, Gayle Doll
OBJECTIVE: Person-centered care (PCC) is meant to enhance nursing home residents' quality of life (QOL). Including residents' perspectives is critical to determining whether PCC is meeting residents' needs and desires. This study examines whether PCC practices promote satisfaction with QOL and quality of care and services (QOC and QOS) among nursing home residents. DESIGN: A longitudinal, retrospective cohort study using an in-person survey. SETTING: Three hundred twenty nursing homes in Kansas enrolled or not enrolled in a pay-for-performance program, Promoting Excellent Alternatives in Kansas (PEAK 2...
July 25, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28752797/the-bird-dancer-and-the-warrior-king-divergent-lived-experiences-of-tourette-syndrome-in-bali
#18
Robert Lemelson, Annie Tucker
In the past two decades, ethnographic, epidemiological and interdisciplinary research has robustly established that culture is significant in determining the long-term outcomes of people with neurodevelopmental, neuropsychiatric and mood disorders. Yet these cultural factors are certainly not uniform across discrete individual experiences. Thus, in addition to illustrating meaningful differences for people with neuropsychiatric disorder between different cultures, ethnography should also help detail the variations within a culture...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28731984/the-association-of-cigarette-smoking-with-high-frequency-heart-rate-variability-an-ecological-momentary-assessment-study
#19
Fernando Bodin, Kathleen M McIntyre, Joseph E Schwartz, Paula S McKinley, Caitlyn Cardetti, Peter A Shapiro, Ethan Gorenstein, Richard P Sloan
OBJECTIVE: Evidence from both laboratory and observational studies suggests that acute and chronic smoking leads to reduced high frequency heart rate variability (HF-HRV), a measure of cardiac vagal regulation. We utilized ecological momentary assessment (EMA) to study the effect of smoking on concurrent HF-HRV in a trial measuring the effects of hostility reduction, and compared 24-hour HF-HRV in smokers and non-smokers. METHOD: Ambulatory ECG data were collected pre-randomization from 149 healthy, individuals with high hostility levels (20-45 years, BMI ≤ 32 kg/m) and paired with concurrent EMA ratings of smoking, and physical position during waking hours...
July 20, 2017: Psychosomatic Medicine
https://www.readbyqxmd.com/read/28731450/the-experiences-of-people-with-dementia-and-their-caregivers-in-dementia-diagnosis
#20
Yan Lian, Lily Dongxia Xiao, Fan Zeng, Xianmu Wu, Zhen Wang, Hui Ren
BACKGROUND: People can live well with dementia if they are diagnosed early and receive early interventions and appropriate dementia management and care. However, dementia is currently under-detected and under-diagnosed. The diagnosis rate is around 50% only in higher-income countries and 5-10% only in low- and middle-income countries. Studies on consumers' experiences in engaging in dementia diagnosis in a socio-cultural context are much needed in order to generate research evidence to inform person-centered dementia care and services...
July 17, 2017: Journal of Alzheimer's Disease: JAD
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