Pub Date : 2018-05-23DOI: 10.1024/1662-9647/a000186
L. M. Iseli, T. Wangmo, Helena Hermann, M. Trachsel, B. Elger
The study identified factors that make an evaluation of decision-making capacity (DMC) difficult for clinicians in their daily work. Semistructured interviews were carried out with 24 healthcare professionals from Switzerland and subsequently thematically analyzed. The challenges they faced when evaluating DMC stemmed from three main concerns: patient characteristics that impede DMC evaluation; differing opinions and consequences of DMC evaluation; and familial and legal situations that complicate such evaluations. Physicians must be adequately trained to evaluate DMC as it is closely related to basic ethical principles of respect for patients’ autonomy and beneficence. Extensive training on DMC evaluation and the legal concept of capacity should be part of pre- and postgraduate education.
{"title":"Evaluating Decision-Making Capacity: Challenges Faced by Clinicians in Switzerland","authors":"L. M. Iseli, T. Wangmo, Helena Hermann, M. Trachsel, B. Elger","doi":"10.1024/1662-9647/a000186","DOIUrl":"https://doi.org/10.1024/1662-9647/a000186","url":null,"abstract":"The study identified factors that make an evaluation of decision-making capacity (DMC) difficult for clinicians in their daily work. Semistructured interviews were carried out with 24 healthcare professionals from Switzerland and subsequently thematically analyzed. The challenges they faced when evaluating DMC stemmed from three main concerns: patient characteristics that impede DMC evaluation; differing opinions and consequences of DMC evaluation; and familial and legal situations that complicate such evaluations. Physicians must be adequately trained to evaluate DMC as it is closely related to basic ethical principles of respect for patients’ autonomy and beneficence. Extensive training on DMC evaluation and the legal concept of capacity should be part of pre- and postgraduate education.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"31 1","pages":"67–75"},"PeriodicalIF":1.0,"publicationDate":"2018-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43183719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-23DOI: 10.1024/1662-9647/a000185
Dragutin Novosel, Stjepan Ljudevit Maru šić, N. Biller-Andorno, M. Trachsel
Decision-making capacity (DMC) is a prerequisite for informed consent to medical treatments. However, little is known about the knowledge, attitudes, and evaluation of DMC among physicians in Croatia. A survey was conducted among 180 general practitioners and psychiatrists in Croatia. Although from a legal perspective DMC is a dichotomous concept, about 90% of physicians indicated that they understand DMC to be a gradual concept. A majority of physicians considered themselves responsible and qualified to conduct DMC evaluations, though some physicians considered themselves insufficiently qualified. General practitioners considered themselves less responsible and less qualified than psychiatrists. Almost all participants indicated that they would welcome official guidelines and training.
{"title":"Medical Decision-Making Capacity: Knowledge, Attitudes, and Clinical Evaluation Practices of Primary-Care Physicians and Psychiatrists in Croatia","authors":"Dragutin Novosel, Stjepan Ljudevit Maru šić, N. Biller-Andorno, M. Trachsel","doi":"10.1024/1662-9647/a000185","DOIUrl":"https://doi.org/10.1024/1662-9647/a000185","url":null,"abstract":"Decision-making capacity (DMC) is a prerequisite for informed consent to medical treatments. However, little is known about the knowledge, attitudes, and evaluation of DMC among physicians in Croatia. A survey was conducted among 180 general practitioners and psychiatrists in Croatia. Although from a legal perspective DMC is a dichotomous concept, about 90% of physicians indicated that they understand DMC to be a gradual concept. A majority of physicians considered themselves responsible and qualified to conduct DMC evaluations, though some physicians considered themselves insufficiently qualified. General practitioners considered themselves less responsible and less qualified than psychiatrists. Almost all participants indicated that they would welcome official guidelines and training.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"31 1","pages":"57–65"},"PeriodicalIF":1.0,"publicationDate":"2018-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41695123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-23DOI: 10.1024/1662-9647/a000187
M. Wicki
As people live longer, they become more likely to die from prolonged, incurable, chronic illnesses occurring more frequently in old age. This study explores the usefulness, quality, and reliability of documented advance care planning interviews to determine the decision-making capacity of persons with intellectual disabilities (IDs). A volunteer sample of 60 persons rated the capacity to consent to treatment of four persons deciding on two end-of-life decisions. Sensitivity, specificity, and percent agreement were calculated. Interrater reliability was assessed using Fleiss’ &kgr; and Krippendorff’s &agr;. A Yates’ corrected &khgr;2 was used to analyze differences in ratings between groups of raters. The sensitivity value was 62%; the specificity value was 95%. The percent agreement for all participants was 70%, Fleiss’ &kgr; was 0.396, and Krippendorff’s &agr; was 0.395. Of the participants, 72 found documented advance care planning discussions useful for diagnosing the decision-making capacity of people with IDs. The documented interviews helped to identify those persons with IDs who had the decision-making capacity. Documented interviews on end-of-life decisions could make a valuable contribution to fostering their self-determination in end-of-life issues.
随着人们寿命的延长，他们更有可能死于长期的、无法治愈的、在老年时更常见的慢性疾病。本研究旨在探讨预先照护计划访谈的有效性、品质与可靠性，以确定智障人士(id)的决策能力。一个由60人组成的志愿者样本对四个人决定两种临终决定的同意治疗能力进行了评分。计算敏感性、特异性和一致性百分比。采用Fleiss ' s &kgr;和克里彭多夫的。我们使用了耶茨修正的&khgr;2来分析两组评分者之间的评分差异。灵敏度值为62%;特异性值为95%。所有参与者的同意率为70%，Fleiss的&kgr;为0.396,Krippendorff 's &agr;是0.395。在参与者中，72人发现记录在案的预先护理计划讨论有助于诊断身份证患者的决策能力。记录在案的访谈有助于确定具有决策能力的身份证件人员。关于临终决定的记录访谈可以对培养他们在临终问题上的自决作出宝贵贡献。
{"title":"Advance Care Planning for Persons with Intellectual Disabilities","authors":"M. Wicki","doi":"10.1024/1662-9647/a000187","DOIUrl":"https://doi.org/10.1024/1662-9647/a000187","url":null,"abstract":"As people live longer, they become more likely to die from prolonged, incurable, chronic illnesses occurring more frequently in old age. This study explores the usefulness, quality, and reliability of documented advance care planning interviews to determine the decision-making capacity of persons with intellectual disabilities (IDs). A volunteer sample of 60 persons rated the capacity to consent to treatment of four persons deciding on two end-of-life decisions. Sensitivity, specificity, and percent agreement were calculated. Interrater reliability was assessed using Fleiss’ &kgr; and Krippendorff’s &agr;. A Yates’ corrected &khgr;2 was used to analyze differences in ratings between groups of raters. The sensitivity value was 62%; the specificity value was 95%. The percent agreement for all participants was 70%, Fleiss’ &kgr; was 0.396, and Krippendorff’s &agr; was 0.395. Of the participants, 72 found documented advance care planning discussions useful for diagnosing the decision-making capacity of people with IDs. The documented interviews helped to identify those persons with IDs who had the decision-making capacity. Documented interviews on end-of-life decisions could make a valuable contribution to fostering their self-determination in end-of-life issues.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"31 1","pages":"87–95"},"PeriodicalIF":1.0,"publicationDate":"2018-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41799764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-13DOI: 10.1024/1662-9647/a000188
Brett C. Bundy, Ryan T. Daley, Erika L. Clark, K. Indorewalla, Maureen K. o’Connor
Background and objectives: To understand the perceptions, knowledge, and understanding of memory, cognition, and aging among older veterans. Research design and methods: Twelve male, Caucasian, community-dwelling veterans from a suburban New England demographic area, aged 62 to 83 years, participated in qualitative interviews. The interviews were audio recorded, transcribed verbatim, and subsequently coded by three independent reviewers. The responses were calculated and analyzed for major themes. Results: Veterans equated healthy aging to be both of a physical and cognitive nature, although a significant subset viewed especially intact cognitive faculties to be a sign of successful aging despite physical limitations. Two of the most widely cited concerns about aging were loss of functional independence and the progression of cognitive decline into dementia, although most of the participants were unable to accurately describe dementia or Alzheimer’s disease. Military service was associated with both positive (e.g., social support) and negative (e.g., trauma) associations with aging. Most of the participants noted the importance of a healthy diet and exercise in aging but were unable to accurately describe a healthy diet or exercise regimen or the effect of these activities on the brain. Discussion and implications: Aging veterans represent a unique population among older adults, and more information is required to understand their specific needs. Older male veterans are less likely to engage in healthcare; for some, education alone may be enough to improve engagement, whereas for others an estimate of current cognitive function would provide the extra motivation required.
{"title":"Perceptions of Cognitive Aging Among Older Veterans","authors":"Brett C. Bundy, Ryan T. Daley, Erika L. Clark, K. Indorewalla, Maureen K. o’Connor","doi":"10.1024/1662-9647/a000188","DOIUrl":"https://doi.org/10.1024/1662-9647/a000188","url":null,"abstract":"Background and objectives: To understand the perceptions, knowledge, and understanding of memory, cognition, and aging among older veterans. Research design and methods: Twelve male, Caucasian, community-dwelling veterans from a suburban New England demographic area, aged 62 to 83 years, participated in qualitative interviews. The interviews were audio recorded, transcribed verbatim, and subsequently coded by three independent reviewers. The responses were calculated and analyzed for major themes. Results: Veterans equated healthy aging to be both of a physical and cognitive nature, although a significant subset viewed especially intact cognitive faculties to be a sign of successful aging despite physical limitations. Two of the most widely cited concerns about aging were loss of functional independence and the progression of cognitive decline into dementia, although most of the participants were unable to accurately describe dementia or Alzheimer’s disease. Military service was associated with both positive (e.g., social support) and negative (e.g., trauma) associations with aging. Most of the participants noted the importance of a healthy diet and exercise in aging but were unable to accurately describe a healthy diet or exercise regimen or the effect of these activities on the brain. Discussion and implications: Aging veterans represent a unique population among older adults, and more information is required to understand their specific needs. Older male veterans are less likely to engage in healthcare; for some, education alone may be enough to improve engagement, whereas for others an estimate of current cognitive function would provide the extra motivation required.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"31 1","pages":"185–194"},"PeriodicalIF":1.0,"publicationDate":"2018-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46746712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-01DOI: 10.1024/1662-9647/a000180
Dane L. Shiltz, T. Lineweaver, T. Brimmer, Alex C. Cairns, Danielle S. Halcomb, Jacqueline Juett, Laura Beer, D. Hay, J. Plewes
Existing research has primarily evaluated music therapy (MT) as a means of reducing the negative affect, behavioral, and/or cognitive symptoms of dementia. Music listening (ML), on the other hand, offers a less-explored, potentially equivalent alternative to MT and may further reduce exposure to potentially harmful psychotropic medications traditionally used to manage negative behavioral and psychological symptoms of dementia (BPSD). This 5-month prospective, naturalistic, interprofessional, single-center extended care facility study compared usual care (45 residents) and usual care combined with at least thrice weekly personalized ML sessions (47 residents) to determine the influence of ML. Agitation decreased for all participants (p < .001), and the ML residents receiving antipsychotic medications at baseline experienced agitation levels similar to both the usual care group and the ML patients who were not prescribed antipsychotics (p < .05 for medication × ML interaction). No significant changes in psychotropic medication exposure occurred. This experimental study supports ML as an adjunct to pharmacological approaches to treating agitation in older adults with dementia living in long-term care facilities. It also highlights the need for additional research focused on how individualized music programs affect doses and frequencies of antipsychotic medications and their associated risk of death and cerebrovascular events in this population.
{"title":"“Music First”: An Alternative or Adjunct to Psychotropic Medications for the Behavioral and Psychological Symptoms of Dementia","authors":"Dane L. Shiltz, T. Lineweaver, T. Brimmer, Alex C. Cairns, Danielle S. Halcomb, Jacqueline Juett, Laura Beer, D. Hay, J. Plewes","doi":"10.1024/1662-9647/a000180","DOIUrl":"https://doi.org/10.1024/1662-9647/a000180","url":null,"abstract":"Existing research has primarily evaluated music therapy (MT) as a means of reducing the negative affect, behavioral, and/or cognitive symptoms of dementia. Music listening (ML), on the other hand, offers a less-explored, potentially equivalent alternative to MT and may further reduce exposure to potentially harmful psychotropic medications traditionally used to manage negative behavioral and psychological symptoms of dementia (BPSD). This 5-month prospective, naturalistic, interprofessional, single-center extended care facility study compared usual care (45 residents) and usual care combined with at least thrice weekly personalized ML sessions (47 residents) to determine the influence of ML. Agitation decreased for all participants (p < .001), and the ML residents receiving antipsychotic medications at baseline experienced agitation levels similar to both the usual care group and the ML patients who were not prescribed antipsychotics (p < .05 for medication × ML interaction). No significant changes in psychotropic medication exposure occurred. This experimental study supports ML as an adjunct to pharmacological approaches to treating agitation in older adults with dementia living in long-term care facilities. It also highlights the need for additional research focused on how individualized music programs affect doses and frequencies of antipsychotic medications and their associated risk of death and cerebrovascular events in this population.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"31 1","pages":"17–30"},"PeriodicalIF":1.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46120258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-02-06DOI: 10.1024/1662-9647/a000181
A. Seifert, M. Christen, Mike Martin
This study explored the use of wearable devices to track self-recorded health data and the willingness to share this data with researchers. Participants aged ≥ 50 years (n = 1,013) were interviewed in a representative telephone survey. Results indicated that 43.3% of all participants used one or more mobile devices (activity tracker, smartwatch, smartphone, or tablet), and that 27.6% used those devices for the purposes of recording health data. Additionally, 57.2% of the participants who tracked their health data were willing to share it with researchers. Income significantly contributed to predicting this willingness, whereas other independent variables were not significant predictors. This study indicates a relatively positive overall willingness to share self-recorded mobile health data with the science community.
{"title":"Willingness of Older Adults to Share Mobile Health Data with Researchers","authors":"A. Seifert, M. Christen, Mike Martin","doi":"10.1024/1662-9647/a000181","DOIUrl":"https://doi.org/10.1024/1662-9647/a000181","url":null,"abstract":"This study explored the use of wearable devices to track self-recorded health data and the willingness to share this data with researchers. Participants aged ≥ 50 years (n = 1,013) were interviewed in a representative telephone survey. Results indicated that 43.3% of all participants used one or more mobile devices (activity tracker, smartwatch, smartphone, or tablet), and that 27.6% used those devices for the purposes of recording health data. Additionally, 57.2% of the participants who tracked their health data were willing to share it with researchers. Income significantly contributed to predicting this willingness, whereas other independent variables were not significant predictors. This study indicates a relatively positive overall willingness to share self-recorded mobile health data with the science community.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"31 1","pages":"41–49"},"PeriodicalIF":1.0,"publicationDate":"2018-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48760536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-02-06DOI: 10.1024/1662-9647/a000182
H. Espirito Santo, F. Daniel
Institutionalization is often related to the psychologically negative outcomes of old age. Optimism could alleviate suffering, but little is known about its role in institutionalized settings. We sought to explore optimism correlates and to determine whether it predicts emotional well-being variables, after controlling for potential covariates, by assessing 66 institutionalized elderlies. Optimism was low and associated with failure to do physical exercise, urinary incontinence, increased anxiety, depressive symptoms and feelings of loneliness, and reduced satisfaction with life and positive affect. Optimism predicted emotional well-being, albeit not over and above some covariates. Given the low optimism levels and the correlates, we suggest that intrapersonal resources could be intervention targets. It is our hope that our findings will inspire research to analyze interventions promoting optimism-beneficial combinations of well-being among institutionalized older adults.
{"title":"Optimism and Well-Being Among Institutionalized Older Adults","authors":"H. Espirito Santo, F. Daniel","doi":"10.1024/1662-9647/a000182","DOIUrl":"https://doi.org/10.1024/1662-9647/a000182","url":null,"abstract":"Institutionalization is often related to the psychologically negative outcomes of old age. Optimism could alleviate suffering, but little is known about its role in institutionalized settings. We sought to explore optimism correlates and to determine whether it predicts emotional well-being variables, after controlling for potential covariates, by assessing 66 institutionalized elderlies. Optimism was low and associated with failure to do physical exercise, urinary incontinence, increased anxiety, depressive symptoms and feelings of loneliness, and reduced satisfaction with life and positive affect. Optimism predicted emotional well-being, albeit not over and above some covariates. Given the low optimism levels and the correlates, we suggest that intrapersonal resources could be intervention targets. It is our hope that our findings will inspire research to analyze interventions promoting optimism-beneficial combinations of well-being among institutionalized older adults.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"31 1","pages":"5–16"},"PeriodicalIF":1.0,"publicationDate":"2018-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46687526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-02-06DOI: 10.1024/1662-9647/a000179
Ljiljana Kaliterna Lipovčan, Tihana Brkljačić, Zvjezdana Prizmić Larsen, A. Brajša-žganec, Renata Franc
Research shows that engagement in leisure activities promotes well-being among older adults. The objective of the current study was to examine the relationship between subjective well-being (flourishing) and leisure activities (total number of different activities in the previous year) in a sample of older adults in Croatia, thereby considering the variables of sex, marital status, financial status, and self-perceived health. The differences in the examined variables between the groups of older adults who reported to be engaged in new activities with those who did not were also examined. The sample of N = 169 older adults aged 60 years and above was drawn from a convenience sample of adult internet users in Croatia. Participants reported their self-perceived health and the number of leisure activities they engaged in over the previous year as well as completing the Flourishing Scale. Hierarchical regression analyses indicated that older adults who were engaged in more various leisure activities, who perceived better financial status, and who were married reported higher levels of flourishing. A comparison of the two groups of older adults with and without engagement in leisure activities showed that those engaged in at least one leisure activity were more likely to be women, reported higher levels of flourishing, and perceived their own financial status as better. This study indicated that engaging in leisure activities in later life might provide beneficial effects for the well-being of older adults.
{"title":"Leisure Activities and the Subjective Well-Being of Older Adults in Croatia","authors":"Ljiljana Kaliterna Lipovčan, Tihana Brkljačić, Zvjezdana Prizmić Larsen, A. Brajša-žganec, Renata Franc","doi":"10.1024/1662-9647/a000179","DOIUrl":"https://doi.org/10.1024/1662-9647/a000179","url":null,"abstract":"Research shows that engagement in leisure activities promotes well-being among older adults. The objective of the current study was to examine the relationship between subjective well-being (flourishing) and leisure activities (total number of different activities in the previous year) in a sample of older adults in Croatia, thereby considering the variables of sex, marital status, financial status, and self-perceived health. The differences in the examined variables between the groups of older adults who reported to be engaged in new activities with those who did not were also examined. The sample of N = 169 older adults aged 60 years and above was drawn from a convenience sample of adult internet users in Croatia. Participants reported their self-perceived health and the number of leisure activities they engaged in over the previous year as well as completing the Flourishing Scale. Hierarchical regression analyses indicated that older adults who were engaged in more various leisure activities, who perceived better financial status, and who were married reported higher levels of flourishing. A comparison of the two groups of older adults with and without engagement in leisure activities showed that those engaged in at least one leisure activity were more likely to be women, reported higher levels of flourishing, and perceived their own financial status as better. This study indicated that engaging in leisure activities in later life might provide beneficial effects for the well-being of older adults.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"31 1","pages":"31–39"},"PeriodicalIF":1.0,"publicationDate":"2018-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46566184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-01DOI: 10.1024/1662-9647/a000178
Anne Messemaker, A. Schall, J. Haberstroh, J. Pantel
The MultiTANDEM system trains management staff at outpatient nursing facilities to be TANDEM trainers (i.e., multiplicators for social-skills training) of professional and family caregivers for people with dementia. We used a pre-post-1-post-2 follow-up design to evaluate intervention and implementation success. Results showed a significant increase in the communication skills of caregivers and a significant reduction in family caregiver burden. Analyses of the implementation showed high acceptability among multiplicators and a high penetration of TANDEM trainings among their fellow staff members. An evaluation of the sustainability yielded heterogeneous results. Evaluation of impeding factors showed a reluctance among family caregivers to participate. Further studies with larger sample sizes and including all implementation outcomes are recommended.
{"title":"MultiTANDEM: Training the Trainer to Improve Homecare for People with Dementia","authors":"Anne Messemaker, A. Schall, J. Haberstroh, J. Pantel","doi":"10.1024/1662-9647/a000178","DOIUrl":"https://doi.org/10.1024/1662-9647/a000178","url":null,"abstract":"The MultiTANDEM system trains management staff at outpatient nursing facilities to be TANDEM trainers (i.e., multiplicators for social-skills training) of professional and family caregivers for people with dementia. We used a pre-post-1-post-2 follow-up design to evaluate intervention and implementation success. Results showed a significant increase in the communication skills of caregivers and a significant reduction in family caregiver burden. Analyses of the implementation showed high acceptability among multiplicators and a high penetration of TANDEM trainings among their fellow staff members. An evaluation of the sustainability yielded heterogeneous results. Evaluation of impeding factors showed a reluctance among family caregivers to participate. Further studies with larger sample sizes and including all implementation outcomes are recommended.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"30 1","pages":"165–175"},"PeriodicalIF":1.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57227406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-13DOI: 10.1024/1662-9647/a000175
J. Bohlken, S. Weber, A. Siebert, S. Forstmeier, T. Kohlmann, M. Rapp
We investigated the efficacy of reminiscence therapy (RT) on symptoms of depression in patients with mild to moderate dementia. Out of 227 patients with mild to moderate dementia from a specialized physician’s office, 27 pairs (N = 54; mean age 79.04 ± 6.16 years) who had either received treatment as usual (TAU) or TAU combined with RT, were matched retrospectively according to age as well as cognitive and depressive symptom scores. After controlling for age and sex, symptoms of depression significantly decreased over time in the RT group compared to TAU (F1,52 = 4.36; p < .05). RT is a promising option for the treatment of depression in mild to moderate dementia. Larger randomized-controlled trials are needed.
{"title":"Reminiscence Therapy for Depression in Dementia: An Observational Study with Matched Pairs","authors":"J. Bohlken, S. Weber, A. Siebert, S. Forstmeier, T. Kohlmann, M. Rapp","doi":"10.1024/1662-9647/a000175","DOIUrl":"https://doi.org/10.1024/1662-9647/a000175","url":null,"abstract":"We investigated the efficacy of reminiscence therapy (RT) on symptoms of depression in patients with mild to moderate dementia. Out of 227 patients with mild to moderate dementia from a specialized physician’s office, 27 pairs (N = 54; mean age 79.04 ± 6.16 years) who had either received treatment as usual (TAU) or TAU combined with RT, were matched retrospectively according to age as well as cognitive and depressive symptom scores. After controlling for age and sex, symptoms of depression significantly decreased over time in the RT group compared to TAU (F1,52 = 4.36; p < .05). RT is a promising option for the treatment of depression in mild to moderate dementia. Larger randomized-controlled trials are needed.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":"30 1","pages":"145–151"},"PeriodicalIF":1.0,"publicationDate":"2017-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41896852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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