Pub Date : 2022-01-01DOI: 10.1177/15333175221106901
J. Macoir
Dementia with Lewy bodies (DLB) is a major neurocognitive disorder (MNCD) that is primarily characterized by motor, cognitive, and behavioral symptoms. Although not dominant in the clinical portrait of DLB, impairments affecting language processing have been reported. It is sometimes challenging to differentiate DLB from Alzheimer’s disease and dementia associated with Parkinson’s disease in clinical practice. Therefore, a better comprehension of the typical clinical presentation of DLB may be useful to ease the medical diagnosis. In this article, current data on cognitive and language disorders in DLB are reported, with special attention paid to their primary or secondary functional origin. The main elements that should be considered for the neuropsychological and speech-language assessment of individuals with possible or proven DLB are also highlighted. Additional studies are needed, especially for language impairment, to obtain a more accurate portrait of the clinical presentation of DLB and characterize its progression.
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Pub Date : 2019-10-15DOI: 10.1177/1533317519880422
Hirotoshi Yamamoto, Y. Yokokohji
Objectives: Dementia Care Mapping (DCM) is an established practice method to implement Person-centred Care in dementia care settings. However, it is not easy to carry out DCM because of its high complexity. The aim of this study is to solve DCM complexity by adopting technology. Methods: Authors developed (1) a new information-communication technology (ICT) based DCM support system based on the investigation of difficulties and/or burden encountered during mapping (n = 33) and (2) a new evaluation test method, using role-play videos, for assessing the usefulness and reliability of the system. Mapping data, collected using the support system or the conventional paper-based DCM (n = 22), were compared. Results: We obtained users’ positive ratings of the system for burden reduction and its usability. Moreover, the developed prototype system indicated to have already reached the level of conventional paper-based DCM in terms of mapping accuracy. Conclusion: Usefulness of the ICT-based support system was confirmed to help overcome DCM complexity.
{"title":"Development of an ICT-Based Dementia Care Mapping Support System and Its Usefulness Assessment","authors":"Hirotoshi Yamamoto, Y. Yokokohji","doi":"10.1177/1533317519880422","DOIUrl":"https://doi.org/10.1177/1533317519880422","url":null,"abstract":"Objectives: Dementia Care Mapping (DCM) is an established practice method to implement Person-centred Care in dementia care settings. However, it is not easy to carry out DCM because of its high complexity. The aim of this study is to solve DCM complexity by adopting technology. Methods: Authors developed (1) a new information-communication technology (ICT) based DCM support system based on the investigation of difficulties and/or burden encountered during mapping (n = 33) and (2) a new evaluation test method, using role-play videos, for assessing the usefulness and reliability of the system. Mapping data, collected using the support system or the conventional paper-based DCM (n = 22), were compared. Results: We obtained users’ positive ratings of the system for burden reduction and its usability. Moreover, the developed prototype system indicated to have already reached the level of conventional paper-based DCM in terms of mapping accuracy. Conclusion: Usefulness of the ICT-based support system was confirmed to help overcome DCM complexity.","PeriodicalId":7526,"journal":{"name":"American Journal of Alzheimer's Disease & Other Dementias®","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79770781","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 : 2016-06-01DOI: 10.1177/1533317515619037
J. Howell, M. Parker, Thomas L. Jarrett, David L. Roberts, C. Dorbin, William T. Hu, BS Oretunlewa Soyinka
African American participation in Alzheimer’s disease (AD) research studies has been historically low. To determine whether older African Americans and Caucasians had different knowledge or attitudes related to AD, we administered the Alzheimer’s Disease Knowledge Scale (ADKS) to 67 older African Americans and 140 older caucasians in the greater Atlanta area as well as questions targeting locus of control over general health and AD risks. Older African Americans scored slightly lower on ADKS than older caucasians, with race only accounting for 1.57 (95% confidence interval [CI] 0.57-2.61, P < .001) points of difference in a multivariate model. Attitudes toward AD were also similar between the 2 groups but 1 (35.7%) in 3 adults reported control over general health but not AD risks. In addition to enhancing education content in outreach efforts, there is an urgent need to address the perception that future AD risks are beyond one’s own internal control.
非裔美国人参与阿尔茨海默病(AD)研究的比例一直很低。为了确定老年非洲裔美国人和白种人是否对阿尔茨海默病有不同的知识或态度，我们对大亚特兰大地区的67名老年非洲裔美国人和140名老年白种人进行了阿尔茨海默病知识量表(ADKS)，并针对一般健康和阿尔茨海默病风险的控制位点进行了问卷调查。年龄较大的非裔美国人在ADKS上的得分略低于年龄较大的白种人，在多变量模型中，种族仅占1.57点(95%置信区间[CI] 0.57-2.61, P < .001)的差异。两组对阿尔茨海默病的态度也相似，但3名成年人中有1人(35.7%)报告控制了一般健康状况，但没有患阿尔茨海默病的风险。除了加强宣传工作中的教育内容外，迫切需要解决未来AD风险超出自身内部控制的看法。
{"title":"Knowledge and Attitudes in Alzheimer’s Disease in a Cohort of Older African Americans and Caucasians","authors":"J. Howell, M. Parker, Thomas L. Jarrett, David L. Roberts, C. Dorbin, William T. Hu, BS Oretunlewa Soyinka","doi":"10.1177/1533317515619037","DOIUrl":"https://doi.org/10.1177/1533317515619037","url":null,"abstract":"African American participation in Alzheimer’s disease (AD) research studies has been historically low. To determine whether older African Americans and Caucasians had different knowledge or attitudes related to AD, we administered the Alzheimer’s Disease Knowledge Scale (ADKS) to 67 older African Americans and 140 older caucasians in the greater Atlanta area as well as questions targeting locus of control over general health and AD risks. Older African Americans scored slightly lower on ADKS than older caucasians, with race only accounting for 1.57 (95% confidence interval [CI] 0.57-2.61, P < .001) points of difference in a multivariate model. Attitudes toward AD were also similar between the 2 groups but 1 (35.7%) in 3 adults reported control over general health but not AD risks. In addition to enhancing education content in outreach efforts, there is an urgent need to address the perception that future AD risks are beyond one’s own internal control.","PeriodicalId":7526,"journal":{"name":"American Journal of Alzheimer's Disease & Other Dementias®","volume":"14 1","pages":"361 - 367"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91544100","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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