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The Use Of Behavior Skills Training And Behaviorally Based Interventions In Memory Care, Claire Gallagher

Masters Theses, 2010-2019

Abstract

The current study examines the effects of using Behavior Skills Training (BST), an evidenced-based practice for teaching, to train direct care staff members in a Memory Care Community to employ a multi-component, behaviorally-based intervention with residents that have a memory impairment. This study utilizes single case methodology with a stacked AB design replicated across three staff members, three residents, and three transition environments. The design is comprised of a baseline condition, training with BST, a post-training condition with in-vivo coaching, and a maintenance probe. Results include an increase in the percent independence with which staff participants accurately complete the …

The Effects Of A Dementia Simulation Experience On Attitudes Towards People With Dementia, Micah Huckabee

Health, Human Performance and Recreation Undergraduate Honors Theses

Introduction: The neurodegenerative effects of dementia resulting in cognitive and behavioral impairments is plausibly one of the reasons for a societal stigma towards individuals with dementia. Societal stigmas are associated with decreased life satisfaction, depressive symptoms, and decreased psychological well-being for stigmatized individuals. In an effort to improve attitudes towards individuals with dementia, this study utilized a dementia simulation to measure attitudinal changes after a dementia simulation. Methods: There were 33 participants in this study (13 male and 20 female) between the ages of 18 and 25. Participants completed a Dementia Attitudes Scale (DAS) survey, and then they dressed in …

A Sensory-Based Program To Enhance Occupational Performance For Dementia, Ivy Annahi Torres-Flores, Jacob Gantan, Heather Anne August, Naomi Grace Wong

Occupational Therapy | MSOT Capstone Projects

Dementia is a neurological disease, causing behavioral and cognitive symptoms, that progressively impairs an individual’s ability to engage in meaningful activities. Progressive deterioration associated with dementia impacts occupational performance and independence and quality of life. Sensory based interventions, such as drumming groups, have been hypothesized to be a non-pharmacological intervention for individuals with dementia. The purpose of this study was to analyze the effects of a sensory based intervention program, in this case participation in a drumming group, on functional engagement during self-feeding for individuals with dementia. Researchers gathered data over the course of two days using the Functional Behavior …

Dementia Education: What Are The Needs Of Post-Secondary Students In London, Ontario?, Tri Le

Student Work - Community Studies

Dementia is a chronic and progressive syndrome characterized by the disturbance of multiple brain functions. As of 2008, an estimated 500,000 Canadians will have a dementia diagnosis and is predicted to rise to 1.1 million Canadians in 2038. A lack of dementia awareness has been identified by McCormick Dementia Services. This study examines the current dementia knowledge of a small cross-section of post-secondary students in London, Ontario. A sample size of twenty-eight participants took an online survey in which students identified that they were able to recognize and had sufficient knowledge of dementia. The survey revealed that although adequate knowledge …

Vietnamese Family Caregivers’ Adjustment Process To Their Caregiving Roles For Family Members With Dementia, Trang Nguyen

Theses and Dissertations

This study explores the psychological process that Vietnamese family members go through to adjust to the caregiving role for their relatives with dementia. Adopting constructivist grounded theory, 30 face-to-face, semi-structured interviews, including 10 follow-up interviews, were conducted with 20 Vietnamese primary family caregivers of relatives with dementia from the National Geriatric Hospital in Vietnam. The study results reveal that Vietnamese family caregivers held limited understanding of dementia. They used a mixed explanatory model, combining both folk (e.g., dementia as normal aging) and biomedical approaches (e.g., dementia as a brain-related disease) to explain causes of dementia. Family cohesion and responsibility are …

Tobacco Smoking And Dementia In A Kentucky Cohort: A Competing Risk Analysis, Erin L. Abner, Peter T. Nelson, Gregory A. Jicha, Gregory E. Cooper, David W. Fardo, Frederick A. Schmitt, Richard J. Kryscio

Epidemiology and Environmental Health Faculty Publications

Tobacco smoking was examined as a risk for dementia and neuropathological burden in 531 initially cognitively normal older adults followed longitudinally at the University of Kentucky’s Alzheimer’s Disease Center. The cohort was followed for an average of 11.5 years; 111 (20.9%) participants were diagnosed with dementia, while 242 (45.6%) died without dementia. At baseline, 49 (9.2%) participants reported current smoking (median pack-years = 47.3) and 231 (43.5%) former smoking (median pack-years = 24.5). The hazard ratio (HR) for dementia for former smokers versus never smokers based on the Cox model was 1.64 (95% CI: 1.09, 2.46), while the HR for …

Toward An Understanding Of Behavioral And Sensory Experiences When Living With Dementia And Related Disorders: An Environmental Gerontology Perspective, Elizabeth K. Rhodus

Theses and Dissertations--Gerontology

Behavioral and psychological symptoms of dementia create challenges for those living with neurodegenerative cognitive impairment and their care partners. Pharmacological approaches for treatment of challenging behaviors seen in dementia have limited success and serious side effects. Because of this, nonpharmacological approaches are being investigated with increasing frequency. Of particular interest are nonpharmacological approaches involving environmental stimulation to change behaviors. Success of such approaches relies on sensory processing systems, personal preferences, and environmental congruence. There is limited evidence describing behaviors of persons with cognitive impairment in relation to these components. Currently, there is no guiding model for implementation of environmental and …

Synthesis Of The Literature: Variables Influencing Caregiver Use Or Nonuse Of Supportive Services, Kristina M. Childers

Faculty & Staff Scholarship

Two out of three caregivers (CGs) of persons with dementia (PWD) living in the community do not use supportive services or resources, and three out of four underutilize available support. These findings are troubling because CGs report many unmet needs in providing support to PWD. What predisposing, enabling, and need variables influence CGs to use or not use support services are poorly understood. This article reviews the literature on CG of PWD to find characteristic variables that are related to CG's decisions to use or not use support services. Instruments used in research studies were named to determine recommendations for …

Cognitive And Functional Status Of Persons Newly Enrolled At Dementia-Specific Adult Day Centers And Burden Of Their Caregivers, David A. Chiriboga, Nan S. Park, Karen Gilbert, Victor A. Molinari, Mary Barnes

Child and Family Studies Faculty Publications

Background and Objectives: Recognizing the important role that dementia-specific adult day centers have in maintaining persons with a neurocognitive disorder in their home, this article examines three critical indicators at the time when people first enroll in such a center: cognitive and functional impairment of the enrollee, and burden reported by their family caregivers. We also considered variations in these 3 indicators by race/ethnicity and by the relationship of caregiver to the new enrollee.

Research Design and Methods: We conducted a secondary analysis of data collected by a nonprofit organization operating 11 dementia-specific adult day centers located on the east …

Staff Education Intervention To Enhance Care Planning For Older Adults, Mozhgan Peiravi

Walden Dissertations and Doctoral Studies

The increased prevalence of cognitive deterioration has increased the challenges of caring for older adults. This study's project site offers a psychiatric program for older adults with customized care for complex geriatric mental health patients. Clinical assessment and care management are often overlooked in geriatric mental health patients diagnosed with behavioral and psychological symptoms of dementia (BPSD). The purpose of this project was to deliver an education program developed from the Staff Training in Assisted Living Residences-Veterans Administration, P.I.E.C.E.S model and the Castle framework to 42 nursing and allied health staff of the project site. The project question explored whether …

Unmet Support Needs Of Informal Caregivers Of Older Adults, Julie Ann Smith Hinders

Walden Dissertations and Doctoral Studies

Due to projected growth of the 65-and-older population and concerns of an impending care gap, reliance on informal caregivers is expected to increase. Improving support for informal caregivers is viewed as a national priority, yet research related to the unmet support needs of informal caregivers is limited. The purpose of this cross-sectional correlational study was to examine predictive relationships between contextual factors (caregiving relationship and type of illness) and environmental factors (rurality) and the unmet support needs (classes, service access, support groups, counseling, and respite) of informal caregivers of older adults. The theoretical framework was Bronfenbrenner's ecological systems theory. Archival …

The Effects Of Elderspeak On The Mood Of Older Adults With Dementia: A Preliminary Report, Kenia Torres-Soto

All Graduate Theses, Dissertations, and Other Capstone Projects

Barriers to effective and harmonious communication between caregivers and those affected with dementia are common and inevitable. An example of a common barrier is aphasia, which is a prevalent communication deficit associated with dementia. The social environment may further hinder harmonious communication through the use of well-intended, but ineffective speech patterns. Elderspeak (ES), which is infantilizing speech directed at older adults, is one such speech pattern that is commonly used in long-term care facilities (LTC) and is related to negative outcomes for older adults receiving it. Older adults with mild to moderate cognitive impairment who were residents at a LTC …

Livable Sudbury: A Community Needs Assessment, Caitlin Coyle, Jan Mutchler, Sue Berger, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

The Livable Sudbury Initiative is based on a distinctive framework meant to ensure that Sudbury is and remains an all-age and dementia-friendly place in which to live, work, and play. Structured around livability principles embedded in the Age-Friendly Community framework, the Livable Sudbury Initiative is designed to intersect with and inform other ongoing efforts, including development of the Sudbury Master Plan and a 14-town collaborative effort of the Minuteman Advisory Group on Interlocal Coordination (MAGIC) to advance regional age-friendly planning. The Sudbury framework considers physical infrastructure as well as social and service environments as it seeks to strengthen livability for …

Linking Communicative Interaction To Cognitive Functioning: Implications For Older Adults, Denise Calhoun

Theses and Dissertations

As the percentage of older adults within the U.S. steadily increases, long-term care options are being impacted with growing numbers of seniors to provide for. The reality of these elevated numbers have sparked an interest in researchers to conduct studies on human development, plasticity in the brain, and training and intervention programs in search for ways to halt or lessen the cognitive and communicative decline, in older adults. As an alternative path to help older adults maintain quality of life, this study proposes to examine the link between communicative interaction and cognitive functioning to educate family members and healthcare providers …

Racial/Ethnic And Nativity Differences In Cognitive Life Expectancies Among Older Adults In The United States, Marc A. Garcia, Brian Downer, Chi-Tsun Chiu, Joseph L. Saenz, Sunshine Rote, Rebeca Wong

Department of Sociology: Faculty Publications

Background and Objectives: To document racial/ethnic and nativity differences by gender in cognitive life expectancies among older adults in the United States.

Research Design and Methods: Sullivan-based life tables were used to estimate cognitively normal, cognitively impaired/ no dementia (CIND), and dementia life expectancies by gender for White, Black, U.S.-born Hispanic, and foreign-born Hispanic adults 50 years and older in the Health and Retirement Study.

Results: Among women, the number of years spent living with dementia for Whites, Blacks, U.S.-born Hispanics, and foreign-born Hispanics was 1.6, 3.9, 4.7, and 6.0 years, respectively. For men, Whites lived 1.1 years with dementia …

A Psychoeducational Support Group For Family Caregivers Of Elders With Major Neurocognitive Disorder/ Dementia, Brooke D. Katz

Doctor of Nursing Practice Projects

Background: Dementia is a major public health problem impacting an estimated 65.7 million people worldwide by 2030. It primarily occurs in the elderly population (over age 65) and also affects family caregivers, who often experience significant stress and burden. A psychoeducational support group may be an easy and cost-effective solution to caregiver stress and financial burden.

Objective: To determine whether or not there is an effect on self-reported stress and burden on family caregivers of elders with dementia (EWD) of a voluntary psychoeducational support group in the setting of Assisted Living, Memory Support, and Skilled Nursing led by a psychiatric …

Experiences Of Formal Caregivers Providing Dementia Care To American Indians, Damon Grew Peter Syphers, C.J. Schumaker, Ronald P. Hudak

Journal of Sustainable Social Impact

Alzheimer’s disease (AD) is a significant public health concern for all elders in the United States. It is a particular concern for the American Indian (AI) population, which is one of the fastest aging populations in the United States and the smallest, most underrecognized, and most culturally diverse group in the country. A formal caregiver understanding of AD in the AI population is scarce. This phenomenological study was designed to discern what is known about AD in the AI population by exploring the cultural beliefs and experiences of formal caregivers who provide care for AI dementia patients. Specifically, this study …

The Manzano Movement Method (M3): Development Of A Dance/Movement Therapy-Influenced Seated Ballroom Dance Program For Adult Day Services For Persons With Dementia, Joshua Reese "Zano" Manzano

Creative Arts Therapies Theses

The purpose of this thesis was to develop a dance/movement therapy (DMT)-influenced seated ballroom dance program for adult day services for persons with dementia. This program development project, named the Manzano Movement Method (M3), aims to support quality of life by encouraging creative expression, reminiscence and socialization. M3 explored how seated ballroom dance can support the quality of life for this population via six different lessons of the following dances: waltz, cha cha, rumba, tango, foxtrot and swing. It also explored how the program can be utilized by care providers that are not dance/movement therapists. With collaborator help—stakeholders at an …

Effects Of A Robotic Cat On Agitation And Quality Of Life In Individuals With Dementia In A Long-Term Care Facility, Jillian Nicole Marsilio, Samantha Virginia Mckittrick, Lisa Renee Umbell, Melissa Ann Garner, Sharon Maiewski, Jeanne Wenos

Physician Assistant Capstones, 2016 to 2019

Study Objective: The purpose of this study is to determine whether introducing a robotic companion cat into a long term care facility may improve affect and, subsequently, increase participation for residents with dementia, and to determine potential benefits for caregiver roles and relationships with individuals with dementia.

Background: The number of people with dementia is growing, and the behavioral and psychological side effects are negatively affecting the quality of life for these people as well as their caregivers. Additional research is needed to help develop and confirm the use of nonpharmacological treatment for dementia with therapeutic robots.

Study Subjects: Research …

Competence In Dementia Care Among Nurses Working In Acute Care Settings, Jing-Jy Wang, Chun-Hui Hsiao

International Nursing Research Congress (INRC)

This study is a preliminary investigation of competence in dementia care among nurses in South Taiwan. It can be a benchmark for nurse training and education which help nurses achieve effective dementia care and improve the overall quality of care at hospitals.

Effect Of Aspirin On Disability-Free Survival In The Healthy Elderly, John J Mcneil, Robyn L Woods, Mark R Nelson, Christopher M Reid, Brenda Kirpach, Rory Wolfe, Elsdon Storey, Raj C Shah, Jessica E Lockery, Andrew M Tonkin, Anne B Newman, Jeff D Williamson, Karen L Margolis, Michael E Ernst, Walter P Abhayaratna, Nigel Stocks, Sharyn M Fitzgerald, Suzanne G Orchard, Ruth E Trevaks, Lawrence J Beilin, Geoffrey A Donnan, Peter Gibbs, Colin I Johnston, Joanne Ryan, Barbara Radziszewska, Richard Grimm, Anne M Murray

Faculty, Staff and Student Publications

BACKGROUND: Information on the use of aspirin to increase healthy independent life span in older persons is limited. Whether 5 years of daily low-dose aspirin therapy would extend disability-free life in healthy seniors is unclear.

METHODS: From 2010 through 2014, we enrolled community-dwelling persons in Australia and the United States who were 70 years of age or older (or ≥65 years of age among blacks and Hispanics in the United States) and did not have cardiovascular disease, dementia, or physical disability. Participants were randomly assigned to receive 100 mg per day of enteric-coated aspirin or placebo orally. The primary end …

Wenham Connects: An Age And Dementia Friendly Needs Assessment, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

Wenham is a small residential community of approximately 5,000 residents located about 22 miles north of Boston. Public transit access to downtown Boston located in the neighboring town of Hamilton provides access to employment and recreational activities outside of the town’s boundaries. In addition, Wenham is home to abundant green space (e.g., wetland systems and Wenham Lake) that provide residents with opportunities to enjoy the natural beauty of the area. The Wenham Council on Aging (COA)is a municipal department designed to serve the needs of Wenham’s residents age 60 and older. It is responsible for advocating on behalf of Wenham’s …

Advance Care Planning In A Dementia Specialty Practice, Valerie T. Cotter, Maryam Hasan, Jheesoo Ahn, Chakra Budhathoki, Esther Oh

International Nursing Research Congress (INRC)

Participants attending this session will learn about a project aimed to enhance the rate of advance care planning (ACP) conversations in a dementia specialty practice by increasing physician knowledge, skill and confidence in having ACP conversations and using relevant Medicare codes.

Evaluating The Influence Of Time Of Day On Activity Engagement In Persons With Dementia, Darienne E. Boyden

USF Tampa Graduate Theses and Dissertations

Dementia is a serious disease affecting a growing number of people. With the onset of dementia comes a decline in social activity engagement which can negatively impact multiple aspects of a person’s life. Research suggests that time of day may influence activity engagement of a person with dementia, but such research is limited. The purpose of this study was to evaluate the influence of time of day on engagement in activities in persons diagnosed with dementia. The secondary purpose of this study was to assess the validity of preference assessments in individuals diagnosed with dementia and determine if low preference …

Global Collaboration For Interprofessional Education On Dementia And Driving Decision Aid, Diane Pastor, Victoria Traynor

International Nursing Research Congress (INRC)

This project presents views of U.S. persons with dementia, caregivers and practitioners on the suitability of the Australian-specific Dementia and Driving Decision Aid to a U.S. audience. Integration of the results of this study into graduate nursing education curricula will enhance care of community dwelling persons with dementia.

The Use Of Smartphone In Older People With Early Dementia For Outdoor Way-Finding: Pilot Study, Rick Y. C. Kwan

International Nursing Research Congress (INRC)

This study is about the use of smartphone in older people with early dementia (PWeD) for outdoor way-finding. After attending this session, participants are expected to understand the feasibility issues and acceptability of using smartphone to assist outdoor navigation, hopefully to resolve way-finding difficulties and promote independence in PWeD.

Lived Experience Of Ethnic Minority Caregivers Supporting A Family Member With Dementia: A Scoping Review, Joanne Brooke, Debra Jackson

International Nursing Research Congress (INRC)

This presentation will provide information on the results of an extended scoping review which explored the lived experience of ethnic minority caregivers supporting a family member with dementia.

Integration Of Teepa Snow's Positive Approach® To Care Into Multidisciplinary Health Professions Courses, Pamela Thomas, Katie Ehlman, Jennifer Nunning

General Submissions: Presentations (Oral and Poster)

In 2015 over 46 million people worldwide were living with dementia; a number expected to affect 131.5 million people by 2050 (Alzheimer's Association, 2015). Up to 90% of people living with dementia in health care settings experience symptoms of aggression, agitation, anxiety, sexual disinhibition, and wandering (Surr et al., 2016) and require staff knowledge and skill to be adequately cared for. To improve knowledge and skills of undergraduate students in a college of nursing and health professions, three faculty members at a midsize university attended Teepa Snow's Positive Approach® to Care (PAC) Certification course. Faculty achieved certification as PAC trainers …

Meeting Spiritual Needs Through Dance/Movement Therapy When The Mind Dissipates In Dementia: Development Of A Method, Mallory Barnes

Expressive Therapies Capstone Theses

The question of how identity is affected when diagnosed with dementia is explored in this capstone thesis. With the rise of dementia diagnoses (Goldstein-Levitas, 2016) there is a need for understanding effective approaches to care as emotional components remain intact. The literature highlights the essence of personhood and how person-centered care (PCC) is essential to preventing isolation and impacting a sense of self and well-being (Killick, 2004). Meeting spiritual needs in the sense of hope and purpose may also improve quality of life and delay symptoms. Dance/movement therapy (DMT) is specifically highlighted as an effective approach as sessions incorporate the …

Individualized Music Improves Social Interaction Of Women, But Not Men, With Dementia, Emily Farrer, Diana Hilycord

Butler Journal of Undergraduate Research

Dementia is tragic both for patients with the disease and for their family members. As this neurodegenerative disorder progresses, cognitive functions deteriorate, agitation and aggression increase, and mood worsens (McDermott, Orrell, et al., 2014; Spiro, 2010; Vasionyté & Madison, 2013). Non-pharmacological approaches, such as active music therapy or passive music listening, can be effective in reducing these symptoms. However, no past studies have examined how music listening affects the social interactions of patients with dementia. As such, this study examined whether nursing home residents with dementia are more engaged and interactive if they listen to individually selected music for 15 …