Social and Behavioral Sciences Commons^™

Memory Deficits In Older Adults: Evaluating Spaced Retrieval With Multiple Probe Techniques, Christopher Walmsley

Dissertations

Difficulties in recognizing and remembering the names of individuals are a common behavioral symptom of major neurocognitive disorder. A number of behavioral strategies have been proposed to improve memory deficits, including spaced retrieval, an intervention that emphasizes delayed recall of target information. Unfortunately, many of the studies that report beneficial effects of spaced retrieval use a very limited range of outcome measures, thus calling into question the magnitude and generality of any reported memory improvement. This study reports on the impact of spaced retrieval using four older adults with cognitive impairment living in an assisted living facility. All participants demonstrated …

Medication Non-Adherence In Community Dwelling Older Adults With Dementia: An Educational Intervention For Family Caregivers, Nika Renee George

Dissertations

Older adults with neurocognitive disorders are at high risk for medication non-adherence, while being vulnerable to great injury from regimen deviations. Informal caregivers often aid in healthcare management for these individuals. The current study compared the efficacy of two online health education interventions designed to increase caregiver health related knowledge for use with care recipients. Women (N=35) assisting a cognitively impaired older person with medications were randomly assigned to one of two online health education conditions (1) written materials and narrative vignettes depicting actors encountering common medication challenges or (2) written materials and didactic video clips of information from medical …

Influence Of Caregiver Activation On Health Of Informal Caregivers Of Persons With Alzheimer’S, Trinity Rose Parker

Doctor of Psychology (PsyD)

Abstract Caregiver activation is related to a caregiver’s knowledge, skill and confidence to provide multiple levels of care of another individual. To date there is little research assessing caregiver activation within the population of informal caregivers of Alzheimer’s patients. Forty-four informal caregivers of persons with Alzheimer’s were recruited through caregiver resource centers and online communities in the state of Oregon, completed a self-report survey. The purpose of this study was to identify the predictive qualities and influence of caregiver activation on informal caregiver physiological and psychological health as well as positive health behaviors. General health, emotional wellbeing, self-efficacy, and caregiver …

Investigating The Theory Of Ambiguous Loss: The Role Of Ambiguity Tolerance In Pre-Death Grief For Caregivers Of Individuals With Dementia, Megan Kale-Cheever

Graduate Theses and Dissertations

This thesis sought to investigate the relationship between ambiguity tolerance and caregiver grief within the framework of ambiguous loss theory. Thirty-one family caregivers completed a quantitative survey comprising two pre-existing scales and several demographic questions designed to assess level of ambiguity tolerance, level of grief, caregiver age and gender, type of relationship to the care recipient, living situation, length of caregiving career, level of Social support and frequency of difficult behaviors. Quantitative data analysis revealed that while no relationship existed between total ambiguity tolerance and total caregiver grief, a modest, inverse relationship exists between tolerance toward general-type ambiguity and burden, …

Depression And Spiritual Predictors Of Wellness In Family Caregivers Of Individuals With Alzheimer’S Disease, Christine Green

Doctor of Psychology (PsyD)

This study investigated the role of spirituality in family caregivers of individuals with Alzheimer’s disease as a means of lessening the development of depressive symptomology arising through caregiver burden. For this study, there were 41 caregiver participants taking care of a family member with Alzheimer’s disease. The population was obtained through various divisions of the Alzheimer’s Association of the United States of America. Participants completed a basic demographic survey, the General Well-Being Schedule, the Patient Health Questionnaire- 9, and the Spiritual Experience Index. Two groups, religious and non-religious, had their mental health functioning compared. Results from the 41 surveys suggest …

Dementia Caregiver Personality Traits And Coping Strategies: Association With Care Recipient Outcomes, Christine M. Snyder

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study examined the potential impact of dementia caregivers’ personality traits and utilization of coping strategies on care recipients’ development of severe dementia, institutionalization, and mortality. Generally, the personality traits and coping strategies were not predictive of care recipient outcomes, especially related to the institutionalization of care recipients. However, increased caregiver use of Avoidance predicted time to care recipient development of severe dementia, while increased use of Counting Blessings reduced risk of mortality.

This research was conducted using extant data from a community-wide study examining factors that affect dementia progression. All data were collected by a research nurse and a …

Reporting Practices, Knowledge And Opinion Of Policy Regarding Drivers With Dementia Among Arkansas Neurologists And Geriatricians, Erika Martin Gergerich

Graduate Theses and Dissertations

Background: States have various policies regarding a physician's ability or responsibility to report at-risk drivers with dementia to the Department of Motor Vehicles (DMV). Some states have mandatory reporting policies, others have optional reporting policies and some have no policy regarding this issue. Arkansas has no reporting policy regarding drivers with dementia to the DMV. Therefore, physicians in Arkansas face the risk of liability if they report a patient against their will to the DMV in good faith. Neurologists and geriatricians are often in a position to diagnose and treat individuals with dementia. Research Questions: The following three research questions …

An Assessment Of The Therapeutic Fib: The Ethical And Emotional Role Of Therapeutic Lying In The Caregiving Of Alzheimer's Disease Patients By Non-Medical Caregivers, Dina Green

Dissertations, Theses, and Capstone Projects

This study qualitatively assesses the various aspects of the use of the therapeutic lie in care giving for Alzheimer's Disease patients while examining the ethics of lying associated in and out of the medical setting. The objectives of this study are to: gain an understanding of the role therapeutic lying plays in the care given by non-medical caregivers through a series of focus groups and interviews; examine the moral and emotional issues related to the use of this practice with a focus on non-medical caregivers; gather knowledge of the use of therapeutic lying in order to improve care for Alzheimer's …

Improving The Experiences Of Informal And Formal Alzheimer's Disease And Dementias Caregivers, Roxroy Anthony Reid

Walden Dissertations and Doctoral Studies

Informal and formal caregivers of persons with Alzheimer's disease and related dementias (ADRD) encounter a more difficult and unique set of challenges than do caregivers of individuals with general disabilities. If adequate caregiver supports are not provided, caregivers may experience increased strain as the disease progresses, increasing the likelihood of unnecessary institutionalization of their care recipients and increasing the cost to the public. Using rational choice theory and political systems theory, the purpose of this study was to differentiate between the phenomenological experiences of formal and informal caregivers of ADRD patients. The overall research was a qualitative design that used …

Multi-Sensory Stimulation Environments For Use With Dementia Patients: Staff Perspectives On Reduction Of Agitation And Negative Behaviors, Megan Houston

Graduate College Dissertations and Theses

Background: Dementia is a degenerative neurological disorder that afflicts a growing proportion of the global population. Complementary alternative medicine (CAM) modalities are under investigation for their therapeutic value in the management of dementia.

Purpose: Nursing care of dementia sufferers can include managing agitation and negative behaviors; this study investigates staff appraisal of the Multi-Sensory Stimulation Environment (MSSE) as an intervention for these nursing challenges.

Methods: A purposive sample of nursing staff employed in residential care for dementia patients were recruited 10 weeks after the initiation of an open-access MSSE at the facility to complete a confidential self-administered questionnaire.

Results: 79% …