Social and Behavioral Sciences Commons^™

An Exploration Of Dementia Friendly Communities From The Perspective Of Persons Living With Dementia, Catherine Hebert

Electronic Theses and Dissertations

The growing global prevalence of dementia coupled with a shift in public perception from a hopeless disease to the possibility of living well with dementia has led to the formation of dementia friendly communities (DFC). DFCs are a new phenomenon in the United States, with a gap in knowledge on input from people living with dementia (PLWD). This study investigated DFCs from the perspective of PLWD in Western North Carolina, with the following research questions:

1. How are interactions and relationships experienced by persons living with dementia in the community?
2. How is community engagement experienced by PLWD?
3. To what extent and …

Cognitive And Neurobiological Degeneration Of The Mental Lexicon In Primary Progressive Aphasia, Jet M. J. Vonk

Dissertations, Theses, and Capstone Projects

The ease with which we use the thousands of words in our vocabulary stands in stark contrast to our difficulty establishing how they are organized in our mind and brain. The breakdown of language due to cortical atrophy in primary progressive aphasia (PPA) creates conditions to study this organization at a cognitive and neurobiological level in that the three variants of this disease, namely non-fluent, logopenic, and semantic PPA, each bear their own signature of language-specific decline and cortical atrophy. As the impaired regions in each variant are linked to different lexical and semantic attributes of words, lexical decision performance …

Prospective Studies Of Cardiovascular Risk Factors And Mild Cognitive Impairment, Kevin Sullivan

Electronic Theses and Dissertations

The association of cardiovascular risk factors including hypertension, diabetes, cholesterol, kidney function, and arterial stiffness with cognitive impairment in older adults is a well-studied phenomenon. However, there is considerably less evidence relating cardiovascular health specifically to a diagnosis of Mild Cognitive Impairment (MCI). As a precursor state of dementia, MCI is characterized by a decline in cognitive function from previous level, but not to the degree that activities of daily living are impaired. Not everyone who is diagnosed with MCI will eventually transition to dementia, but the transition rates are much higher compared to the general population (5-15% per year …

Co-Localization Patterns Of Aquaporin-4 With Amyloid Beta And Cd68 In Alzheimer's Disease And Cerebrovascular Disease, Anthony Bryan Crum

Theses and Dissertations

Aquaporin-4 (AQP4) is a key component in maintaining proper glymphatic flow. In recent years, the glymphatic system has been discovered and approached as a major factor in amyloid plaque clearance in Alzheimer's disease. This study examines the depolarization of AQP4 from the astrocytic endfeet and subsequent co-localization with amyloid plaques in the hippocampus and subiculum. Results show a significant pattern of co-localization in advanced Alzheimer's disease, as well as increases in AQP4 in cerebrovascular disease. This pattern shows AQP4 should be approached as a promising therapeutic area in future research.

Transitional Care For Older Adults With Dementia: Variation Across Patients And Providers, Patricia Prusaczyk

Arts & Sciences Electronic Theses and Dissertations

Older adults with dementia are particularly vulnerable to negative outcomes and adverse events when they transition between healthcare settings such as being discharged from the hospital. However, little is known about how healthcare providers help patients prepare for a care transition – known as transitional care – among older adults with dementia. Therefore, this study sought to understand the transitional care currently delivered by hospital healthcare providers to older adults with dementia, how it compared to that received by older adults without dementia, and how it varied across different patient and provider characteristics. Guided by key provider/informant interviews and theory, …

Identifying And Mitigating Caregiver Burnout: The Role Of Adult Day Social Workers, Annika Grafstrom

Master of Social Work Clinical Research Papers

This qualitative research study will explore the role of adult day social workers in identifying and mitigating caregiver burnout. To collect data for this study, eight semi-structured interviews with adult day social workers were completed to analyze their experience with caregivers, their role in recognizing burnout and their response to caregivers experiencing burnout. A grounded theory methodology approach will be used to analyze data. This method will use an open-coding process that will lead to selective coding, which will assist in identifying and validating themes and concepts from the participant’s responses to interview questions. The findings from this study indicate …

Benefits Of Adult Day Services For Dementia Caregivers: A Systematic Review, Jessie Sorvaag Marg

Master of Social Work Clinical Research Papers

Dementia is a growing problem in the world; not only for those with the disease, but also for their families, friends, and caregivers. Adult day services can provide much needed respite for caregivers of people with dementia. This systematic review was devised to answer the question: what are the benefits of and how effective is adult day services as a form of respite for caregivers of persons with dementia? Searches for peer reviewed articles in SocINDEX, Social Work Abstracts, PsycINFO, and PubMed were performed using the terms “adult day services” or “adult day care” or “adult day health care” AND …

The Benefits Of Non-Pharmacological Interventions For Individuals With Dementia: A Systematic Review, Nicole Sintler

Master of Social Work Clinical Research Papers

Individuals with dementia experience many symptoms as the illness progress. Some of the common symptoms of dementia are memory loss, depression, anxiety, agitation, and aggression. Non-pharmacological interventions can help alleviate the common symptoms of dementia. Some of these interventions include therapies, relaxation techniques, and creative activities. This systematic review was designed to explore the research question: What are the benefits for non-pharmacological interventions for individuals with dementia? The systematic review used peer-reviewed articles that were published in the last eight years. The databases that were used in the review were PsychINFO, PubMed, and the search terms that were used were …

Activities And Quality Of Life For Persons With Dementia, Cassidy Rose

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study was conducted to better understand how activities may impact quality of life on dementia care units. Researchers observed dementia care units, and looked into how different activity types impacted emotional affect in the person with dementia, and how they elicited different levels of positive staff interaction. Results indicated that there were significantly higher levels of positive affect from participants on certain activity types, compared to no activity. Activities that had high levels of staff to client interactions had more positive affective outcomes. Researchers concluded that quality activities should consider the environment, staff ratio, staff communication and interaction, engagement …

Impact Of Antidementia Medications On Neuropsychiatric Symptoms And Informal Costs Of Caregiving In Dementia, Stephanie Behrens

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Dementia-related diseases are progressive neurological disorders that can affect a person’s cognition and functional abilities, and also result in mental health symptoms commonly called neuropsychiatric symptoms (NPS). To date, the most common pharmacological treatments for dementia, “antidementia” medications, delay the progression of the cognitive and functional symptoms of the condition. Studies of the effects of antidementia medications on NPS show varying results. Presence of NPS can also affect the amount of time caregivers provide care with persons with dementia, which can affect informal costs of the condition. This project used extant data from the longitudinal, population-based Cache County Study on …

Personal Constructs In Dementia Caregiving: The Family Caregiving Experience Of People Living With Dementia In Saudi Arabia, Eradah O. Hamad

Electronic Thesis and Dissertation Repository

As observed globally, family (informal and in-home) caregiving of older adults with Alzheimer’s disease or other forms of dementia has become a critical issue in the Arab region, including Saudi Arabia. This doctoral research psychometrically and conceptually evaluates an Arabic version of the Montgomery Borgatta Caregiver Burden Scale for use as a measurement tool to assess family caregivers of older adults living at home with dementia in Saudi Arabia. Currently, there is no published literature that addresses family caregiving for individuals with dementia in Saudi Arabia. Through further examination of family caregiving narratives, this research maps the personal and social …

Communicative Behaviors Elicited By Leisure Activities In Memory Care Units, Tarynn Clune

Honors Projects

A wide variety of leisure activities used in reminiscence care have been studied for their merits in terms of preventing cognitive decline, and increasing quality of life; however, little is known about what different types have to offer in terms of communicative opportunities. Communication with peers is imperative for quality of life, and is crucial for maintenance of relationships between the person with dementia (PWD) and their loved ones. As a result of this importance, an exploration of communication elicited by different activities facilitated in a unit was conducted. The communication explored in this study was solely vocal, and included …

Play It Again! Individualized Music Improves Social Interaction Of Women, But Not Men, With Dementia, Emily Farrer

Undergraduate Honors Thesis Collection

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 …

Use Of A Music And Memory Program By Caregivers Of Persons With Dementia, Barbara Mendez Campos

Honors Undergraduate Theses

Although use of personal music devices by persons with dementia and their caregivers is now widespread, there is limited literature concerning music and memory’s effects on caregivers for persons with dementia. Caregivers were provided an iPod by two respite agencies and were encouraged to use it with their care recipient. A mailed survey of 50 caregivers who received an IPod explored: (a) associations between use of an iPod and caregiver self-efficacy, burden, and care recipient functional abilities, and; (b) if the method of presenting the music playlist was associated with use of the iPod. Associations were examined for 10 complete …

Facilitating Environmental Enrichment In Senior Care Activities With Professional Development, Celia Mary Ross

Walden Dissertations and Doctoral Studies

There is little known about the current state of professional development and continuing education practices for empowering activity professionals to better enhance environmental enrichment in long term care. The purpose of this qualitative study was to explore the activity professional's perceived role and best strategies for professional development to enrich the long-term care environment. The study used social cognitive theory as its theoretical framework to develop research questions focused on the views of activity professionals concerning professional development and continuing education to support care for long-term care residents. Using a narrative approach, 9 activity professionals were recruited through networking at …

Using Music Intervention To Reduce Anxiety And Agitation For Dementia Residents In Long Term Setting, Sonia Brown

Walden Dissertations and Doctoral Studies

Abstract

Dementia is one of the degenerative conditions that present in old age with a decline in cognitive function resulting in changes in personality and the ability to carry out activities of daily living and social functions. Dementia is usually associated with behavioral disturbances that include anxiety and agitation that pose a challenge for family members or caregivers in an alternate home or care-related facility. The purpose of this project was to design and implement a quality improvement program to evaluate music therapy intervention for residents in a long-term care who have dementia. The aim was to evaluate if music …

Addressing Cognitive Decline: Evaluating The Effects Of A Cognitive Training Program For Individuals With Mild To Moderate Cognitive Impairment, Katherine Ann Stypulkowski

All Graduate Theses, Dissertations, and Other Capstone Projects

Cognitive training offers a nonpharmacological method for increasing or stabilizing cognitive functioning through the use of guided practice on a set of tasks designed to reflect particular cognitive functions, such as memory, attention, language, or executive function. The purpose of the current study was to evaluate the efficacy of a cognitive training program for individuals with mild to moderate cognitive impairment. Six participants who displayed mild to moderate cognitive impairment were recruited at a local care facility and participated in a cognitive training program that consisted of 24 sessions conducted over 12 weeks. At the request of the facility’s activities …

Effectiveness Of Cognitive Rehabilitation As Memory Intervention For Elderly Adults With Dementia, Luzviminda Salamat Morrow

Walden Dissertations and Doctoral Studies

Although cognitive rehabilitation is not a new field of intervention, as it dates back to the treatment of brain-injured soldiers during World War I, the use of cognitive rehabilitation intervention therapies for individuals with dementia and mild cognitive impairment has yet to draw definite conclusions about its effectiveness. Based on the conceptual framework of biopsychosocial theoretical model, this study explored to what extend cognitive rehabilitation intervention was effective in improving the memory and mood functioning of elderly adults with mild cognitive impairments. An archived data set of 216 elderly adults collected at a midwestern agency in the United States during …