Association between patterns of multiple chronic conditions and cognitive impairment in community‐dwelling older adults in Taiwan

Community-dwelling older adults have raised the scientific community’s interest during the COVID-19 era as their chronic conditions might be aggravated by the consequences of confinement. Digital devices in this field to monitor cognitive impairment are an emerging reality of an innovative nature. However, some groups may not have benefited from these developments as much as, for example, younger people. The aim of this manuscript is to carry out a review on the development of digital devices, and specifically virtual assistants, for the detection of cognitive impairment in older adults. After a screening process, eight studies were found under the given criteria, and this number was even smaller for those using virtual assistants. Given the opportunities offered by virtual assistants through techniques such as natural language processing, it seems imperative to take advantage of this opportunity for groups such as older adults.

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Self-Management of Multiple Chronic Conditions by Community-Dwelling Older Adults: A Concept Analysis

SAGE Open Nursing ◽

10.1177/2377960817752471 ◽

2018 ◽

Vol 4 ◽

pp. 237796081775247 ◽

Cited By ~ 6

Author(s):

Anna Garnett ◽

Jenny Ploeg ◽

Maureen Markle-Reid ◽

Patricia H. Strachan

Keyword(s):

Older Adults ◽

Disease Management ◽

Chronic Conditions ◽

Concept Analysis ◽

Community Dwelling ◽

Self Management ◽

Multiple Chronic Conditions ◽

Complex Process ◽

Health And Disease ◽

Community Dwelling Older Adults

The proportion of the aging population living with multiple chronic conditions (MCC) is increasing. Self-management is valuable in helping individuals manage MCC. The purpose of this study was to conduct a concept analysis of self-management in community-dwelling older adults with MCC using Walker and Avant’s method. The review included 30 articles published between 2000 and 2017. The following attributes were identified: (a) using financial resources for chronic disease management, (b) acquiring health- and disease-related education, (c) making use of ongoing social supports, (d) responding positively to health changes, (e) ongoing engagement with the health system, and (f) actively participating in sustained disease management. Self-management is a complex process; the presence of these attributes increases the likelihood that an older adult will be successful in managing the symptoms of MCC.

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Characteristics of Older Adults who Receive Assistance with Management of Multidrug Regimens

Innovation in Aging ◽

10.1093/geroni/igab046.2777 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 754-755

Author(s):

Rachel O'Conor ◽

Julia Yoshino Benavente ◽

Mogan Eifler ◽

Lauren Opsasnick ◽

Laura Curtis ◽

...

Keyword(s):

Older Adults ◽

Cognitive Impairment ◽

Health Literacy ◽

Cognitive Aging ◽

Chronic Conditions ◽

Clinical Care ◽

Medication Management ◽

Patient Activation ◽

Community Dwelling ◽

Multiple Chronic Conditions

Abstract Many older adults manage multiple chronic conditions requiring adherence to multidrug regimens, yet half are non-adherent, increasing their risk of hospitalization for poorly controlled chronic conditions. Few studies have investigated whether caregivers support medication-related behaviors of community-dwelling older adults. We interviewed 97 patient-caregiver dyads participating in a cognitive aging cohort study to identify factors associated with caregiver assistance in managing multidrug regimens. Patients completed a neuropsychological battery covering five cognitive domains. Health literacy and patient activation were measured using the Newest Vital Sign and Consumer Health Activation Index, respectively. Caregivers reported their medication-related involvement. Predictors of involvement in medication-related tasks were examined using logistic regression models. Patients were on average 71 years old, managing 4 comorbidities and prescribed 5 medications. The majority were female (73%) and identified as Black (46%) or White (47%). Caregivers’ mean age was 65 years; half were female (53%), were predominantly spouses (57%) or children (26%), and lived with the patient (61%). 31% of caregivers ordered patients’ prescribed medications, 40% helped manage their medications, and 50% spoke with the patient’s clinician about their clinical care. Cognitive impairment (OR 2.60, 95% CI 1.08-6.25), limited health literacy (OR 2.97, 95% CI 1.26-6.97), and ≥3 comorbidities (OR 2.14, 95% CI 1.06-9.30) were associated with medication management assistance. Patient activation, gender, cohabitation, or relationship were not associated. These findings suggest that caregivers are assisting with older adults’ medication management and should be included in clinical discussions about medication management, especially among patients with cognitive impairment, low health literacy or multimorbidities.

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Nonsymptomatic Factors More Strongly Associated with High-Quality End-of-Life Care than Symptomatic Factors for Community-Dwelling Older Adults with Multiple Chronic Conditions

Journal of Palliative Medicine ◽

10.1089/jpm.2018.0389 ◽

2019 ◽

Vol 22 (5) ◽

Cited By ~ 2

Author(s):

Gayle Kricke ◽

Donna Woods ◽

Alicia Arbaje ◽

Neil Jordan

Keyword(s):

Older Adults ◽

End Of Life ◽

End Of Life Care ◽

Chronic Conditions ◽

Community Dwelling ◽

Multiple Chronic Conditions ◽

Life Care ◽

High Quality ◽

Community Dwelling Older Adults

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Overcoming Recruitment Challenges for Securing a Survey Sample of Caregivers of Community-Dwelling Older Adults with Multiple Chronic Conditions

Journal of Human Health Research ◽

10.14302/issn.2576-9383.jhhr-17-1787 ◽

2017 ◽

Vol 1 (1) ◽

pp. 16-24 ◽

Cited By ~ 1

Author(s):

Allison Williams ◽

Wendy Duggleby ◽

Jenny Ploeg ◽

Maureen Markle-Reid ◽

Jilan Yang

Keyword(s):

Older Adults ◽

Chronic Conditions ◽

Community Dwelling ◽

Multiple Chronic Conditions ◽

Recruitment Challenges ◽

Survey Sample ◽

Community Dwelling Older Adults

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Usability and acceptability of technology for community-dwelling older adults with mild cognitive impairment and dementia: a systematic literature review

Clinical Interventions in Aging ◽

10.2147/cia.s154717 ◽

2018 ◽

Vol Volume 13 ◽

pp. 863-886 ◽

Cited By ~ 36

Author(s):

Torhild Holthe ◽

Liv Halvorsrud ◽

Dag Karterud ◽

Kari-Anne Hoel ◽

Anne Lund

Keyword(s):

Older Adults ◽

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Literature Review ◽

Systematic Literature Review ◽

Community Dwelling ◽

Community Dwelling Older Adults

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Do Communication Patterns Affect the Association between Cognitive Impairment and Hearing Loss among Older Adults in Vietnam?

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041603 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1603

Author(s):

Tran Dai Tri Han ◽

Keiko Nakamura ◽

Kaoruko Seino ◽

Vo Nu Hong Duc ◽

Thang Van Vo

Keyword(s):

Older Adults ◽

Hearing Loss ◽

Cognitive Impairment ◽

Cognitive Function ◽

Vision Loss ◽

Community Dwelling ◽

Cross Sectional ◽

Ordinal Logistic Regression Analysis ◽

Communication Devices ◽

Community Dwelling Older Adults

This study examined the prevalence of cognitive impairment among older adults in central Vietnam and the roles of communication (with or without communication devices) in the association between cognitive impairment and hearing loss. This cross-sectional study was performed on 725 randomly selected community-dwelling older adults aged ≥60 years from Thua Thien Hue province, Vietnam. Participants attended a face-to-face survey. Sociodemographic characteristics, social interaction with or without communication devices, health status and cognitive function using the Mini-Mental State Examination were reported. Ordinal logistic regression analysis was performed to quantify the association between hearing loss and cognitive function by frequency of communication with and without devices. Mild and severe cognitive impairment had prevalence rates of 23.6% and 19.3%, respectively. Cognitive impairment was more prevalent among older adults with hearing-loss, vision loss and difficulties with instrumental activities of daily living (IADL). The association between hearing loss and cognitive impairment was not significant when older adults had frequent communication with others using devices. This study presented the relatively high prevalence of cognitive impairment in community-dwelling older adults in Vietnam. Frequent communication using devices attenuated the association between hearing loss and cognitive impairment.

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Anxiety, Depression, and 1-Year Incident Cognitive Impairment in Community-Dwelling Older Adults

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.2011.03521.x ◽

2011 ◽

Vol 59 (8) ◽

pp. 1421-1428 ◽

Cited By ~ 49

Author(s):

Olivier Potvin ◽

Hélène Forget ◽

Sébastien Grenier ◽

Michel Préville ◽

Carol Hudon

Keyword(s):

Older Adults ◽

Cognitive Impairment ◽

Community Dwelling ◽

Anxiety Depression ◽

Community Dwelling Older Adults

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The Brief Odor Detection Test (B-ODT) for Very Early Diagnosis of Cognitive Decline: A Preliminary Study

Brain Impairment ◽

10.1017/brimp.2017.7 ◽

2017 ◽

Vol 18 (2) ◽

pp. 197-210

Author(s):

Dimitra Savvoulidou ◽

Efthymia Totikidou ◽

Chariklia Varvesiotou ◽

Magda Iakovidou ◽

Ourania Sfakianaki ◽

...

Keyword(s):

Older Adults ◽

Cognitive Impairment ◽

Cognitive Decline ◽

Adult Population ◽

Detection Threshold ◽

Community Dwelling ◽

Odor Detection ◽

Olfactory Impairment ◽

Older Adult Population ◽

Community Dwelling Older Adults

Olfactory impairment in older adults is associated with cognitive decline. This study describes the development of a Brief Odor Detection Test (B-ODT), and its pilot administration in community-dwelling older adults. The study aimed at examining whether the test could differentiate older adults with very mild cognitive impairment from their cognitively healthy counterparts. The sample consisted of 34 older adults (22 women), aged from 65 to 87 years. Participants were divided into two groups according to their general cognitive functioning. Odor detection was measured via vanillin solutions at the following concentrations: 150 mg/L, 30 mg/L, 15 mg/L, 3 mg/L, and .03 mg/L. The first condition of the test involved a scale administration of vanillin solutions. The second condition examined the change in air odour and it required vanillin solution of 30 mg/L and a metric ruler of 30 cm. The examiner had to place the solution at a specific distance point from each nostril. Odour identification sensitivity was secondarily measured. The results showed statistically significant differences in odour detection threshold between the two groups. In the unirhinal testing, left nostril differences of the two groups were definite. Hence, the B-ODT seems a promising instrument for very early cognitive impairment screening in older adult population.

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