Comprehensible Video Acquisition for Caregiving Scenes—How Multimedia Can Support Caregiver Training

BACKGROUND: Work-related musculoskeletal disorders are prevalent in dental hygienists. Although engineering controls and ergonomic training is available, it is unclear why this intransigent problem continues. One possible barrier is that a comprehensive, standardized protocol for evaluating dental hygiene work does not exist. OBJECTIVE: This study aimed to generate a valid and reliable observational protocol for the assessment of dental hygiene work. METHODS: An iterative process was used to establish and refine an ecologically valid video acquisition and observation protocol to assess key activities, tasks, and performance components of dental hygiene work. RESULTS: Good inter-rater reliability was achieved across all variables when the final coding scheme was completed by three independent raters. CONCLUSIONS: This work provides an exemplar of the process required to generate a comprehensive protocol for evaluating the work components of a particular job, and provides standardized nomenclature for use by scientists and practitioners interested in understanding and addressing the pervasive issue of work-related disorders in dental hygienists.

Download Full-text

Adult Day Service Use Decreases Likelihood of Depressive Symptoms Among Black Dementia Caregivers

Innovation in Aging ◽

10.1093/geroni/igaa057.2102 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 618-618

Author(s):

Lauren Parker ◽

Laura Gitlin

Keyword(s):

Depressive Symptoms ◽

Service Use ◽

Demographic Variables ◽

Caregiver Training ◽

Dementia Caregivers ◽

Adult Day Services ◽

Black Caregivers ◽

Health Promoting ◽

Day Services ◽

Intervention Trials

Abstract Black Americans are more likely than others to age with Alzheimer’s Disease (AD) in the community and rely on family members for support. Despite reported positive aspects of caregiving, Black caregivers report greater need for daytime respite and caregiving support. Little is known regarding the health-promoting benefits of daytime respite, like adult day services (ADS), among Black caregivers. Using a sample of 190 Philadelphia-area Black caregivers for community-living persons with dementia, pooled from two behavioral intervention trials: Advancing Caregiver Training and Care of Persons with Dementia in their Environments, the study examined the association between ADS use and depressive symptoms. About 36% of the caregivers used adult day services for their family member with AD. Controlling for demographic variables, social support, self-rated health, religious coping, caregiver burden, and number of years caregiving Black caregivers who utilized ADS had lower depressive symptoms (β= -1.60, p<.05) relative not using ADS.

Download Full-text

Adjunctive Therapy to Manage Neuropsychiatric Symptoms in Moderate and Severe Dementia: Randomized Clinical Trial Using an Outpatient Version of Tailored Activity Program

Journal of Alzheimer s Disease ◽

10.3233/jad-210142 ◽

2021 ◽

pp. 1-12

Author(s):

Alexandra Martini Oliveira ◽

Marcia Radanovic ◽

Patricia Cotting Homem de Mello ◽

Patricia Cardoso Buchain ◽

Adriana Dias Barbosa Vizzotto ◽

...

Keyword(s):

Clinical Trial ◽

Sleep Disturbances ◽

Rating Scale ◽

Neuropsychiatric Symptoms ◽

Caregiver Training ◽

Controlled Clinical Trial ◽

Post Intervention ◽

Double Blind ◽

Activity Program ◽

Experimental Group

Background: Neuropsychiatric symptoms (NPS) such as aggression, apathy, agitation, and wandering may occur in up to 90%of dementia cases. International guidelines have suggested that non-pharmacological interventions are as effective as pharmacological treatments, however without the side effects and risks of medications. An occupational therapy method, called Tailored Activity Program (TAP), was developed with the objective to treat NPS in the elderly with dementia and has been shown to be effective. Objective: Evaluate the efficacy of the TAP method (outpatient version) in the treatment of NPS in individuals with dementia and in the burden reduction of their caregivers. Methods: This is a randomized, double-blind, controlled clinical trial for the treatment of NPS in dementia. Outcome measures consisted of assessing the NPS of individuals with dementia, through the Neuropsychiatric Inventory-Clinician rating scale (NPI-C), and assessing the burden on their caregivers, using the Zarit Scale. All the participants were evaluated pre-and post-intervention. Results: 54 individuals with dementia and caregivers were allocated to the experimental (n = 28) and control (n = 26) groups. There was improvement of the following NPS in the experimental group: delusions, agitation, aggressiveness, depression, anxiety, euphoria, apathy, disinhibition, irritability, motor disturbance, and aberrant vocalization. No improvement was observed in hallucinations, sleep disturbances, and appetite disorders. The TAP method for outpatient settings was also clinically effective in reducing burden between caregivers of the experimental group. Conclusion: The use of personalized prescribed activities, coupled with the caregiver training, may be a clinically effective approach to reduce NPS and caregiver burden of individuals with dementia.

Download Full-text

Unmet Caregiving Needs Are Associated With Cognitive Functioning Among Older Sepsis Survivors

Innovation in Aging ◽

10.1093/geroni/igaa057.820 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 255-255

Author(s):

Jo-Ana Chase ◽

Lizyeka Jordan ◽

Christina Whitehouse ◽

Kathryn Bowles

Keyword(s):

Cognitive Functioning ◽

Unmet Need ◽

Caregiver Training ◽

Cognitively Impaired ◽

Medicare Beneficiaries ◽

Care Needs ◽

Information Set ◽

Sepsis Survivors ◽

The Relationship ◽

Care Outcome

Abstract Sepsis survivorship is associated with cognitive decline and complex post-acute care needs. Family caregivers may be unprepared to manage these needs, resulting in decline or no improvement in patient outcomes. Using a national dataset of Medicare beneficiaries who were discharged from the hospital for sepsis and received post-acute HHC between 2013 and 2014 (n=165,228), we examined the relationship between unmet caregiving needs and improvement or decline in cognitive functioning. Multivariate logistic regression was used to determine associations between unmet caregiving needs at the start of HHC and changes in cognitive functioning. Unmet caregiving needs included seven items from the start of care Outcome and Assessment Information Set (OASIS). Changes in cognitive functioning were measured using the start of care and discharge OASIS assessments. Twenty-four percent of patients either declined or did not improve in cognitive functioning from HHC admission to discharge, with variation seen by unmet need type. Sepsis survivors with unmet caregiving needs for activities of daily living assistance (OR 1.05, 95% CI 1.01, 1.09), medication assistance (OR 1.06, 95% CI 1.02,1.10), and supervision and safety assistance (OR 1.110, 95% CI 1.06,1.16) were more likely to decline or not improve in cognitive functioning, even after accounting for clinical and demographic characteristics. Older sepsis survivors with both cognitive impairment and unmet caregiving needs in the post-acute HHC setting are at high-risk for worsening cognition. Alerting the care team of cognitively impaired sepsis survivors with unmet caregiving needs may trigger evidence-based strategies to enhance caregiver training and reduce unmet caregiving needs.

Download Full-text

Adapting Resources for Enhancing Alzheimer's Caregiver Health for Dementia-Capable Services

Innovation in Aging ◽

10.1093/geroni/igaa057.179 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 55-55

Author(s):

Mindi Spencer ◽

Maggi Miller ◽

Diana Jahries ◽

James Davis ◽

S Melinda Spencer

Keyword(s):

Problem Behaviors ◽

Caregiver Burden ◽

Care Recipient ◽

Caregiver Training ◽

Training Support ◽

Caregiver Health ◽

Dementia Patients ◽

Post Test ◽

And Coping ◽

Training And Support

Abstract The overall goal of the PRISMA Health - REACH (PH-REACH) project was to reduce caregiver burden and improve caregiving skills among caregivers of community-living Alzheimer's disease and related dementia patients and, as a result, improve care and quality of life for both the patients and their caregivers. This evidence-based, person-centered program emphasizes positive aspects of caregiving and provides tools to improve stress management, caregiver self-care, and coping skills for managing problem behaviors. PH-REACH provided in-home caregiver training, support, and service referral to 126 caregivers in the Greenville area. Trained coaches delivered the program to caregivers of persons with moderate to severe dementia in its original format but later adapted it to better fit the caregivers’ needs. Analysis of pre- and post-test data showed that both the standard and adapted interventions provided benefits across multiple caregiver outcomes, including reduced caregiver burden, ability to manage disruptive behaviors of the care recipient, increased caregiver self-efficacy, reduced depression, and a slight improvement in the number of chronic health conditions. This supports and expands on previous research that has demonstrated the ability of this program to translate across different community-based and clinical settings. The tailored version of PH-REACH succeeded in assisting these caregivers, meeting them where they were in their caregiving journey, and provided measurable benefits to both their mental and physical health. Overall, this project provided evidence of the utility of the PH-REACH intervention and laid the groundwork to extend caregiver training and support to other institutions, both inside and outside the health system.

Download Full-text

Coordinate Access System for Live Video Acquisition

Journal of Physics Conference Series ◽

10.1088/1742-6596/1712/1/012034 ◽

2020 ◽

Vol 1712 ◽

pp. 012034

Author(s):

B. Annapurna ◽

T Rama Reddy ◽

Ch. V. Raghavendran ◽

Raushan Kumar Singh ◽

Vedurai Veera Prasad

Keyword(s):

Live Video ◽

Access System ◽

Video Acquisition

Download Full-text

Trajectories of health-related quality of life among family caregivers of individuals with dementia: A home-based caregiver-training program matters

Geriatric Nursing ◽

10.1016/j.gerinurse.2016.08.017 ◽

2017 ◽

Vol 38 (2) ◽

pp. 124-132 ◽

Cited By ~ 5

Author(s):

Li-Min Kuo ◽

Huei-Ling Huang ◽

Jersey Liang ◽

Yam-Ting Kwok ◽

Wen-Chuin Hsu ◽

...

Keyword(s):

Quality Of Life ◽

Training Program ◽

Family Caregivers ◽

Caregiver Training ◽

Health Related Quality ◽

Home Based ◽

Related Quality ◽

Health Related

Download Full-text

The Research into the Key Problem of Multi-Channel Video Acquisition and Display System Based on FPGA

Advanced Materials Research ◽

10.4028/www.scientific.net/amr.433-440.5611 ◽

2012 ◽

Vol 433-440 ◽

pp. 5611-5615

Author(s):

Jian Sheng Hu

Keyword(s):

Power Consumption ◽

Low Cost ◽

Time Sequence ◽

Good Effect ◽

Low Power Consumption ◽

Display System ◽

Reading And Writing ◽

Video Acquisition ◽

System A ◽

Time Division

Aimed at the problem of the embedded multi-channel video acquisition and display system, a new one based on FPGA is put forward. The configuration of the system is given. The principle and key issue is analyzed. Using of the state shift mechanism, t the controlling time sequence signals of TFT-LCD are produced; The synchronization among multi-channel video acquisition is realized by using time-division multiplexing technology; The problem of conflict between reading and writing frame cache is solved through the two SRAM switch; The frames composition technology is applied to accomplish the change from interlaced scanning to progressive scanning. The result of project application shows the virtues of system, such as good effect of acquisition and display, low cost and low power consumption.

Download Full-text