Mindfulness-based stress reduction in middle-aged and older adults with memory complaints: a mixed-methods study

BACKGROUND Understanding the mobility patterns and experiences of older adults with memory problems living at home has the potential to improve autonomy and inform shared decision making (SDM) about their housing options. OBJECTIVE We aim to (1) assess the mobility patterns and experiences of older adults with memory problems, (2) co-design an electronic decision support intervention (e-DSI) that integrates users’ mobility patterns and experiences, (3) explore their intention to use an e-DSI to support autonomy at home, and (4) inform future SDM processes about housing options. METHODS Informed by the Good Reporting of A Mixed Methods Study (GRAMMS) reporting guidelines, we will conduct a 3-year, multipronged mixed methods study in Canada, Sweden, and the Netherlands. For Phase 1, we will recruit a convenience sample of 20 older adults living at home with memory problems from clinical and community settings in each country, for a total of 60 participants. We will ask participants to record their mobility patterns outside their home for 14 days using a GPS tracker and a travel diary; in addition, we will conduct a walking interview and a final debrief interview after 14 days. For Phase 2, referring to results from the first phase, we will conduct one user-centered co-design process per country with older adults with memory issues, caregivers, health care professionals, and information technology representatives informed by the Double Diamond method. We will ask participants how personalized information about mobility patterns and experiences could be added to an existing e-DSI and how this information could inform SDM about housing options. For Phase 3, using online web-based surveys, we will invite 210 older adults with memory problems and/or their caregivers, split equally across the three countries, to use the e-DSI and provide feedback on its strengths and limitations. Finally, in Phase 4, we will triangulate and compare data from all phases and countries to inform a stakeholder meeting where an action plan will be developed. RESULTS The study opened for recruitment in the Netherlands in November 2018 and in Canada and Sweden in December 2019. Data collection will be completed by April 2021. CONCLUSIONS This project will explore how e-DSIs can integrate the mobility patterns and mobility experiences of older adults with memory problems in three countries, improve older adults’ autonomy, and, ultimately, inform SDM about housing options. CLINICALTRIAL ClinicalTrials.gov NCT04267484; https://clinicaltrials.gov/ct2/show/NCT04267484 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/19244

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Technology to Improve Autonomy and Inform Housing Decisions for Older Adults With Memory Problems Who Live at Home in Canada, Sweden, and the Netherlands: Protocol for a Multipronged Mixed Methods Study

JMIR Research Protocols ◽

10.2196/19244 ◽

2021 ◽

Vol 10 (1) ◽

pp. e19244

Author(s):

Jodi Sturge ◽

Louise Meijering ◽

C Allyson Jones ◽

Mirjam Garvelink ◽

Danielle Caron ◽

...

Keyword(s):

Older Adults ◽

Mixed Methods ◽

The Netherlands ◽

Mixed Methods Study ◽

Mobility Patterns ◽

Convenience Sample ◽

Memory Problems ◽

Housing Options ◽

With Memory ◽

At Home

Background Understanding the mobility patterns and experiences of older adults with memory problems living at home has the potential to improve autonomy and inform shared decision making (SDM) about their housing options. Objective We aim to (1) assess the mobility patterns and experiences of older adults with memory problems, (2) co-design an electronic decision support intervention (e-DSI) that integrates users’ mobility patterns and experiences, (3) explore their intention to use an e-DSI to support autonomy at home, and (4) inform future SDM processes about housing options. Methods Informed by the Good Reporting of A Mixed Methods Study (GRAMMS) reporting guidelines, we will conduct a 3-year, multipronged mixed methods study in Canada, Sweden, and the Netherlands. For Phase 1, we will recruit a convenience sample of 20 older adults living at home with memory problems from clinical and community settings in each country, for a total of 60 participants. We will ask participants to record their mobility patterns outside their home for 14 days using a GPS tracker and a travel diary; in addition, we will conduct a walking interview and a final debrief interview after 14 days. For Phase 2, referring to results from the first phase, we will conduct one user-centered co-design process per country with older adults with memory issues, caregivers, health care professionals, and information technology representatives informed by the Double Diamond method. We will ask participants how personalized information about mobility patterns and experiences could be added to an existing e-DSI and how this information could inform SDM about housing options. For Phase 3, using online web-based surveys, we will invite 210 older adults with memory problems and/or their caregivers, split equally across the three countries, to use the e-DSI and provide feedback on its strengths and limitations. Finally, in Phase 4, we will triangulate and compare data from all phases and countries to inform a stakeholder meeting where an action plan will be developed. Results The study opened for recruitment in the Netherlands in November 2018 and in Canada and Sweden in December 2019. Data collection will be completed by April 2021. Conclusions This project will explore how e-DSIs can integrate the mobility patterns and mobility experiences of older adults with memory problems in three countries, improve older adults’ autonomy, and, ultimately, inform SDM about housing options. Trial Registration ClinicalTrials.gov NCT04267484; https://clinicaltrials.gov/ct2/show/NCT04267484 International Registered Report Identifier (IRRID) DERR1-10.2196/19244

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Insights from an early stage development mixed methods study on arts-based interventions for older adults following hospitalisation

Complementary Therapies in Medicine ◽

10.1016/j.ctim.2021.102745 ◽

2021 ◽

pp. 102745

Author(s):

Amanda M. Clifford ◽

Joanne Shanahan ◽

Hilary Moss ◽

Triona Cleary ◽

Morgan Senter ◽

...

Keyword(s):

Older Adults ◽

Mixed Methods ◽

Early Stage ◽

Mixed Methods Study ◽

Stage Development

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Attitudes toward aging and loneliness among older adults: A mixed methods study

Perspectives In Psychiatric Care ◽

10.1111/ppc.12757 ◽

2021 ◽

Author(s):

Nilgün Kuru Alici ◽

Bilge Kalanlar

Keyword(s):

Older Adults ◽

Mixed Methods ◽

Mixed Methods Study ◽

Attitudes Toward Aging

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0721 Daytime Sleepiness and Napping in Nursing-Home Eligible Community Dwelling Older Adults: A Mixed Methods Study

SLEEP ◽

10.1093/sleep/zsy061.720 ◽

2018 ◽

Vol 41 (suppl_1) ◽

pp. A268-A268

Author(s):

M V McPhillips ◽

J Li ◽

P Z Cacchione ◽

V V Dickson ◽

N S Gooneratne ◽

...

Keyword(s):

Older Adults ◽

Nursing Home ◽

Mixed Methods ◽

Daytime Sleepiness ◽

Community Dwelling ◽

Mixed Methods Study ◽

Community Dwelling Older Adults

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The Long Arm of Childhood in China: Early-Life Conditions and Cognitive Function Among Middle-Aged and Older Adults

Journal of Aging and Health ◽

10.1177/0898264317715975 ◽

2017 ◽

Vol 30 (8) ◽

pp. 1319-1344 ◽

Cited By ~ 18

Author(s):

Zhenmei Zhang ◽

Jinyu Liu ◽

Lydia Li ◽

Hongwei Xu

Keyword(s):

Older Adults ◽

Cognitive Function ◽

Memory Performance ◽

Word Recall ◽

Middle Aged ◽

Urban Residence ◽

Childhood Conditions ◽

Early Life Conditions ◽

Childhood Socioeconomic Status ◽

With Memory

Objective: This study examined the association between childhood conditions and cognitive function among middle-aged and older adults in China. Method: We analyzed data from the 2011 China Health and Retirement Longitudinal Study ( N = 11,868). Cognitive function was measured by word recall, a test of episodic memory. We examined the association between childhood conditions and cognitive function among the middle-aged (45-59 years) and the older (60 years and older) adults separately, using multilevel linear regressions. Results: Indicators of childhood socioeconomic status (SES) and nutrition were significantly associated with memory performance among the middle-aged and the older adults in China. Adulthood SES, education in particular, accounted for some but not all the associations. The protective effect of childhood urban residence was stronger for middle-aged women than for middle-aged men. Discussion: Childhood conditions are significantly associated with mid- to late-life cognitive function in China. The strengths of the associations may vary by gender and cohort.

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