The Prevalence of ‘Cognitive Impairment no Dementia’ in Community-Dwelling Elderly: A Pilot Study

2004 ◽  
Vol 38 (9) ◽  
pp. 725-731 ◽  
Author(s):  
L-F. Low ◽  
H. Brodaty ◽  
L-F. Low ◽  
H. Brodaty ◽  
R. Edwards ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Pilot Study ◽  
Community Dwelling ◽  
Cognitive Impairment No Dementia

The prevalence of 'cognitive impairment no dementia' in community-dwelling elderly: a pilot study

2004 ◽  
Vol 38 (9) ◽  
pp. 725-731 ◽  
Author(s):  
L-F. Low ◽  
H. Brodaty ◽  
R. Edwards ◽  
N. Kochan ◽  
B. Draper ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Pilot Study ◽  
Community Dwelling ◽  
Cognitive Impairment No Dementia

scholarly journals The Effect of the Feuerstein Project on the Cognitive and Functional State of Community-Dwelling Individuals Aged 65 Years and Older with Mild Cognitive Impairment: A Pilot Study

2020 ◽  
pp. 135-142
Author(s):  
Uty Ostrei ◽  
Dikla Efrati-Chomsky ◽  
Ariela Zur ◽  
Yael Robes-Alkalay ◽  
Ayala Nave ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Pilot Study ◽  
Elderly Patients ◽  
Functional State ◽  
Self Efficacy ◽  
Cognitive Skills ◽  
Sense Of Self ◽  
Age Groups ◽  
Community Dwelling

<b><i>Background:</i></b> The rate of elderly individuals with mild cognitive impairment (MCI) has increased over recent decades. The Feuerstein Instrumental Enrichment (FIE) program for the elderly has been shown to be effective in various age groups but is has never been tested as a treatment for MCI in elderly patients. The aim of this study was to assess the effect of the FIE on the cognitive and functional state of elderly patients with MCI. <b><i>Methods:</i></b> This was an interventional pilot study in community-dwelling patients aged ≥65 years diagnosed with MCI in the previous year. The protocol included 30 twice-weekly 90-min sessions with a full neurocognitive evaluation prior to the intervention (v1), at its conclusion (v2), and half a year later (v3). <b><i>Results:</i></b> Nine of the 15 recruited participants completed the study. The mean age was 76.2 years. Compared to v1 and v2, the only significant improvements found at v3 were in the “visual perception” subtest of the NeuroTrax test and the total score of the MOCA test (<i>p</i> = 0.048 and 0.028, respectively). The effect size was &#x3e;0.7 (<i>r</i> = 0.7), indicating a moderate-to-high clinical significance. The results of the qualitative questionnaire were consistent with the positive effect of the group on the fostering of social ties, the motivation to learn, the cognitive contribution, and the development of a sense of self-efficacy. <b><i>Conclusion:</i></b> The study findings support the conclusion that an intervention with a focus on cognitive exercising can promote a feeling of self-efficacy and preserve some cognitive skills.

scholarly journals Online Multi-Domain Geriatric Health Screening in Urban Community Dwelling Older Malaysians: A Pilot Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Deepa Alex ◽  
Adhhani Binti Fauzi ◽  
Devi Mohan
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Urinary Incontinence ◽  
Cognitive Impairment ◽  
Pilot Study ◽  
Geriatric Assessment ◽  
Urban Community ◽  
Community Dwelling ◽  
Geriatric Syndromes ◽  
Online Surveys

Introduction: With a rapidly aging population, the Malaysian health care system needs to develop solutions to address the lack of resources that are required for the assessment of the older person. The complex nature of geriatric syndromes coupled with the occurrence of multiple comorbid illnesses with aging, make geriatric assessment a resource intensive process. Digital health solutions could play an important role in supporting existing health care systems, especially in low and middle income countries, with limited speciality services in geriatrics.Objective: This is a pilot study aimed at screening for geriatric syndromes through self-administered online surveys in urban community dwelling older Malaysians and assessing the pattern of geriatric syndromes in relation to the frailty status of the study participants.Methods: This is a cross-sectional pilot study conducted between July-September 2020. Community dwelling adults aged 60 years and over were invited to take part in an online survey. Information on sociodemographic variables, comorbidities, and the self-reported results of geriatric syndromes (frailty, sarcopenia, anorexia of aging, urinary incontinence, falls, and cognitive impairment), were collected through the survey.Results: Data was collected for 162 participants over a period of 2 months. The mean (SD) age of the respondents was 66.42 (5.25) years with 64.9% females. Majority of the respondents were of Chinese ethnic origin (67.9%) and had tertiary level of education (75.9%). The average time taken by participants to complete the survey was 16.86 min. Urinary incontinence was the highest reported geriatric syndrome (55.1%) followed by falls (37.6%), anorexia of aging (32.8%), cognitive impairment (27.8%), and sarcopenia (8.3%). Frailty was detected in 4.5% of the study population. Loss of weight in the previous year was the highest reported component of the frailty assessment tool. The presence of sarcopenia, anorexia of aging, poor/fair self-rated health, urinary incontinence, and multimorbidity were significantly higher in older adults who were frail or prefrail.Conclusion: Screening for geriatric syndromes through online surveys is a feasible approach to identify older adults in the community who are likely to benefit from geriatric assessment. However, the demographic profile of the older population that are accessible through such digital platforms is limited.

scholarly journals PERFORMANCE OF COMMUNITY DWELLING INDIVIDUALS IN SEMANTIC, LETTER AND ACTION VERB VERBAL FLUENCY TASKS

2021 ◽  
Author(s):  
Anna Cavalcanti ◽  
Victória Osaki ◽  
Felipe Bezerra ◽  
Katerina Lukasova ◽  
Maria Carthery- Goulart
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Decline ◽  
Verbal Fluency ◽  
Community Dwelling ◽  
Depression And Anxiety ◽  
Initial Screening ◽  
Elderly Individuals ◽  
The Mean ◽  
Switching Strategies ◽  
Cognitive Impairment No Dementia

Background: Verbal fluency (VF) tasks are usually employed to screen for cognitive decline. Letter (LF) and semantic (SF) VF were extensively used. Action VF (AF) was less explored, however it can be helpful to discriminate between clinical groups. Objective: 1.To characterize performance and strategies in VF in elderly individuals recruited in the community; 2.To obtain preliminary norms for AF. Methods: 121 community dwelling seniors (77.7% women, age (67.5±5.4) and schooling (11±4.4), recruited by convenience. After initial screening 65 fulfilled criteria for controls based on MOANS (G1) and 56 (G2) presented scores in the MMSE (27.4±2.1) compatible with cognitive impairment no dementia (CIND). We analysed the number of correctly evocated items as well as clustering and switching strategies. Results: 33% of the sample had scores in the MMSE compatible with CIND and among those, 25.6% presented GDS and GAI scores compatible with depression and anxiety. For both groups, scores were higher for SF, followed by AF and LF. The interaction between VF and Group was significant only for SF (P P<0.05), with lower scores for G2. For G1 and G2 the mean total scores for SF, LF and AF were respectively 16.5(± 4.6), 12.4(±5.3), 14.3(±5.7) and 13.6(±4.7) and 11.4(±3.7), 13.3(±6.3). Conclusion: SF was more impaired than LF and AF in community dwelling individuals with MMSE scores compatible with CDND.

Partnering to cope with pain: A pilot study of a caregiver-assisted pain coping skills intervention for patients with cognitive impairment and dementia

2021 ◽  
pp. 1-9
Author(s):  
Laura S. Porter ◽  
Debra K. Weiner ◽  
Katherine Ramos ◽  
Deborah E. Barnes ◽  
Kenneth E. Schmader ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Pilot Study ◽  
Coping Skills ◽  
Skills Training ◽  
Community Dwelling ◽  
Pain Coping ◽  
Post Intervention ◽  
Coping Skills Training ◽  
High Satisfaction ◽  
Intervention Content

Abstract Objective To develop a new caregiver-assisted pain coping skills training protocol specifically tailored for community-dwelling persons with cognitive impairment and pain, and assess its feasibility and acceptability. Method In Phase I, we conducted interviews with 10 patient–caregiver dyads to gather feedback about intervention content and delivery. Phase II was a single-arm pilot test to evaluate the intervention's feasibility and acceptability. Dyads in the pilot study (n = 11) completed baseline surveys, received five intervention sessions, and then completed post-intervention surveys. Analyses focused on feasibility and acceptability. Results Dyads responded positively to the pain coping skills presented in the interviews; their feedback was used to refine the intervention. Findings from the pilot study suggested that the intervention was feasible and acceptable. 69% of eligible dyads consented, 82% completed all five intervention sessions, and 100% completed the post-treatment assessment. Caregivers reported high satisfaction ratings. They also reported using the pain coping skills on a regular basis, and that they found most of the skills helpful and easy to use. Significance of results These preliminary findings suggest that a caregiver-assisted pain coping skills intervention is feasible and acceptable, and that it may be a promising approach to managing pain in patients with cognitive impairment.

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