scholarly journals Systematic Changes in Gait Pursuant to Choir Participation for Caregivers and Persons With Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 830-830
Author(s):  
Michael Willden ◽  
Stuart MacDonald ◽  
Debra Sheets ◽  
Andre Smith
Keyword(s):  
Multilevel Modeling ◽  
Caregiver Burden ◽  
Social Cognitive ◽  
Physiological Function ◽  
Gait Velocity ◽  
Neuropsychological Function ◽  
Psychological Benefits ◽  
Depressive Affect ◽  
Cognitive Interventions ◽  
Burst Data

Abstract Choir interventions confer psychological benefits for persons with dementia (PwD) and their caregivers. However, less is known about whether physiological function also exhibits improvements pursuant to such social-cognitive interventions. The present study, based upon a subsample of the Voices in Motion (ViM) project, explored whether participation in an intergenerational choir results in systematic improvements in gait velocity (indexed using a GAITRite computerized walkway) for both informal caregivers (n=14; 71.4% female) and PwD (n=14; 64.3% female). Longitudinal burst data from the first of three cohorts spanning 4 assessments over 3.5 months was analysed using multilevel modeling. Whereas caregivers exhibited significant improvements (p<.05) in gait velocity, PwD showed no improvement. Ongoing analyses are exploring additional cohorts, and whether improvements in gait dynamically covary with reductions in comorbidities (e.g., neuropsychological function, caregiver burden, depressive affect). These results underscore the potential of choir for facilitating both psychosocial and physiological function for caregivers and PwD.

scholarly journals SYSTEMATIC CHANGES IN GAIT PURSUANT TO CHOIR PARTICIPATION FOR CAREGIVERS AND PERSONS WITH DEMENTIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S752-S752
Author(s):  
Sandra Hundza ◽  
Stuart W MacDonald ◽  
Debra J Sheets ◽  
Andre P Smith
Keyword(s):  
Multilevel Modeling ◽  
Caregiver Burden ◽  
Social Cognitive ◽  
Physiological Function ◽  
Gait Velocity ◽  
Neuropsychological Function ◽  
Psychological Benefits ◽  
Depressive Affect ◽  
Cognitive Interventions ◽  
Burst Data

Abstract Choir interventions confer psychological benefits for persons with dementia (PwD) and their caregivers. However, less is known about whether physiological function also exhibits improvements pursuant to such social-cognitive interventions. The present study, based upon a subsample of the Voices in Motion (ViM) project, explored whether participation in an intergenerational choir results in systematic improvements in gait velocity (indexed using a GAITRite computerized walkway) for both informal caregivers (n=14; 71.4% female) and PwD (n=14; 64.3% female). Longitudinal burst data from the first of three cohorts spanning 4 assessments over 3.5 months was analysed using multilevel modeling. Whereas caregivers exhibited significant improvements (p<.05) in gait velocity, PwD showed no improvement. Ongoing analyses are exploring additional cohorts, and whether improvements in gait dynamically covary with reductions in comorbidities (e.g., neuropsychological function, caregiver burden, depressive affect). These results underscore the potential of choir for facilitating both psychosocial and physiological function for caregivers and PwD.

Abstract 14331: Patient Outcomes Enhanced by Partner Involvement in Social Cognitive Interventions After an Initial Implantable Cardioverter Defibrillator

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Jon AULD ◽  
Frances Elaine Thompson ◽  
Cynthia M Dougherty
Keyword(s):  
Depressive Symptoms ◽  
Implantable Cardioverter Defibrillator ◽  
Caregiver Burden ◽  
Social Cognitive ◽  
Physical Symptoms ◽  
Cardioverter Defibrillator ◽  
Reciprocal Influence ◽  
Cardiac Illness ◽  
Partner Involvement ◽  
Reciprocal Influences

Background: Research points to reciprocal influences that patients and partners may have on one another’s recovery in cardiac illness, yet interventions to enhance recovery after an implantable cardioverter defibrillator (ICD) are usually directed only toward the patient. Purpose: To compare 2 social cognitive (SC) intervention conditions (patient only or P-only, and patient + partner or P+P) from the Patient + Partner RCT. Patient physical symptoms and depression were compared with partner caregiver burden over 12 months post initial ICD. Methods: The study included 301 patient-partner dyads (151=P-only; 150=P+P) who participated in 1 of 2 nurse-led SC interventions delivered by telephone in the first 3 months after the patient received an ICD. Patient symptoms were measured with the PCA, depression with the PHQ-9, and partner caregiver burden with the OCBS, at baseline, 3, 6, and 12 months. Parallel process growth modeling and mixed effects models were used to compare intervention outcomes. Results: Patients were on average 64±12 years old, male (74%), white (91%), and most received an ICD for primary prevention (60%). Partners were on average 62±12 years, female (74%), and white (88%). In the first 3 months, decline in patient depression was significantly associated with decline in partner caregiver burden in P+P (β=0.93; p<0.001), but not in P-only (β= -0.14; p=0.54). Decline in physical symptoms was more strongly associated with decline in partner caregiver burden in P+P (β=0.93, p<0.001) than P-only (β=0.58, p=0.02). At 3 months, there were no significant differences in patient physical (p=0.59) and depressive symptoms (p=0.27) for P+P vs P-only. Partner caregiver burden was significantly lower in P+P vs P-only (p=0.01). At 12 months, patient physical and depressive symptoms and partner caregiver burden were significantly lower in P+P vs P-only (p=0.043, p=0.008, p=0.001, respectively). Conclusion: A SC intervention that included intimate partners (P+P) showed greater reductions in patient physical and depressive symptoms and partner caregiver burden and reflected greater reciprocal influence than the P-only intervention. Dyadic SC interventions can provide added support for patients after an ICD and may improve partner caregiver burden.

scholarly journals Systematic Review of Physical Activity Interventions in Hispanic Adults

2018 ◽  
Vol 16 (4) ◽  
pp. 174-188 ◽  
Author(s):  
Julio C. Loya
Keyword(s):  
Physical Activity ◽  
Transtheoretical Model ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
The United States ◽  
Self Report ◽  
Psychological Benefits ◽  
Physical Activity Interventions ◽  
Randomized Controlled Studies ◽  
Hispanic Adults

Introduction: Physical activity (PA) has demonstrated substantial physical and psychological benefits. However, Hispanics engage in less leisure-time PA when compared with other groups, putting them at higher risk for diseases associated with obesity, such as diabetes mellitus type 2. This literature review was conducted to identify best practices with regard to interventions designed to increase PA among Hispanic adults. Methods: Extensive searching located 21 randomized controlled studies conducted in the United States. Results: Common conceptual frameworks were the transtheoretical model and social cognitive theory. Most interventions used educational sessions with a variety of topics and many used promotoras to increase PA. Outcomes were predominantly examined using self-report PA measures. Walking was the most commonly reported PA behavior. Studies with significant results were those that measured moderate-to-vigorous PA and used theory to guide interventions. Male and older participants were underrepresented. Conclusions: Effective culturally appropriate PA interventions for Hispanics adults are needed. Particular attention to intervention tailoring based on country of origin could enhance intervention effectiveness.

Impact of Two Social-Cognitive Interventions to Prevent Adolescent Substance Use: Test of an Amenability to Treatment Model

1997 ◽  
Vol 27 (1) ◽  
pp. 1-17 ◽  
Author(s):  
David L. Snow ◽  
Jacob Kraemer Tebes ◽  
Tim S. Ayers
Keyword(s):  
Substance Use ◽  
Skill Acquisition ◽  
Social Cognitive ◽  
Interaction Effects ◽  
Future Research ◽  
Treatment Model ◽  
Cognitive Interventions ◽  
Family Household ◽  
Amenability To Treatment ◽  
The Impact

An amenability to treatment model stipulates that interventions may be differentially effective for subgroups of individuals with similar characteristics. Using such a model, the present study tests the impact of two social-cognitive interventions implemented in the sixth (Intervention I) and eighth/ninth (Intervention II) grades on students' skill acquisition and on their ninth and tenth grade substance use. A randomized factorial design was used to examine main and interaction effects within the context of student family household status and gender. Positive program effects were found for Intervention II on skill acquisition and overall drug involvement. Interaction effects of Intervention II x Family Household Status provided support for the amenability to treatment model, but no support for the model was observed based on student gender. Possible explanations for the study findings are presented and future research directions are proposed to address why differences emerge in amenability to intervention and why such differences occur for specific subgroups.

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