Types of Assistances of Evidence-Based Dementia Caregiving Programs: Data Results and Future Directions

Abstract A key feature displayed in Best Practice Caregiving are the types of assistances. Data on 54 areas of care were collected for all 44 programs. These were analyzed through factor analysis and grouped into 19 types of assistance. Types were analyzed by the number of assistances provided, delivery method, and recipient of assistance. On average, programs delivered 11.8 types of assistances, with the most common types being Supporting CG/Individual-with-Dementia (IWD) Communication, Encouraging Positive CG-IWD Activities, and Assisting with Coping (93.2%), with the least common being Getting a Dementia Diagnosis (29.5%) and Monitoring Benefits of Services (20.5%). Assistance was delivered most often through information/referral delivery (M=11.07, SD=5.41) than direct (M=3.77, SD=4.54) or skills training (M= 7.50, SD=4.54). Results of the data show the breadth and characteristics of assistances programs provide to support caregivers of persons with dementia, along with gaps in types of assistances and future directions for programs.

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Analysis of Best Practice Caregiving: A New Online Database of Evidence-Based Dementia Caregiving Programs

Innovation in Aging ◽

10.1093/geroni/igab046.024 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 7-7

Author(s):

Sara Powers ◽

Sandy Markwood

Keyword(s):

Best Practice ◽

Service Use ◽

Skills Training ◽

Evidence Based ◽

Online Database ◽

Healthcare Organizations ◽

Depressive Symptomology ◽

Dementia Caregiving ◽

Improved Outcomes ◽

Monitoring Service

Abstract Best Practice Caregiving (BPC) is a free online database providing comprehensive information on research and implementation characteristics for 44 evidence-based dementia caregiving programs. Programs eligible for BPC have research-tested positive outcomes for family/friend caregivers and demonstrated feasibility in community implementations. This symposium presents results from analyses of the BPC database that includes surveys of 44 program developers and 324 healthcare or community delivery-organizations, and content analysis of 231 published studies. Findings show the most common of 19 types of assistance provided by programs were: Supporting Caregiver/Individual-with-Dementia (IWD) Communication, Encouraging Positive Caregiver-IWD Activities, and Strengthening Coping (93.2%). Least common were: Getting a Dementia Diagnosis (29.5%) and Monitoring Service Benefits (20.5%). Methods of delivering the types of assistance were: information/referral (M=11.1), skills training (M=7.5), and direct provision of care (M=3.8). The most common types of organizations that delivered programs were healthcare organizations (23.8%) and Area Agencies on Aging (23.8%). The greatest delivery-challenges were program marketing (69.8%) and caregiver engagement (66.3%). Most organizations ‘strongly agreed’ that programs had positive impacts on caregivers (59.5%) but were less certain about IWD benefits (25.1% ‘strongly agreed’). Published research studies found the most improved caregiver outcomes were: 1) Strain and/or burden (84.1%), 2) Depressive symptomology (79.5%), and 3) Caregiving efficacy (63.6%). Least common improved outcomes were 1) Access to support information/Community service use (9.1%); 2) Unmet needs (6.8%); and 3) Respite/break from care (2.3%). Overall, results highlight strengths of evidence-based dementia caregiving programs, along with gaps and challenges to be addressed by existing and new developing programs.

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Meeting the Best Practice for Hearing Aid Verification in Children: Challenges and Future Directions

American Journal of Audiology ◽

10.1044/2019_aja-18-0156 ◽

2019 ◽

Vol 28 (4) ◽

pp. 877-894

Author(s):

Nur Azyani Amri ◽

Tian Kar Quar ◽

Foong Yen Chong

Keyword(s):

Clinical Practice ◽

Hearing Aids ◽

Best Practice ◽

Hearing Aid ◽

Evidence Based ◽

Future Directions ◽

Major Barrier ◽

Klang Valley ◽

Age Range ◽

Fitting Hearing Aids

Purpose This study examined the current pediatric amplification practice with an emphasis on hearing aid verification using probe microphone measurement (PMM), among audiologists in Klang Valley, Malaysia. Frequency of practice, access to PMM system, practiced protocols, barriers, and perception toward the benefits of PMM were identified through a survey. Method A questionnaire was distributed to and filled in by the audiologists who provided pediatric amplification service in Klang Valley, Malaysia. One hundred eight ( N = 108) audiologists, composed of 90.3% women and 9.7% men (age range: 23–48 years), participated in the survey. Results PMM was not a clinical routine practiced by a majority of the audiologists, despite its recognition as the best clinical practice that should be incorporated into protocols for fitting hearing aids in children. Variations in practice existed warranting further steps to improve the current practice for children with hearing impairment. The lack of access to PMM equipment was 1 major barrier for the audiologists to practice real-ear verification. Practitioners' characteristics such as time constraints, low confidence, and knowledge levels were also identified as barriers that impede the uptake of the evidence-based practice. Conclusions The implementation of PMM in clinical practice remains a challenge to the audiology profession. A knowledge-transfer approach that takes into consideration the barriers and involves effective collaboration or engagement between the knowledge providers and potential stakeholders is required to promote the clinical application of evidence-based best practice.

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Autism, Interventions and Parent Training

Psichologija ◽

10.15388/psichol.2018.0.11904 ◽

2018 ◽

Vol 57 ◽

pp. 74-94 ◽

Cited By ~ 1

Author(s):

Nichola Booth ◽

Stephen Gallagher ◽

Mickey Keenan

Keyword(s):

Parent Training ◽

Best Practice ◽

Behavioral Skills Training ◽

Skills Training ◽

Evidence Based ◽

Behavioral Skills ◽

English Only ◽

Advantages And Disadvantages ◽

Mental Health Difficulties ◽

Autism Interventions

[full article, abstract in English; only abstract in Lithuanian] Worldwide, the prevalence rates of autism are increasing. This review looks at the additional stressors that parenting a child with autism can bring, including psychological distress and mental health difficulties. With the difficulties associated with the autism diagnosis and additional demands on the parents, research has shown that parent training, which helps teach parents new skills, may be advantageous. This review also looks at the most commonly used interventions that parents might avail of in order to acquire new skills, and it examines whether they are based in science, pseudoscience or anti-science. Utilizing best practice from evidence-based research, parents can be successfully trained to teach new skills across a variety of different domains. The advantages and disadvantages of one-on-one training sessions versus group training events, as well as the different components that contribute to each, are discussed. A number of training packages are discussed, including Behavioral Skills Training, video modelling and manualized training packages. We conclude that there is substantial evidence showing that packages with behavioral underpinnings are more effective for children with autism. Autism awareness and education is simply not enough – educate the parents using evidence-based practice to help effectively educate the children

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One-Session Treatment of Specific Phobias in Children: Recent Developments and a Systematic Review

Annual Review of Clinical Psychology ◽

10.1146/annurev-clinpsy-050718-095608 ◽

2019 ◽

Vol 15 (1) ◽

pp. 233-256 ◽

Cited By ~ 8

Author(s):

Thompson E. Davis ◽

Thomas H. Ollendick ◽

Lars-Göran Öst

Keyword(s):

Systematic Review ◽

Children And Adolescents ◽

Skills Training ◽

Evidence Based ◽

Future Directions ◽

Research And Practice ◽

Evidence Based Treatment ◽

Specific Phobias ◽

Recent Developments ◽

Graduated Exposure

One-Session Treatment is a well-established evidence-based treatment for specific phobias in youths that incorporates reinforcement, cognitive challenges, participant modeling, psychoeducation, and skills training into a single, massed session of graduated exposure. This review begins by briefly examining the phenomenology, etiology, epidemiology, and assessment of specific phobias and then pivots to a description of One-Session Treatment. We examine the use of One-Session Treatment with children and adolescents, briefly discussing its components and application, and subsequently review almost two decades of research supporting its efficacy. Finally, we propose future directions for research and practice.

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Experiences From Healthcare and Community Organizations Delivering Evidence-Based Dementia Caregiving Programs

Innovation in Aging ◽

10.1093/geroni/igab046.027 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 8-8

Author(s):

Rachel Schaffer ◽

Alyssa Ciancibello ◽

David Bass ◽

Sara Powers

Keyword(s):

Best Practice ◽

Community Organizations ◽

Evidence Based ◽

Healthcare Organizations ◽

Dementia Caregiving ◽

Funding Sources ◽

Perceived Impact ◽

Strongly Agree ◽

Evidence Based Programs ◽

Successes And Challenges

Abstract Best Practice Caregiving surveyed 324 healthcare and community organizations that replicated one or more of the 44 evidence-based programs about delivery organization characteristics, delivery staff, caregivers and persons with dementia served, funding sources, delivery challenges, perceived impact, and satisfaction. 211 (65.1%) organizations completed surveys about 30 different evidence-based programs. The most common types of organizations that delivered programs were healthcare organizations (23.8%) and Area Agencies on Aging (23.8%). Results showed on average organizations delivered programs for 49 months and served 68 families/year. The most common program delivery challenges were marketing (69.8%) and engaging participants (66.3%). Organizations generally agreed that programs had positive impacts on caregivers (59.5% strongly agree) but were less positive about benefits for persons with dementia (25.1% strongly agree). Discussion provides insights into successes and challenges organizations face when adopting evidence-based dementia caregiving programs in their communities.

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Exploratory Factor Analysis: A Guide to Best Practice

Journal of Black Psychology ◽

10.1177/0095798418771807 ◽

2018 ◽

Vol 44 (3) ◽

pp. 219-246 ◽

Cited By ~ 53

Author(s):

Marley W. Watkins

Keyword(s):

Factor Analysis ◽

Exploratory Factor Analysis ◽

Best Practice ◽

Evidence Based ◽

Decision Point ◽

Multivariate Statistical ◽

Professional Literature ◽

Psychological Theories ◽

Development And Validation ◽

Better Than

Exploratory factor analysis (EFA) is a multivariate statistical method that has become a fundamental tool in the development and validation of psychological theories and measurements. However, researchers must make several thoughtful and evidence-based methodological decisions while conducting an EFA, and there are a number of options available at each decision point, some better than others. Reviews of the professional literature have consistently found that many applications of EFA are marked by an injudicious choice of methods and incomplete reports. This article provides a systematic, evidence-based guide to the conduct of EFA studies that can be followed by researchers with modest statistical training, supplemented with an example to illustrate its application.

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Outcome Priorities Among Evidence-Based Dementia Caregiving Programs: A Closer Look

Innovation in Aging ◽

10.1093/geroni/igab046.028 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 8-8

Author(s):

Sara Powers ◽

Alyssa Ciancibello ◽

Rachel Schaffer ◽

David Bass ◽

Morgan Minyo

Keyword(s):

Best Practice ◽

Service Use ◽

Current Evidence ◽

Evidence Based ◽

Program Outcomes ◽

Dementia Caregivers ◽

Depressive Symptomology ◽

Dementia Caregiving ◽

Cognitive Behavioral Theory ◽

Evidence Based Programs

Abstract Currently, the Best Practice Caregiving website provides information on 231 published studies from 44 dementia caregiving evidence-based programs that have demonstrated beneficial outcomes for dementia caregivers within health care and community-based settings. Across all programs, a total of 34 biopsychosocial outcomes were identified. Supported by the commonly used stress-related frameworks (e.g., Stress-Health Process, Cognitive Behavioral Theory) for which the programs were developed, the most frequently utilized program outcomes included: 1) Caregiver stress, strain, and/or burden (84.1%); 2) Caregiver depressive symptomology (79.5%); and 3) Caregiving efficacy, skills, and/or confidence (63.6%). The least common programmatic outcomes included: 1) Access to support information/Community service use (9.1%); 2) Unmet needs (6.8%); and 3) Respite/break from care (2.3%). The lesser utilized outcomes provide critical insight into current evidence-based programmatic priorities and ways in which professionals can seek to fill gaps in dementia caregiving interventions. Discussion will also focus on future directions of caregiver-related outcome assessments.

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Description and Demo of the Best Practice Caregiving Database on 44 Research Proven Dementia Caregiving Programs

Innovation in Aging ◽

10.1093/geroni/igab046.025 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 7-7

Author(s):

David Bass ◽

Alyssa Ciancibello ◽

Rachel Schaffer ◽

Sara Powers

Keyword(s):

Family Caregiving ◽

Best Practice ◽

Service Organizations ◽

Evidence Based ◽

Major Advance ◽

Dementia Caregiving ◽

Online Resource ◽

Service Portfolio ◽

Research Findings ◽

Evidence Based Programs

Abstract A major advance in family caregiving has been the development, testing, and community delivery of research-proven, evidence-based support programs for family or friend caregivers of persons living with dementia. This presentation showcases and demos Best Practice Caregiving (BPC), a new online resource with comprehensive profiles for 44 of the top evidence-based dementia caregiving programs that are ready for scaling in communities. For these 44 programs, BPC is a database that presents key research findings with links to all its published articles, comprehensive program descriptions including all implementation features, and survey data on program delivery experiences from 324 healthcare and community organizations that offered the program as a regular part of their service portfolio 2019. BPC enables professionals to make side-by-side comparisons of the 44 programs, with the goal of increasing implementations of these evidence-based programs by healthcare and community service organizations.

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