scholarly journals Sleep, Activity, and Well-Being In Persons With Dementia: Findings From the Healthy Patterns Trial

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 546-546
Author(s):  
Nancy Hodgson ◽  
Darina Petrovsky
Keyword(s):  
Quality Of Life ◽  
Neuropsychiatric Symptoms ◽  
Community Outreach ◽  
Well Being ◽  
Lessons Learned ◽  
Improve Quality ◽  
Home Based ◽  
Wake Patterns ◽  
One Year

Abstract Irregular sleep-wake patterns are common in persons living with dementia (PLWD), pose a great burden to caregivers, and are the principal causes of distress and institutionalization of PLWD. A growing body of research supports the importance of activity-based interventions to reduce the frequency and intensity of sleep wake disruption, reduce neuropsychiatric symptoms, and improve quality of life. To date, there are no studies linking sleep disruption and well-being with the nature and timing of activity. This session focuses on lessons learned from the Healthy Patterns Study - a randomized trial of a home-based activity intervention in 200 dyads of PLWD and their caregivers (NCT03682185). Session 1 focuses on the main findings from the clinical trial. Session 2 focuses on the cultural adaptation of the timed activity protocol to improve quality of life (QOL), improve sleep and reduce neuropsychiatric symptoms in older Latinos Session 3 describes the community outreach efforts used over a one-year period to recruit a diverse sample of PLWD and their caregivers for the Healthy Patterns trial. Session 4 examine the relationship between caregiver mastery and neuropsychiatric symptoms in PLWD. Together these findings highlight the complex role of sleep and wake activity in promoting well-being in persons with dementia.

scholarly journals Efficacy of a Timed Activity Intervention to Improve Sleep: Findings From the Healthy Patterns Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 546-547
Author(s):  
Miranda McPhillips ◽  
Darina Petrovsky ◽  
Subhash Aryal ◽  
Nancy Hodgson
Keyword(s):  
Quality Of Life ◽  
Neuropsychiatric Symptoms ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Environmental Cues ◽  
Wrist Actigraphy ◽  
Wake Patterns ◽  
American Black

Abstract We conducted a two-arm RCT with dyads of 200 persons living at home with dementia (PLWD) who reported sleep disruption and family caregivers. Components of the Healthy Patterns intervention included: 1) assessing PLWD functional status, preferences and interests; 2) educating caregivers on environmental cues to promote activity and sleep; and 3) training caregivers in timed morning, afternoon, and evening activities. Outcomes included: PLWD quality of life, sleep, and neuropsychiatric symptoms. Sleep-wake patterns were assessed using wrist actigraphy and proxy-reported measures. The main intervention effects were tested using ANCOVA. The average age of participants was 73.4 years, 67% were female, 80% were African American/Black). At 4 weeks, the intervention group demonstrated less sleep-related impairment (p = 0.0031) and reported higher quality of life than the control group (p = 0.0074). These results provide new fundamental knowledge regarding the effects of timing activity on sleep and well-being.

scholarly journals PROBLEM-SOLVING TRAINING IN VA HOME BASED PRIMARY CARE TO REDUCE STRESS AND IMPROVE QUALITY OF LIFE

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 38-38
Author(s):  
S A Beaudreau ◽  
J Wetherell ◽  
J Funderburk ◽  
A Aspnes ◽  
Ann Aspnes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Problem Solving ◽  
Improve Quality ◽  
Home Based Primary Care ◽  
Home Based

scholarly journals Dental Implant Supported Restorations Improve Quality of Life in Osteoporotic Women

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Christine DeBaz ◽  
Jenna Hahn ◽  
Lisa Lang ◽  
Leena Palomo
Keyword(s):  
Quality Of Life ◽  
Occupational Health ◽  
Dental Implant ◽  
Well Being ◽  
Improve Quality ◽  
Missing Teeth ◽  
Oral Rehabilitation ◽  
Oral Bisphosphonate ◽  
Significant Difference

Introduction. The aim of this study is to compare the quality of life (QoL) in partially edentulous osteoporotic women who have missing teeth restored with dental implant retained restorations with those who do not and, secondarily, to report the rate of osteonecrosis in this sample.Methods. 237 participants completed the Utian QoL survey, a 23-question document measuring across psychosocial domains of well-being including occupational, health, emotional, and sexual domains which together contribute to an overall score. The subset of participants having dental implant supported prosthesis (64) was compared to the subset having nonimplant supported fixed restorations (47), the subset having nonimplant supported removable restorations (60), and the subset having no restoration of missing teeth (66).Results. ANOVA showed significant difference in all QoL domains between the four subsets(p<0.05). Although 134 reported oral bisphosphonate and 51 reported IV bisphosphonate use, no signs of ONJ were identified in any participants.Conclusion. These findings show implant retained oral rehabilitation has a statistically significant impact over nonimplant and traditional fixed restorations, removable restorations, and no restoration of missing teeth in far reaching areas including occupational, health, emotional, sexual, and overall QoL. These findings also support future examination of psychosocial outcomes associated with oral rehabilitation and the incorporation of oral health into women’s health promotion.

scholarly journals Nutricionista otimizando a qualidade de vida do paciente oncológico

2021 ◽  
Vol 2 (4) ◽  
pp. 1225-1228
Author(s):  
Rhaissa Pinheiro Ferreira ◽  
Mayla Karla de Souza Monteiro
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Well Being ◽  
Nutritional Therapy ◽  
Nutritional Intervention ◽  
Improve Quality ◽  
Reduce Weight Loss

RESUMO A intervenção nutricional adequada promove bem-estar, controle de sintomas e melhora da qualidade de vida dos pacientes. Logo, o nutricionista deve orientar o paciente e sua família sobre a terapia nutricional em uso, além de fornecer orientações e esclarecimentos, a fim de prolongar a sobrevida, reduzir a perda de peso e melhorar a qualidade de vida.   ABSTRACT The adequate nutritional intervention promotes well-being, control of symptoms and improvement of the quality of life of patients. Therefore, the nutritionist should guide the patient and his family about the nutritional therapy being used, in addition to providing guidance and clarification, in order to prolong survival, reduce weight loss and improve quality of life.  

scholarly journals Parkinson’s-adapted cognitive stimulation therapy: a pilot randomized controlled clinical trial

2019 ◽  
Vol 12 ◽  
pp. 175628641985221 ◽  
Author(s):  
Iracema Leroi ◽  
Sabina Vatter ◽  
Lesley-Anne Carter ◽  
Sarah J. Smith ◽  
Vasiliki Orgeta ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Relationship Quality ◽  
Neuropsychiatric Symptoms ◽  
Cognitive Stimulation ◽  
Randomized Controlled ◽  
Cognitive Stimulation Therapy ◽  
Home Based ◽  
Care Partners ◽  
The Impact

Cognitive stimulation therapy (CST) is widely used with people with dementia, but there is no evidence of its efficacy in mild cognitive impairment or dementia in Parkinson’s disease (PD-MCI; PDD) or dementia with Lewy bodies (DLB). We aimed to explore the impact of ‘CST-PD’, which is home-based, individualized CST adapted for this population. In a single-blind, randomized controlled exploratory pilot trial (RCT), we randomized 76 participant–dyads [PD-MCI ( n = 15), PDD ( n = 40), DLB ( n = 21) and their care partners] to CST-PD or treatment as usual (TAU). CST-PD involves home-based cognitively stimulating and engaging activities delivered by a trained care partner. Exploratory outcomes at 12 weeks included cognition (Addenbrooke’s Cognitive Evaluation; ACE-III), neuropsychiatric symptoms and function. In care partners, we assessed burden, stress and general health status. Relationship quality and quality of life were assessed in both dyad members. At 12 weeks, the ACE-III showed a nonstatistically significant improvement in the CST-PD group compared with the TAU group, although neuropsychiatric symptoms increased significantly in the former. In contrast, care partners’ quality of life ( d = 0.16) and relationship quality (‘satisfaction’, d = 0.01; ‘positive interaction’, d = 0.55) improved significantly in the CST-PD group, and care burden ( d = 0.16) and stress ( d = 0.05) were significantly lower. Qualitative findings in the CST-PD recipients revealed positive ‘in the moment’ responses to the intervention, supporting the quantitative results. In conclusion, care-partner-delivered CST-PD may improve a range of care-partner outcomes that are important in supporting home-based care. A full-scale follow-up RCT to evaluate clinical and cost effectiveness is warranted.

Effect of a Home Exercise Program Based on Tai Chi in Patients with End-Stage Renal Disease

2003 ◽  
Vol 23 (2_suppl) ◽  
pp. 99-103 ◽  
Author(s):  
Kin-wa Ling ◽  
Flora S.Y. Wong ◽  
Wing-ki Chan ◽  
Shuk-yin Chan ◽  
Eric P. Y. Chan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Kidney Disease ◽  
End Stage Renal Disease ◽  
Exercise Program ◽  
Well Being ◽  
Home Based ◽  
Stage Renal Disease ◽  
End Stage ◽  
Minute Walk

Objective Previous reports have documented the benefits of exercise on the well-being of renal patients. However, fewer than 50% of our end-stage renal disease (ESRD) patients engage in regular exercise. To promote exercise, we implemented a home-based exercise program. The aim of the program was to reduce barriers to exercise by helping patients to exercise at their convenience and without the need to travel. The effect of the program was evaluated 3 months after implementation. Patients and Methods Each study participant received a videotape that demonstrated 30 minutes of low-capacity aerobic exercise. Participants were advised to exercise by following the demonstration on the videotape. Encouragement was given over the telephone. Self-reports on practice were recorded in a log book that was also provided. The effect of the program was evaluated by comparing outcomes data before, and 3 months after, implementation of the program. Outcomes assessment included functional mobility (timed “Up & Go” test), muscle flexibility (“Sit & Reach” test), physical capacity (“Six-Minute Walk”), and quality of life [Kidney Disease Quality of Life Short Form (KDQOL-SF)]. Results The program began with 72 participants. Over time, 39 dropped out. The remaining 33 participants included 11 men and 22 women with a mean age of 52.8 ± 9.8 years. They exercised 3 – 7 times weekly. Significant improvements were observed in the timed “Up & Go” ( p = 0.003) and “Sit & Reach” ( p < 0.001) tests. Improvements in the “Six-Minute Walk” ( p = 0.130) and in KDQOL-SF scores for emotional well-being ( p = 0.456), pain ( p = 0.100), burden of kidney disease ( p = 0.061), and general health ( p = 0.085) were statistically insignificant. Conclusions Physically, patients with ESRD benefit from home-based low-capacity aerobic exercise. A home-based program provides an alternative to outdoor and group exercise. In view of a high drop-out rate, intensive promotion and encouragement should be considered to achieve a positive outcome.

scholarly journals IDENTIFYING CARE ACTIVITIES THAT WERE SUPPORTED BY AMAZON ECHO FOR CARE PARTNERS AFTER ONSET OF COGNITIVE IMPAIRMENT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S328-S328
Author(s):  
Galina Madjaroff
Keyword(s):  
Quality Of Life ◽  
Cognitive Impairment ◽  
Lived Experience ◽  
Intelligent Agent ◽  
Well Being ◽  
Multiple Sources ◽  
Home Based ◽  
Care Partners ◽  
Voice User

Abstract There are several important challenges when addressing the needs of older adults with cognitive impairment and their care partners including the potential for diminishing emotional well-being and loss of autonomy, which could potentially lead to a lower overall quality of life for both care partners (CPs). The motivation of this study was to identify the care activities that were supported by home based technology for care partners after the onset of cognitive impairment. This work was done through gathering multiple sources of qualitative and quantitative data, including mobile application dialogue history logs, pre and post interviews, user feedback groups and home visits. The technology deployed in the home of the care partners was a Voice User Interface Intelligent Agent, specifically the Amazon Echo with its intelligent agent “Alexa.” This technology was selected because it was not built from a traditional care model, yet embodies functions that could be used for all potential forms of care, including those that achieve a higher level of quality of life goals for care partners. From this study, we can further our understanding of how to deploy and design technology that shifts the perspective from “cure to care” with a focus on the older person and their lived experience, monitoring wellness, and not just addressing illness. Results and findings indicated that daily care activities of dyads that are seemingly fundamental are actually complex care activities that emerge from using the technology that support the care partners on multiple levels in satisfying multiple needs.

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