Training older adults with low vision to use a computer tablet: A feasibility study

2016 ◽  
Vol 80 (2) ◽  
pp. 117-122 ◽  
Author(s):  
Jennifer Kaldenberg ◽  
Stacy Smallfield
Keyword(s):  
Older Adults ◽  
Feasibility Study ◽  
Repeated Measures ◽  
Research Method ◽  
Low Vision ◽  
Performance Measure ◽  
Daily Activities ◽  
Group Training ◽  
Adult Women ◽  
Repeated Measures Design

Introduction The purpose of this feasibility study was to investigate the potential use of a computer tablet as a low vision device to facilitate performance of and satisfaction with daily activities for older adults with low vision. Method A repeated measures design was used to measure outcomes. Four older adult women with low vision completed 10 weekly sessions of group training in tablet use. The feasibility of this research method and intervention was examined by evaluating recruitment capability, data collection procedures, outcome measures, intervention procedures, resources, and preliminary responses to intervention. Results The four participants were all women, with a mean age of 74.25 years (68–81). Visual acuity ranged from 20/160 to 20/4000. Mean change in performance and satisfaction on the Canadian Occupational Performance Measure were 3.45 and 3.65, respectively. Daily tablet use increased from 15 minutes at pretest to 3 hours at posttest to 4.5 hours at follow-up. Conclusion Group training in computer tablet use for older adults with low vision shows promise to improve performance and satisfaction in a variety of daily activities. With appropriate resources, the research method is feasible for a larger study examining this community-based intervention for older adults with low vision.

Effectiveness of a Care Delivery Model for High-Need Older Adults in Communities

2020 ◽  
pp. 104973152098235
Author(s):  
Kuei-Min Chen ◽  
Hui-Fen Hsu ◽  
Li-Yen Yang ◽  
Chiang-Ching Chang ◽  
Yu-Ming Chen ◽  
...  
Keyword(s):  
Older Adults ◽  
Repeated Measures ◽  
Comparison Group ◽  
Care Delivery ◽  
Intervention Group ◽  
Community Dwelling ◽  
Delivery Model ◽  
Positive Effects ◽  
Repeated Measures Design ◽  
Care Delivery Model

Purpose: This study aimed to test the effectiveness of High-Need Community-Dwelling Older Adults Care Delivery Model (HCOACDM) in Taiwan. Methods: A cluster randomized controlled trial with repeated measures design was conducted in eight community care centers, involving 145 high-need older adults who were assigned to the intervention group or comparison group. The HCOACDM was provided over 6 months. Functional ability, quality of life, depressive symptoms, and health care and social service utilizations were measured at baseline, at 3 months, and 6 months into the intervention. The participants’ satisfaction was measured at the end of 6-month intervention. Results: Positive effects were shown on all variables in the intervention group at both the 3-month and 6-month intervals (all p < .05). The intervention group had a higher satisfaction with care delivery than the comparison group ( p < .05). Discussion: The promising findings supported a long-term implementation of the HCOACDM as applicable and beneficial.

scholarly journals Comparing Young and Old Adults’ Night Hazard Detection With Driving Simulation and on Road

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 265-266
Author(s):  
Anne Dickerson ◽  
Juliette Leonardo
Keyword(s):  
Older Adults ◽  
Eye Tracking ◽  
Repeated Measures ◽  
Age Groups ◽  
Driving Simulation ◽  
Younger Adults ◽  
Repeated Measures Design ◽  
Hazard Detection ◽  
Road Performance ◽  
Healthy Community

Abstract While there is validity of using driving simulation as a proxy for on-road performance, few studies have examined hazard detection at night. Night driving is a self-restricting practice with little evidence demonstrating the need with healthy older adults. This study’s objective was to analyze night driving using eye-tracking technology examining differences between on-road/simulated drives and older/younger adults. A 2 (old, young) x 2 (simulator, on-road) repeated-measures design measured three roadway “hazards” of pedestrains looking at their cell phone while posed to cross the roadway. Pupil glances were recorded using outcome measures of total fixation duration, number of fixations, and time-to-first fixation for the pedestrains on-road and on a specifically designed scenario matching the on-road route. Thirty-three healthy, community-living drivers age 65+ years (N=16) and drivers age 20-40 years (N=17) completed both drives. Using non-parametric statistics, results demonstrated that night hazard detection was similar across driving conditions except for time-to-first fixation, which was faster on-road for both age groups (p&lt;.001). At some hazard locations, there were significant differences between the two age groups, with older adults taking longer to initially see hazards. Results suggest, older adults detected hazards similarly to younger adults, especially during on-road performance, suggesting avoidance of night driving may not be necessary. Results also support using driving simulation as a proxy for on-road with night driving needing to be incorporated. Additionally, eye-tracking has the potential for research in hazard detection with emphasis on the time-to-first fixation outcomes when considering driving analysis.

scholarly journals Feasibility trial of an integrated treatment “Activate for Life” for physical and mental well-being in older adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 947-948
Author(s):  
Melba Hernandez-Tejada ◽  
Sundaravadivel Balasubramanian ◽  
Alexis Nagel ◽  
Mohan Madisetti ◽  
Teresa Kelechi
Keyword(s):  
Older Adults ◽  
Patient Satisfaction ◽  
Low Income ◽  
Repeated Measures ◽  
Behavioral Activation ◽  
Well Being ◽  
Integrated Treatment ◽  
Feasibility Trial ◽  
Repeated Measures Design ◽  
Yogic Breathing

Abstract This study describes the feasibility and patient satisfaction for an integrated treatment to address multiple health outcomes in a sample of older adults living in a low-income independent residence facility and their own homes in the community. Specifically, 30 older adults were offered the opportunity to participate in a feasibility study of different components of Activate for Life treatment targeting balance and physical strength (Otago Exercise Program), breathing retraining (Gentle Yoga and Yogic Breathing), and mental health (Behavioral Activation for Depression). Three treatment combinations were compared in a randomized repeated measures design to determine if adding components to the existing Otago program were feasible and if this affected patient satisfaction. Arm1: the Otago strength and balance program alone (n = 10); Arm 2: Otago + Gentle Yoga and Yogic Breathing (n = 10); and Arm 3: Otago + Gentle Yoga and Yogic Breathing + Behavioral Activation (we named this combination ‘Activate for Life’ n = 10). Dependent measures included recruitment rate, session completion characteristics, and satisfaction with the program. Overall, study and treatment components proved feasible, and participants reported high satisfaction with all 3 Arms.

Attributions of Competence Mediate the Behaviors of Caregivers and Older Adults

GeroPsych ◽  
2013 ◽  
Vol 26 (4) ◽  
pp. 211-217 ◽  
Author(s):  
Antonio Bustillos ◽  
Rocío Fernández Ballesteros
Keyword(s):  
Older Adults ◽  
Health Professionals ◽  
Repeated Measures ◽  
Older Persons ◽  
Senior Citizens ◽  
The State ◽  
Second Phase ◽  
Active Aging ◽  
Age Stereotypes ◽  
Repeated Measures Design

This study tests whether age stereotypes held by professional caregivers and health professionals have an effect on the behaviors of these professionals and the competence of older adults. A repeated-measures design was implemented in the State of Colima (Mexico). The first phase recorded aging stereotypes; the second phase observed the functioning of caregivers and older adults. Analyses revealed that stereotypical beliefs about competence mediated the relationships between the behaviors of caregivers and the older adults. Given that aging stereotypes held by caregivers negatively affect the competence behaviors of older persons, if we want to promote competence and active aging in senior citizens it would seem important to promote change in the stereotypical beliefs of their caregivers.

scholarly journals Mindfulness Meditation Effects on Poststroke Spasticity: A Feasibility Study

2019 ◽  
Vol 24 ◽  
pp. 2515690X1985594 ◽  
Author(s):  
Melanie Wathugala ◽  
David Saldana ◽  
Julia M. Juliano ◽  
Jennifer Chan ◽  
Sook-Lei Liew
Keyword(s):  
Quality Of Life ◽  
Feasibility Study ◽  
Repeated Measures ◽  
Mindfulness Meditation ◽  
Chronic Stroke ◽  
Future Research ◽  
Control Group ◽  
Stroke Survivors ◽  
Repeated Measures Design

This study examined the feasibility of an adapted 2-week mindfulness meditation protocol for chronic stroke survivors. In addition, preliminary effects of this adapted intervention on spasticity and quality of life in individuals after stroke were explored. Ten chronic stroke survivors with spasticity listened to 2 weeks of short mindfulness meditation recordings, adapted from Jon Kabat-Zinn’s Mindfulness-Based Stress Reduction course, in a pre/post repeated measures design. Measures of spasticity, quality of life, mindfulness, and anxiety, along with qualitative data from participants’ daily journals, were assessed. On average, participants reported meditating 12.5 days of the full 15 days (mean 12.5 days, SD 0.94, range 8-15 days). Seven of the 10 participants wrote comments in their journals. In addition, there were no adverse effects due to the intervention. Exploratory preliminary analyses also showed statistically significant improvements in spasticity in both the elbow ( P = .032) and wrist ( P = .023) after 2 weeks of meditation, along with improvements in quality of life measures for Energy ( P = .013), Personality ( P = .026), and Work/Productivity ( P = .032). This feasibility study suggests that individuals with spasticity following stroke are able to adhere to a 2-week home-based mindfulness meditation program. In addition, preliminary results also suggest that this adapted, short mindfulness meditation program might be a promising approach for individuals with spasticity following stroke. Future research should expand on these preliminary findings with a larger sample size and control group.

scholarly journals Feasibility Trial of an Integrated Treatment "Activate for Life" for Physical and Mental Well-being in Older Adults

2021 ◽  
Author(s):  
Melba A Hernandez-Tejada ◽  
Alexis Nagel ◽  
Mohan Madisetti ◽  
Sundar Balasubramanian ◽  
Teresa Kelechi
Keyword(s):  
Older Adults ◽  
Patient Satisfaction ◽  
Low Income ◽  
Repeated Measures ◽  
Behavioral Activation ◽  
Well Being ◽  
Integrated Treatment ◽  
Feasibility Trial ◽  
Repeated Measures Design ◽  
Yogic Breathing

Abstract This paper describes feasibility and patient satisfaction for an integrated treatment to address multiple health outcomes in a sample of older adults living in a low-income independent residence facility and their own homes in the community. Specifically, 30 older adults were offered the opportunity to participate in a feasibility study of different components of Activate for Life treatment targeting balance and physical strength (Otago Exercise Program), breathing retraining (Gentle Yoga and Yogic Breathing), and mental health (Behavioral Activation for Depression). Three treatment combinations were compared in a randomized repeated measures design to determine if adding components to the existing Otago program were feasible and if this affected patient satisfaction. Arm1: the Otago strength and balance program alone (n = 10); Arm 2: Otago + Gentle Yoga and Yogic Breathing (n = 10); and Arm 3: Otago + Gentle Yoga and Yogic Breathing + Behavioral Activation (we named this combination ‘Activate for Life’ n = 10). Dependent measures included recruitment rate, session completion characteristics, and satisfaction with the program. Overall, study and treatment components proved feasible, and participants reported high satisfaction with all 3 Arms.

scholarly journals C-38 Telehealth Dementia Management in a Memory Care Unit: Survey Response Rates and Quality of Life

2019 ◽  
Vol 34 (6) ◽  
pp. 1067-1067
Author(s):  
J Pizer ◽  
A LaRoche ◽  
R Sawyer ◽  
B Arredondo ◽  
B Mizuki ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Feasibility Study ◽  
Repeated Measures ◽  
Care Facility ◽  
Response Rates ◽  
Survey Response ◽  
Term Care ◽  
Repeated Measures Design ◽  
Individualized Care

Abstract This feasibility study assessed changes in patient, staff, and family member ratings over time in a program using technology in patient care on an inpatient dementia unit in a nursing home. Method Dementia patients [N = 17; 50% Female; Age M (SD) = 84.56 (7.12); CDR M (SD) = 2.24 (5.17); MoCA M (SD) = 6.67 (.75)], caregivers (N = 17), and staff (N = 27) at a locked memory unit of a long-term care facility in the southern U.S. consented and enrolled in an individualized care program that implemented telehealth visits between a neuropsychologist and residents with staff. The start and end dates of the group varied due to new admissions and deaths. A feasibility study using a repeated measures design was conducted with monthly data collected from questionnaires (Quality of Life (QoL), Professional Care Team Burden (PCTB) Scale, and Zarit Caregiver Burden Inventory). Results QoL in residents as rated by staff was stable over a five-month interval [Baseline M (SD) = 37.94 (7.28); Month-5 M (SD) = 37.13(5.96), p = 0.98]. PCTB and Zarit responses were adequate at baseline (96.3% and 94.4%); however, due to poor response rates at Month 5 (14.3% and 27.2%), comparisons weren’t possible. Conclusion Changes in patient quality of life were not found over a five-month period. However, due to the severity and progression of dementia, a neutral finding may be positive. Anecdotally, perceptions of the program were positive. However, due to low survey response rates, we cannot accurately translate the benefits to the staff and family. Future studies should assess improving response rate or alternate forms of data collection. Generalizability is limited by size and setting.

scholarly journals The Leucine Requirement for Elderly Men Is More Than Double the Current Recommendations (P01-015-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sylwia Szwiega ◽  
Mahroukh Rafii ◽  
Paul Pencharz ◽  
Ronald Ball ◽  
Rajavel Elango ◽  
...  
Keyword(s):  
Older Adults ◽  
Amino Acid ◽  
Older Adult ◽  
Repeated Measures ◽  
Muscle Protein ◽  
Muscle Protein Synthesis ◽  
Acid Oxidation ◽  
Adult Men ◽  
Repeated Measures Design ◽  
The Mean

Abstract Objectives The objective of the current study was to determine the leucine requirement in older adult men using the indicator amino acid oxidation (IAAO) method. Methods The requirement for leucine was determined using IAAO with L-[1-13C]phenylalanine as the indicator. Using a repeated measures design, seven healthy older adult men were randomly assigned to receive seven out of nine intakes of leucine: 20, 30, 45, 55, 70, 80, 90, 105, 120 mg· kg−1· d−1. The rate of release of 13CO2from the oxidation of L-[1-13C]phenylalanine was measured and breakpoint analysis using non-linear mixed effects model (PROC NLMIXED) was applied to determine the leucine requirement. The upper 95% confidence interval was determined using Fieller's theorem. Results The mean (EAR) and population-safe (upper 95% CI) leucine requirement for older men was determined to be 80 and 101 mg· kg−1· d−1, respectively. These results are more than double the mean and population-safe leucine requirement currently set by the DRIs (34 and 42 mg· kg−1· d−1 for the EAR and RDA, respectively). Conclusions These results have important implications in the diet of older adults. In order to meet the leucine requirement, older adults should aim to consume a minimum of 1.2 g of high quality protein · kg−1· d−1or consider supplementation if not eating animal protein. In view of the evidence that leucine is important for muscle protein synthesis, recommendations set by the DRI need to be revisited. In addition, all other amino acid requirements should be investigated in older adults. Funding Sources Supported by Canadian Institute of Health Research MOP-10321.

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