Timely diagnosis of dementia in rural areas in Austria: the Dementia Service Centre model

2020 ◽  
pp. 103-126
Author(s):  
Stefanie Auer ◽  
Paulina Ratajczak ◽  
Edith Span ◽  
Margit Höfler
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Psychosocial Support ◽  
Controlled Trial ◽  
Support Providers ◽  
Upper Austria ◽  
Service Centre ◽  
Model Research ◽  
Diagnosis Of Dementia ◽  
Support Model

The Dementia Service Centre Model was developed in order to serve rural communities in Upper Austria. The goals of the Dementia Service Centre were defined as a multicomponent, low threshold, ‘one-stop shop’ psychosocial support model, specifically addressing the needs of persons with dementia and their family carers and support providers in rural communities. The main goals of the DSC care model are: a) timely detection of dementia, b) delaying the institutionalisation of persons with dementia and c) reducing the burden of support providers. In 2001, a data base was established with the goal to providing evidence for the support model. Research projects, including a randomized controlled trial, were conducted. The results of the research influenced the decision of policy makers to promote the model for roll-out. During the pilot phase, 7 Centres were opened. The model has been selected for rollout and in 2020 eleven Centres will be available.

Timely Diagnosis of Dementia in Rural Areas in Austria: The Dementia Service Centre Model

2020 ◽  
pp. 103-126
Author(s):  
Stefanie Auer ◽  
Paulina Ratajczak ◽  
Edith Span ◽  
Margit Höfler
Keyword(s):  
Rural Areas ◽  
Timely Diagnosis ◽  
Service Centre ◽  
Diagnosis Of Dementia

Community outreach for untreated schizophrenia in rural India: a follow-up study of symptoms, disability, family burden and costs

2004 ◽  
Vol 35 (3) ◽  
pp. 341-351 ◽  
Author(s):  
R. SRINIVASA MURTHY ◽  
K. V. KISHORE KUMAR ◽  
D. CHISHOLM ◽  
T. THOMAS ◽  
K. SEKAR ◽  
...  
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Repeated Measures ◽  
Psychosocial Support ◽  
Community Outreach ◽  
Family Burden ◽  
Psychotic Symptoms ◽  
Community Based ◽  
Care Giving

Background. In resource-poor countries, there remains an alarming treatment gap for people with schizophrenia, particularly those living in rural areas. Decentralization of mental health services, including community-based outreach programmes, represents one obvious strategy for bringing appropriate care to these communities. This study set out to assess the costs and effects of such a programme in rural Karnataka in India.Method. Eight rural communities were visited by an outreach team, who identified cases of drug-naive or currently untreated schizophrenia. Recruited cases were provided with appropriate psychotropic medication and psychosocial support, and after obtaining informed consent were assessed every 3 months over one and a half years on symptomatology, disability, family burden, resource use and costs. A repeated-measures analysis was carried out to test for significant change in these outcome measures over this period.Results. A total of 100 cases of untreated schizophrenia were recruited, of whom 28% had never received antipsychotic medication and the remaining 72% had not been on medication for the past 6 months. Summary scores for psychotic symptoms, disability and family burden were all reduced significantly, with particular improvement observed at the first follow-up assessment. Increases in treatment and community outreach costs over the follow-up period were accompanied by reductions in the costs of informal-care sector visits and family care-giving time.Conclusions. Efforts to organize community-based care such as outreach services for people with schizophrenia living in more remote areas of resource-constrained countries can bring substantial benefits to patients and families alike.

TURNING FARMERS INTO SOCIAL FARMER ENTREPRENEURS FOR DISADVANTAGED PEOPLE

2020 ◽  
Author(s):  
Remus Runcan
Keyword(s):  
Rural Communities ◽  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Health And Safety ◽  
Physical Work ◽  
Healthy Environment ◽  
Rural And Urban Areas ◽  
Rural Development Programme ◽  
Rural And Urban

According to Romania’s National Rural Development Programme, the socio-economic situation of the rural environment has a large number of weaknesses – among which low access to financial resources for small entrepreneurs and new business initiatives in rural areas and poorly developed entrepreneurial culture, characterized by a lack of basic managerial knowledge – but also a large number of opportunities – among which access of the rural population to lifelong learning and entrepreneurial skills development programmes and entrepreneurs’ access to financial instruments. The population in rural areas depends mainly on agricultural activities which give them subsistence living conditions. The gap between rural and urban areas is due to low income levels and employment rates, hence the need to obtain additional income for the population employed in subsistence and semi-subsistence farming, especially in the context of the depopulation trend. At the same time, the need to stimulate entrepreneurship in rural areas is high and is at a resonance with the need to increase the potential of rural communities from the perspective of landscape, culture, traditional activities and local resources. A solution could be to turn vegetal and / or animal farms into social farms – farms on which people with disabilities (but also adolescents and young people with anxiety, depression, self-harm, suicide, and alexithymia issues) might find a “foster” family, bed and meals in a natural, healthy environment, and share the farm’s activities with the farmer and the farmer’s family: “committing to a regular day / days and times for a mutually agreed period involves complying with any required health and safety practices (including use of protective clothing and equipment), engaging socially with the farm family members and other people working on and around the farm, and taking on tasks which would include working on the land, taking care of animals, or helping out with maintenance and other physical work”

scholarly journals Tackling Rural Health, Energy, … and Technological Issues All at Once: A Call for a Global Interdisciplinary Platform for Strengthening Rural Setting Amid the COVID-19 Pandemic

Challenges ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 16
Author(s):  
Farshad Amiraslani
Keyword(s):  
Rural Communities ◽  
Rural Health ◽  
Rural Areas ◽  
Rural Setting ◽  
Global Challenges ◽  
Rural Settings ◽  
Research Studies

The recent COVID-19 pandemic has revealed flaws in rural settings where most people live without the necessary tools, income, and knowledge to tackle such unprecedented global challenges. Here, I argue that despite the research studies conducted on rural areas, these have not solved rising rural issues, notably poverty and illiteracy. I propound a global institute to be formed by governments that provides a platform for empowering rural communities through better training, skills, and competencies. Such global endeavour will ensure the remaining rural communities withstand future pandemics if they occur.

Potential Impacts of Extreme Heat and Bushfires on Dementia

2021 ◽  
Vol 79 (3) ◽  
pp. 969-978
Author(s):  
Taya L. Farugia ◽  
Carla Cuni-Lopez ◽  
Anthony R. White
Keyword(s):  
Rural Communities ◽  
Natural Disasters ◽  
Low Socioeconomic Status ◽  
Forest Fires ◽  
Weather Conditions ◽  
Extreme Weather ◽  
Extreme Heat ◽  
Indigenous Populations ◽  
Future Research ◽  
Diagnosis Of Dementia

Australia often experiences natural disasters and extreme weather conditions such as: flooding, sandstorms, heatwaves, and bushfires (also known as wildfires or forest fires). The proportion of the Australian population aged 65 years and over is increasing, alongside the severity and frequency of extreme weather conditions and natural disasters. Extreme heat can affect the entire population but particularly at the extremes of life, and patients with morbidities. Frequently identified as a vulnerable demographic in natural disasters, there is limited research on older adults and their capacity to deal with extreme heat and bushfires. There is a considerable amount of literature that suggests a significant association between mental disorders such as dementia, and increased vulnerability to extreme heat. The prevalence rate for dementia is estimated at 30%by age 85 years, but there has been limited research on the effects extreme heat and bushfires have on individuals living with dementia. This review explores the differential diagnosis of dementia, the Australian climate, and the potential impact Australia’s extreme heat and bushfires have on individuals from vulnerable communities including low socioeconomic status Indigenous and Non-Indigenous populations living with dementia, in both metropolitan and rural communities. Furthermore, we investigate possible prevention strategies and provide suggestions for future research on the topic of Australian bushfires and heatwaves and their impact on people living with dementia. This paper includes recommendations to ensure rural communities have access to appropriate support services, medical treatment, awareness, and information surrounding dementia.

scholarly journals Community Health Workers as a Strategy to Tackle Psychosocial Suffering Due to Physical Distancing: A Randomized Controlled Trial

2021 ◽  
Vol 18 (6) ◽  
pp. 3097
Author(s):  
Dorien Vanden Bossche ◽  
Susan Lagaert ◽  
Sara Willems ◽  
Peter Decat
Keyword(s):  
Randomized Controlled Trial ◽  
Community Health ◽  
Health Workers ◽  
Psychosocial Support ◽  
Controlled Trial ◽  
Intervention Group ◽  
Psychosocial Health ◽  
Control Group ◽  
Randomized Controlled ◽  
The Impact

Background: During the COVID-19 pandemic, many primary care professionals were overburdened and experienced difficulties reaching vulnerable patients and meeting the increased need for psychosocial support. This randomized controlled trial (RCT) tested whether a primary healthcare (PHC) based community health worker (CHW) intervention could tackle psychosocial suffering due to physical distancing measures in patients with limited social networks. Methods: CHWs provided 8 weeks of tailored psychosocial support to the intervention group. Control group patients received ‘care as usual’. The impact on feelings of emotional support, social isolation, social participation, anxiety and fear of COVID-19 were measured longitudinally using a face-to-face survey to determine their mean change from baseline. Self-rated change in psychosocial health at 8 weeks was determined. Results: We failed to find a significant effect of the intervention on the prespecified psychosocial health measures. However, the intervention did lead to significant improvement in self-rated change in psychosocial health. Conclusions: This study confirms partially the existing evidence on the effectiveness of CHW interventions as a strategy to address mental health in PHC in a COVID context. Further research is needed to elaborate the implementation of CHWs in PHC to reach vulnerable populations during and after health crises.

scholarly journals Solid Biomass Energy Potential as a Development Opportunity for Rural Communities

Energies ◽  
2021 ◽  
Vol 14 (12) ◽  
pp. 3398
Author(s):  
Mariusz Jerzy Stolarski ◽  
Paweł Dudziec ◽  
Michał Krzyżaniak ◽  
Ewelina Olba-Zięty
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Renewable Energy Sources ◽  
Biomass Energy ◽  
Energy Sources ◽  
Energy Potential ◽  
Development Opportunity ◽  
Biomass Resources ◽  
Administrative Units ◽  
Solid Biomass

Conventional energy sources often do not fully satisfy the needs of a modern economy, especially given the climate changes associated with them. These issues should be addressed by diversification of energy generation, including the development of renewable energy sources (RES). Solid biomass will play a major part in the process in Poland. The function of rural areas, along with a well-developed agricultural and forest economy sector, will be a key aspect in this as these areas are suitable for solid biomass acquisition in various ways. This study aimed to determine the solid biomass energy potential in the commune of Goworowo to illustrate the potential in the smallest administrative units of Poland. This research determined the environmental and natural conditions in the commune, which helped to identify the crucial usable solid biomass resources. The total energy potential of solid biomass resources in the commune of Goworowo amounted to 97,672 GJ y−1. The highest potential was accumulated in straw surplus (37,288 GJ y−1) and the lowest was in wood from roadside maintenance (113 GJ y−1). This study showed that rural areas could soon play a significant role in obtaining solid biomass, and individual communes could become spaces for the diversification of energy feedstock.

scholarly journals Moving beyond Limitations: Designing the Helpdys App for Children with Dyslexia in Rural Areas

2021 ◽  
Vol 13 (13) ◽  
pp. 7081
Author(s):  
Andres Larco ◽  
Jorge Carrillo ◽  
Nelson Chicaiza ◽  
Cesar Yanez ◽  
Sergio Luján-Mora
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Rating Scale ◽  
Language Disorder ◽  
Educational Games ◽  
Mobile App ◽  
Literacy Skills ◽  
Full Potential ◽  
Positive Contribution ◽  
Self Confidence

Dyslexia is a relatively common language disorder which is generally ignored in rural communities. It hinders children’s learning processes and, in some cases, is the cause of dropouts or violence in schools. The present work strives to create a web and mobile app as a preliminary step towards the diagnosis and treatment of dyslexic children. Apps providing didactic educational games and activities improve literacy skills for students with reading disabilities. The current work incorporates user experience and prototyping to fulfill app requirements. The authors evaluated the apps with the Mobile App Rating Scale (MARS) tool to assess engagement, functionality, aesthetics, and information. The app’s improvements were immediately implemented and tested in the “Escuela Linea Equinoccial” (Ecuador) school, proving its utility for future use in the education system. The app can be a valuable tool for children with dyslexia to progress successfully through school, raising their self-confidence and, thereby, helping them reach their full potential as adults able to make a positive contribution to society.

scholarly journals Evaluation of Community Resilience in Rural China—Taking Licheng Subdistrict, Guangzhou as an Example

2021 ◽  
Vol 18 (11) ◽  
pp. 5827
Author(s):  
Jianhong Fan ◽  
You Mo ◽  
Yunnan Cai ◽  
Yabo Zhao ◽  
Dongchen Su
Keyword(s):  
Spatial Distribution ◽  
Rural Communities ◽  
Rural Areas ◽  
Urban Areas ◽  
Rural China ◽  
Social Resilience ◽  
Learning Abilities ◽  
The Sustainable Development ◽  
Guangzhou City ◽  
Local Sustainability

Resilience of rural communities is becoming increasingly important to contemporary society. In this study we used a quantitative method to measure the resilience regulating ability of rural communities close to urban areas—in Licheng Subdistrict, Guangzhou City, China. The main results are as follows: (1) Rural systems close to urban areas display superior adapting and learning abilities and have a stronger overall resilience strength, the spatial distribution of which is characterized by dispersion in whole and aggregation in part; (2) the resilience of most rural economic subsystems can reach moderate or higher levels with apparent spatial agglomeration, whilst the ecological subsystem resilience and social resilience are generally weaker; the spatial distribution of the former shows a greater regional difference while the latter is in a layered layout; (3) some strategies such as rebuilding a stable ecological pattern, making use of urban resources and cultivating rural subjectivity are proposed on this basis, in order to promote the sustainable development of rural areas and realize rural revitalization. This work also gives suggestion for the creation of appropriate and effective resilience standards specifically targeted for rural community-aiming to achieve the delivery of local sustainability goals.

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