Effect of Group-Based Cognitive Training on Cognitive Performance, Depression, and Quality of Life in Community-Dwelling Elderly

Abstract Background the potential benefits of dual-task interventions on older adults living in long-term nursing homes (LTNHs) from a multidimensional perspective are unknown. We sought to determine whether the addition of simultaneous cognitive training to a multicomponent exercise program offers further benefits to dual-task, physical and cognitive performance, psycho-affective status, quality of life and frailty in LTNH residents. Design: a single-blind randomized controlled trial. Setting nine LTNHs in Gipuzkoa, Spain. Subjects 85 men and women (ACTRN12618000536268). Methods participants were randomly assigned to a multicomponent or dual-task training group. The multicomponent group performed two sessions per week of individualized and progressive strength and balance exercises for 3 months. The dual-task group performed simultaneous cognitive tasks to the same tasks as in the multicomponent group. Gait speed under single- and dual-task conditions, physical and cognitive performance, psycho-affective status, quality of life and frailty were measured at baseline and after 3 months of intervention. Results both groups showed clinically significant improvements on gait performance under single- and dual-task conditions and on the short physical performance battery (P < 0.05). Both interventions were effective in maintaining cognitive function (P > 0.05). Only the multicomponent group significantly improved quality of life, and reduced anxiety and Fried frailty score (P < 0.05). No group-by-time interactions were found except for the chair-stand test in favour of the multicomponent group (P < 0.05). Conclusions the addition of simultaneous cognitive training does not seem to offer significantly greater benefits to the evaluated multicomponent exercise program in older adults living in LTNHs.

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Relationship between Abuse Experience and Quality of Life of Community Dwelling Older Adults

Egyptian Journal of Health Care ◽

10.21608/ejhc.2017.17968 ◽

2017 ◽

Vol 8 (1) ◽

pp. 208-223

Author(s):

Rasha Ahmed Fouad ◽

Abeer Abd El – Rahman Mohamed

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Community Dwelling ◽

Community Dwelling Older Adults

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Development and validation of a short version of the Sarcopenia Quality of Life questionnaire: the SF-SarQoL

Quality of Life Research ◽

10.1007/s11136-021-02823-3 ◽

2021 ◽

Author(s):

A. Geerinck ◽

C. Beaudart ◽

J.-Y. Reginster ◽

M. Locquet ◽

C. Monseur ◽

...

Keyword(s):

Quality Of Life ◽

Short Form ◽

Reduction Process ◽

Community Dwelling ◽

Short Version ◽

Second Phase ◽

Life Questionnaire ◽

Quality Of Life Questionnaire ◽

Two Phases

Abstract Purpose To facilitate the measurement of quality of life in sarcopenia, we set out to reduce the number of items in the previously validated Sarcopenia Quality of Life (SarQoL®) questionnaire, and to evaluate the clinimetric properties of this new short form. Methods The item reduction process was carried out in two phases. First, information was gathered through item-impact scores from older people (n = 1950), a Delphi method with sarcopenia experts, and previously published clinimetric data. In the second phase, this information was presented to an expert panel that decided which of the items to include in the short form. The newly created SFSarQoL was then administered to older, community-dwelling participants who previously participated in the SarcoPhAge study. We examined discriminative power, internal consistency, construct validity, test–retest reliability, structural validity and examined item parameters with a graded response model (IRT). Results The questionnaire was reduced from 55 to 14 items, a 75% reduction. A total of 214 older, community-dwelling people were recruited for the validation study. The clinimetric evaluation showed that the SF-SarQoL® can discriminate on sarcopenia status [EWGSOP2 criteria; 34.52 (18.59–43.45) vs. 42.86 (26.56–63.69); p = 0.043], is internally consistent (α = 0.915, ω = 0.917) and reliable [ICC = 0.912 (0.847–0.942)]. A unidimensional model was fitted (CFI = 0.978; TLI = 0.975; RMSEA = 0.108, 90% CI 0.094–0.123; SRMR = 0.055) with no misfitting items and good response category separation. Conclusions A new, 14-item, short form version of the Sarcopenia Quality of Life questionnaire has been developed and shows good clinimetric properties.

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Cognitive training interventions for dementia and mild cognitive impairment in Parkinson’s disease - A cochrane review summary with commentary

Neurorehabilitation ◽

10.3233/nre-218001 ◽

2021 ◽

pp. 1-3

Author(s):

Tobias Loetscher

Keyword(s):

Quality Of Life ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

Cognitive Training ◽

Verbal Memory ◽

Cognitive Impairments ◽

Cochrane Review ◽

Cognitive Domains ◽

Training Interventions

BACKGROUND: The majority of people living with Parkinson’s disease will develop impairments in cognition. These impairments are associated with a reduced quality of life. OBJECTIVE: The Cochrane Review aimed to investigate whether cognitive training improves cognition in people with Parkinson’s disease and mild cognitive impairments or dementia. METHODS: A Cochrane Review by Orgeta et al. was summarized with comments. RESULTS: The review included seven studies with a total of 225 participants. There was no evidence for improvements in global cognition when cognitive training was compared to control conditions. Observed improvements in attention and verbal memory measures after cognitive training could not be confirmed in a subsequent sensitivity analysis. There was no evidence for benefits in other cognitive domains or quality of life measures. The certainty of the evidence was low for all comparisons. CONCLUSIONS: The effectiveness of cognitive training for people with Parkinson’s disease and cognitive impairments remains inconclusive. There is a pressing need for adequately powered trials with higher methodological quality.

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Perceived and objective availability of green and blue spaces and quality of life in people with dementia: results from the IDEAL programme

Social Psychiatry and Psychiatric Epidemiology ◽

10.1007/s00127-021-02030-y ◽

2021 ◽

Author(s):

Yu-Tzu Wu ◽

◽

Linda Clare ◽

Ian Rees Jones ◽

Sharon M. Nelis ◽

...

Keyword(s):

Quality Of Life ◽

Urban Areas ◽

Positive Association ◽

Deprivation Level ◽

Community Dwelling ◽

Future Research ◽

Interaction Terms ◽

Perceived Availability ◽

People With Dementia

Abstract Purpose The aim of this study was to investigate the associations between quality of life and both perceived and objective availability of local green and blue spaces in people with dementia, including potential variation across rural/urban settings and those with/without opportunities to go outdoors. Methods This study was based on 1540 community-dwelling people with dementia in the Improving the experience of Dementia and Enhancing Active Life (IDEAL) programme. Quality of life was measured by the Quality of Life in Alzheimer’s Disease (QoL-AD) scale. A list of 12 types of green and blue spaces was used to measure perceived availability while objective availability was estimated using geographic information system data. Regression modelling was employed to investigate the associations of quality of life with perceived and objective availability of green and blue spaces, adjusting for individual factors and deprivation level. Interaction terms with rural/urban areas or opportunities to go outdoors were fitted to test whether the associations differed across these subgroups. Results Higher QoL-AD scores were associated with higher perceived availability of local green and blue spaces (0.82; 95% CI 0.06, 1.58) but not objective availability. The positive association between perceived availability and quality of life was stronger for urban (1.50; 95% CI 0.52, 2.48) than rural residents but did not differ between participants with and without opportunities to go outdoors. Conclusions Only perceived availability was related to quality of life in people with dementia. Future research may investigate how people with dementia utilise green and blue spaces and improve dementia-friendliness of these spaces.

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Mental component of health-related quality of life is an independent predictor of incident functional disability among community-dwelling older people: a prospective cohort study

Quality of Life Research ◽

10.1007/s11136-021-02780-x ◽

2021 ◽

Author(s):

Kimiko Tomioka ◽

Midori Shima ◽

Keigo Saeki

Keyword(s):

Quality Of Life ◽

Cohort Study ◽

Functional Disability ◽

Independent Predictor ◽

Community Dwelling ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Community Dwelling Older People

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The Effect of Baseline Patient and Caregiver Mindfulness on Dementia Outcomes

Journal of Alzheimer s Disease ◽

10.3233/jad-201292 ◽

2021 ◽

pp. 1-23

Author(s):

Ashley D. Innis ◽

Magdalena I. Tolea ◽

James E. Galvin

Keyword(s):

Quality Of Life ◽

Cognitive Performance ◽

Rating Scales ◽

Present Moment ◽

Health Related Quality ◽

Targeted Interventions ◽

Related Quality ◽

Health Related ◽

Caregiver Rating

Background: Mindfulness is the practice of awareness and living in the present moment without judgment. Mindfulness-based interventions may improve dementia-related outcomes. Before initiating interventions, it would be beneficial to measure baseline mindfulness to understand targets for therapy and its influence on dementia outcomes. Objective: This cross-sectional study examined patient and caregiver mindfulness with patient and caregiver rating scales and patient cognitive performance and determined whether dyadic pairing of mindfulness influences patient outcomes. Methods: Individuals (N = 291) underwent comprehensive evaluations, with baseline mindfulness assessed using the 15-item Applied Mindfulness Process Scale (AMPS). Correlation, regression, and mediation models tested relationships between patient and caregiver mindfulness and outcomes. Results: Patients had a mean AMPS score of 38.0±11.9 and caregivers had a mean AMPS score of 38.9±11.5. Patient mindfulness correlated with activities of daily living, behavior and mood, health-related quality of life, subjective cognitive complaints, and performance on episodic memory and attention tasks. Caregiver mindfulness correlated with preparedness, care confidence, depression, and better patient cognitive performance. Patients in dyads with higher mindfulness had better cognitive performance, less subjective complaints, and higher health-related quality of life (all p-values<0.001). Mindfulness effects on cognition were mediated by physical activity, social engagement, frailty, and vascular risk factors. Conclusion: Higher baseline mindfulness was associated with better patient and caregiver outcomes, particularly when both patients and caregivers had high baseline mindfulness. Understanding the baseline influence of mindfulness on the completion of rating scales and neuropsychological test performance can help develop targeted interventions to improve well-being in patients and their caregivers.

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