AUGMENTED OBJECTS TO SUPPORT PEOPLE WITH MILD COGNITIVE DEFICIENCES IN EVERYDAY ACTIVITIES

This paper discusses the evolution of the early childhood education system from excluding children with disabilities to fully including them in a manner emphasizing full participation.  Evidence indicates meaningful participation in everyday activities is necessary for development to occur. The essential elements needed to bring about participation will be presented as well as specific evidence-based strategies used to promote inclusion and participation.

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Daily Stimulation and Cognitive Functioning: The Importance of the Participation of Healthy Older People in Cognitively Demanding Everyday Activities

European Journal of Investigation in Health, Psychology and Education ◽

10.3390/ejihpe4030029 ◽

2014 ◽

Vol 4 (3) ◽

pp. 309-319

Author(s):

José Antonio Labra Pérez ◽

Julio Menor

Keyword(s):

Cognitive Functioning ◽

Urban Areas ◽

Ad Hoc ◽

The Elderly ◽

Protective Mechanism ◽

Everyday Activity ◽

Neuropsychological Measures ◽

Rural And Urban Areas ◽

Everyday Activities ◽

Rural And Urban

The participation of the elderly in cognitively demanding activities is considered an enhancing factor of cognitive function. However, the life cycle psychosocial variables such as education and type of profession also influence in cognitive functioning. The objective of this study is to analyze the relationship between daily stimulation and cognitive functioning in a sample of healthy older adults, controlling the effects of education and the type of profession. The study involved 164 adults over 60 years, from rural and urban areas, with different levels of education and professional level which were assessed with an extensive battery of neuropsychological measures, as well as in an inventory of everyday activities built ad hoc. The results show that different cognitively demanding everyday activities are related to with cognitive processes, both fluids and crystallized. Furthermore, it was found that daily stimulation plays an important role in cognitive functioning outside of education and the type of profession performed. Overall, the results of this study shows the importance of everyday activity as a protective mechanism against cognitive decline, as well as the need to adopt a model of active aging

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Are Large Carnivores the Real Issue? Solutions for Improving Conflict Management through Stakeholder Participation

Sustainability ◽

10.3390/su13084482 ◽

2021 ◽

Vol 13 (8) ◽

pp. 4482

Author(s):

Valeria Salvatori ◽

Estelle Balian ◽

Juan Carlos Blanco ◽

Xavier Carbonell ◽

Paolo Ciucci ◽

...

Keyword(s):

Stakeholder Participation ◽

Agricultural Landscapes ◽

Added Value ◽

Practical Implementation ◽

Large Carnivores ◽

Societal Issues ◽

Everyday Activities ◽

Management Interventions ◽

Species Expansion ◽

General Scope

Social conflicts around large carnivores are increasing in Europe, often associated to the species expansion into human-modified and agricultural landscapes. Large carnivores can be seen as an added value by some but as a source of difficulties by others, depending on different values, attitudes, livelihoods, and everyday activities. Therefore, the effective involvement of the different interest groups is important to identify and shape tailored solutions that can potentially be implemented, complementing top-down approaches that might, on their own, result in lack of implementation and buy-in. To improve dialogue in conflictual situations, as part of a European project promoted by the European Parliament, we assessed the practical implementation of participatory processes in three sample areas in Europe where wolves and bears have recently been increasingly impacting human activities. Our results demonstrate that collaboration among different and generally contrasting groups is possible. Even in situations where large-carnivore impacts were seen as unsatisfactorily managed for many years, people were still willing and eager to be involved in alternative discussion processes hoping this would lead to concrete solutions. An important and common highlight among the three study areas was that all the management interventions agreed upon shared the general scope of improving the conditions of the groups most impacted by large carnivores. The process showed the importance of building trust and supporting dialogue for knowledge co-production and mitigation of conflicts between stakeholders and that controversial environmental issues have the potential to trigger a meaningful dialogue about broader societal issues. The direct involvement and support of competent authorities, as well as the upscaling of this process at larger administrative and social scales, remain important challenges.

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Frequency of But Not Capacity for Participation in Everyday Activities Is Associated With Cognitive Impairment in Late Life

Journal of Applied Gerontology ◽

10.1177/0733464820984283 ◽

2021 ◽

pp. 073346482098428

Author(s):

Chao-Yi Wu ◽

Juleen Rodakowski ◽

Lauren Terhorst ◽

Mary Amanda Dew ◽

Meryl Butters ◽

...

Keyword(s):

Cognitive Impairment ◽

Late Life ◽

Cognitive Status ◽

Computerized Adaptive Test ◽

Time Points ◽

Everyday Activities ◽

Neuropsychological Status ◽

Activity Frequency ◽

Test Version ◽

Life Function

We examined features of everyday activities (capacity and frequency) between older adults with and without cognitive impairment over 12 months. Participants aged ≥60 years and at risk for depression were included (n = 260); 26% ( n = 69) had an acquired cognitive impairment at baseline. Cognitive impairment was defined as one standard deviation below norms on the Repeatable Battery for the Assessment of Neuropsychological Status. Features of everyday activities were measured by a computerized adaptive test version of Late-Life Function and Disability Instrument (LLFDI) at six time points (baseline, 6 weeks, 3, 6, 9, 12 months). There were significant between-group differences in activity frequency ( p = .04), but not activity capacity ( p = .05). The group difference in activity frequency exceeded minimal detectable changes (MDC90 = 3.7) and reached moderate clinical meaningfulness (∆ at six time points = 3.7–4.7). Generalized linear mixed models revealed no Group × Time interactions on activity capacity and frequency ( p = .65 and p = .98). Practitioners may assess changes in activity frequency to monitor cognitive status of clients even when there is no loss of activity capacity.

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Can prism adaptation effects generalize to wheelchair maneuvering?

Neurorehabilitation ◽

10.3233/nre-210028 ◽

2021 ◽

pp. 1-10

Author(s):

Lindsay E. Wyatt ◽

Anne Sophie Champod ◽

Gabrielle M. Haidar ◽

Gail A. Eskes

Keyword(s):

Standard Treatment ◽

Clinical Care ◽

Prism Adaptation ◽

Spatial Neglect ◽

Hand Position ◽

Everyday Activity ◽

After Effects ◽

Everyday Activities ◽

Promising Tool ◽

The Impact

BACKGROUND: While prism adaptation (PA) has been recognized as a promising tool for treating spatial neglect, implementation as a standard treatment in clinical care has been lagging. Limited evidence for the generalization of after-effects to everyday activities has been a barrier towards implementation. OBJECTIVES: This study examined whether a home-friendly standardized PA protocol (Peg-the-Mole, PTM) induces after-effects that can transfer to wheelchair maneuvering. We also examined the impact of using constant (1 starting hand position) or variable (3 starting hand positions) training conditions on the transfer of after-effects to wheelchair maneuvering. METHODS: Sixty participants were randomly assigned to one of four PTM conditions: 1) prisms/constant training; 2) prisms/variable training; 3) sham goggles/constant training; 4) sham goggles/variable training. RESULTS: The use of PTM with rightward shifting prisms induced after-effects on proprioceptive and visual pointing outcome tasks. Groups using PTM with prism goggles showed a leftward shift in their position within a wheelchair course and a reduction in the number of right-sided collisions. The training condition did not have an impact on the transfer of after-effects to wheelchair driving. CONCLUSION: PTM is a clinically appealing PA protocol that induces after-effects that can transfer to an everyday activity relevant to patients with neglect.

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The Meeting Centre Support Programme: International Evaluation of a Dyadic Intervention in Dementia

Innovation in Aging ◽

10.1093/geroni/igaa057.2735 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 758-758

Author(s):

Dorota Szcześniak ◽

Katarzyna Lion ◽

Franka Meiland ◽

Dawn Brooker ◽

Elisabetta Farina ◽

...

Keyword(s):

Quality Of Life ◽

Social Support ◽

Psychosocial Intervention ◽

Cultural Barriers ◽

User Evaluation ◽

Great Satisfaction ◽

Everyday Activities ◽

Support Programme ◽

People With Dementia

Abstract In Europe, 10 million people are living with dementia. Most of them reside in their own home, cared for by their loved ones. As a consequence, there is a great need to provide both, people with dementia and their carers, tailored support. The Dutch Meeting Centres Support Programme (MCSP), adaptively implemented in three European countries within the JPND-MEETINGDEM project, is an excellent example of an effective dyadic psychosocial intervention, which seems to have no cultural barriers. The mixed-methods analysis showed that participant-dyads reported great satisfaction with MCSP. People with dementia experienced improvement of their quality of life, motivation and ability to participate in everyday activities, as well as improvement in their relationship with family members. Carers felt less burdened and highly appreciated the emotional and social support they received. Repeated user evaluation shows that this dyadic support effectively helps people with dementia and their families better deal with dementia.

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Effect of erenumab on functional outcomes in patients with episodic migraine in whom 2–4 preventives were not useful: results from the LIBERTY study

Journal of Neurology Neurosurgery & Psychiatry ◽

10.1136/jnnp-2020-324396 ◽

2021 ◽

pp. jnnp-2020-324396

Author(s):

Michel Lanteri-Minet ◽

Peter J Goadsby ◽

Uwe Reuter ◽

Shihua Wen ◽

Peggy Hours-Zesiger ◽

...

Keyword(s):

Functional Outcomes ◽

Impact Test ◽

Work Productivity ◽

Placebo Treatment ◽

Episodic Migraine ◽

Activity Impairment ◽

Everyday Activities ◽

Point Reduction ◽

Patient Reported ◽

Headache Impact

ObjectiveTo evaluate the effect of erenumab on patient-reported, functional outcomes in patients with episodic migraine (EM) in whom 2–4 preventives were not useful from the Phase 3b LIBERTY study.MethodsAs previously reported, 246 patients with EM with 2–4 prior failed preventives were randomised 1:1 to subcutaneous erenumab 140 mg or placebo every 4 weeks for 12 weeks. This analysis evaluated Migraine Physical Function Impact Diary (MPFID), Headache Impact Test (HIT-6) and Work Productivity and Activity Impairment (WPAI) scores at Week 12. P values were nominal without multiplicity adjustment.ResultsErenumab significantly improved MPFID-Physical Impairment (PI) and Everyday Activities (EA) scores versus placebo (treatment difference (TD) (95% CI) MPFID-PI: −3.5 (−5.7 to –1.2) (p=0.003); MPFID-EA: −3.9 (−6.1 to –1.7)) (p<0.001) at 12 weeks. Patients on erenumab were more likely to have a ≥5-point reduction in MPFID score (OR vs placebo (95% CI) MPFID-EA: 2.1 (1.2 to 3.6); MPFID-PI: 2.5 (1.4 to 4.5)). A similar trend was observed for HIT-6 (TD: −3.0; p<0.001); significantly higher proportions of patients on erenumab reported a ≥5-point reduction (OR (95% CI): 2.4 (1.4 to 4.1)). In three out of four WPAI domains, erenumab showed improvement versus placebo.ConclusionAt 12 weeks, erenumab was efficacious on functional outcomes in patients with EM in whom 2–4 preventives were not useful.Trial registration detailsClinicalTrials.gov identifier: NCT03096834.

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