scholarly journals The Impacts of an Educational Program by Using Group Discussion on Perceived Stigma Among the Family Caregivers of People with Alzheimer’s Disease

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mahboobeh Alipour Chermahini ◽  
Soroor Parvizy ◽  
Fatemeh Hajibabaee ◽  
Elham Navab ◽  
Hamid Haghani

Background: The objective of the present study was to determine the impacts of an educational program by using group discussion on perceived stigma among family caregivers of people with Alzheimer’s disease (AD). Methods: This nonequivalent non-randomized controlled trial was performed in 2015. A sample of 66 family caregivers of people with AD was recruited conveniently. The caregivers were non-randomly allocated to a control and an experimental group. Initially, the perceived stigma of all participants was measured by using the Stigma Impact Scale. Then a five-session educational program by using group discussion was held over five weeks for the caregivers in the experimental group. The caregivers in the control group received no intervention. The level of caregivers' perceived stress was re-assessed both immediately and one month after the intervention. Results: The difference between the groups in terms of pretest perceived stigma was not statistically significant (P = 0.146). However, immediately and one month after the intervention, the mean score of perceived stigma in the experimental group was significantly lower than in the control group (P < 0.05). The results of repeated measures ANOVA for the between-subject factor of the group also showed that the intervention had significant effects on the caregivers’ perceived stigma (P = 0.004). Conclusions: The findings of the present study showed the noticeable effects of the educational program using group discussion on the perceived stigma of family caregivers of people with AD. This finding can denote the importance of experience sharing in the psychological well-being of family caregivers. Through group discussion and experience sharing, caregivers learn the necessary skills for coping with their own problems. Given their effectiveness, educational interventions by using group discussion are recommended to reduce perceived stigma among family caregivers.

2017 ◽  
Vol 44 (6) ◽  
pp. 159-161
Author(s):  
Flávia Araujo de Amorim ◽  
Mariana de Campos Pereira Giorgion ◽  
Orestes Vicente Forlenza

2003 ◽  
Vol 17 (2) ◽  
pp. 101-108 ◽  
Author(s):  
Erik Scherder ◽  
Dirk Knol ◽  
Eus van Someren ◽  
Jan-Berend Deijen ◽  
Rob Binnekade ◽  
...  

Objective. In previous studies, cranial electrostimulation (CES) had positive effects on sleep in depressed patients and in patients with vascular dementia. The present study examined the effects of low-frequency CES on the rest-activity rhythm and cortisol levels of patients with probable Alzheimer's disease (AD). Method. It was hypothesised that a decreased level of cortisol would parallel a positive effect of low-frequency CES on nocturnal restlessness. Sixteen AD patients were randomly assigned to an experimental group (n = 8) or a control group (n = 8). The experimental group was treated with CES, whereas the control group received sham stimulation, for 30 minutes a day, during 6 weeks. The rest-activity rhythm was assessed by actigraphy. Cortisol was measured repeatedly in the saliva throughout the day by means of salivette tubes. Results. Low-frequency CES did not improve the rest-activity rhythm in AD patients. Moreover, both groups showed an increase instead of a decrease in the level of cortisol. Conclusions: These preliminary results suggest that low-frequency CES has no positive effect on the rest-activity rhythm in AD patients. An alternative research design with high-frequency CES in AD is discussed.


2014 ◽  
Vol 36 (4) ◽  
pp. 331-346 ◽  
Author(s):  
Sung Hyeon Cheon ◽  
Johnmarshall Reeve ◽  
Tae Ho Yu ◽  
Hue Ryen Jang

Recognizing that students benefit when they receive autonomy-supportive teaching, the current study tested the parallel hypothesis that teachers themselves would benefit from giving autonomy support. Twenty-seven elementary, middle, and high school physical education teachers (20 males, 7 females) were randomly assigned either to participate in an autonomy-supportive intervention program (experimental group) or to teach their physical education course with their existing style (control group) within a three-wave longitudinal research design. Manipulation checks showed that the intervention was successful, as students perceived and raters scored teachers in the experimental group as displaying a more autonomy-supportive and less controlling motivating style. In the main analyses, ANCOVA-based repeated-measures analyses showed large and consistent benefits for teachers in the experimental group, including greater teaching motivation (psychological need satisfaction, autonomous motivation, and intrinsic goals), teaching skill (teaching efficacy), and teaching well-being (vitality, job satisfaction, and lesser emotional and physical exhaustion). These findings show that giving autonomy support benefits teachers in much the same way that receiving it benefits their students.


2018 ◽  
Vol 9 (1) ◽  
pp. 89-95 ◽  
Author(s):  
Michal Vostrý

Aim: The aim of the work was to find out what the influence of ICT use also on ICT (information and communication technology, in this case gaming console with motion sensor, which senses movements of the probanda body and thus is controlled by a fictional figure in the game) in the rehabilitation of cognitive functions on attention and orientation. Concept/methods: Alzheimer's disease is becoming increasingly the source of both professional and lay discourse. Statistical data show that increasing the average life expectancy increases the number of seniors and thus increases the number of people with dementia, with Alzheimer's disease being the most common type (up to 65% of all cases of dementia in the Czech Republic). This trend will continue to follow, and the number of people affected will increase. For guidance in 2006, 2231 people with Alzheimer's disease were registered, while in 2010 this number increased to 3148. For the research, 10 probands (100% of women) were used in the age range of 65-81 years, with the diagnosis of Alzheimer's disease - a light type. Probandi was divided into 5 groups, divided into 5 groups, into an experimental group that actively participated in the intervention and services provided by the institutions in which they were located, and a control group that participated only in the services and activities provided by institution. The research lasted half a year once a week and the activity itself lasted within 25 minutes. Results: Of the 10 probands in total, 5 of us participated actively in our intervention. Prior to the start of the intervention, the results in the assessment (using the Addenbrook Cognitive Assay) were at the same level, but there was visible change between the experimental and the control group during the outcomes assessment. Conclusion: Experimental group achieved better scores or better results. the results themselves stagnated, while the control group experienced a minor deterioration in the test areas.


2020 ◽  
Vol 7 (2) ◽  
pp. 79-87
Author(s):  
Reza Shabahang ◽  
Seyed Javad Emadi ◽  
Farzin Bagheri Sheykhangafshe ◽  
Abbas Ali Hossien Khanzadeh ◽  
Seyedeh Maryam Mousavi

Background: Alzheimer’s disease is predicted to increase dramatically in the near future. Alzheimer’s caregiving brings about severe problems for caregivers. Considering the corrosive consequences of Alzheimer’s disease on Alzheimer’s caregivers, finding an effective intervention is necessary. Thus, the present research conducted by the aim of investigating the effectiveness of cognitive-behavioral treatment for Alzheimer’s disease patients and their caregiver’s protocol on burdens of Alzheimer’s disease on caregivers and their sense of coherence (SOC). Methods: This study was a quasi-experimental research with a pretest-posttest control group design. The target population included all mild Alzheimer’s disease patients and their caregivers referred to the neurology ward of the hospitals in Rasht during summer 2018. According to the medical records and results of screening, 40 mild Alzheimer’s disease, patients and their caregivers recruited by convenience sampling method. After sampling, research participants randomly assigned into two experimental (n= 20) and waitlist control (n=20) groups. The Impact of Alzheimer’s Disease on Caregiver Questionnaire and SOC scale were used to measure the burdens of Alzheimer’s disease on caregivers and caregivers’ SOC. The CBTAC provided for the experimental group participants in 25 sessions of 90-minutes. In the end, the data analyze has done by multivariate analysis of covariance (MANCOVA) and using SPSS24 software. Results: The findings indicated that the CBTAC had a significant effect on the burdens and SOC of Alzheimer’s caregivers in the experimental group (P<0.01). In other words, the CBTAC decreases burdens and increase the SOC of Alzheimer’s caregivers significantly (P<0.01). Conclusion: Based on the research results, the CBTAC is an effective intervention in decreasing caregiving burden and the increasing SOC of Alzheimer’s caregivers. Therefore, CBTAC is a multicomponent intervention that can be used to improve the competency and mental health of Alzheimer’s caregivers.


2018 ◽  
Vol 17 (5) ◽  
pp. 460-475
Author(s):  
Cecep Eli KOSASIH ◽  
Busakorn PUNTHMATHARITH ◽  
Umaporn BOONYASOPUN

This quasi-experimental, repeated measures design was used to examine the effects of the nursing therapeutics program for facilitating patient transition (NTPFPT) on subjective well-being, role mastery, and relationships’ well-being among adult patients who suffered from stroke in Indonesia. Purposive sampling was used to recruit the sample. The control group (n = 42) received the routine care, while the experimental group (n = 42) received the NTPFPT and routine care. The data were collected using 1) the subjective well-being inventory, 2) the role function mode, and 3) the brief family relationship scale. The Chronbach’s alpha coefficients of questionnaires 1 - 3 were .89, .77 and .89, respectively. Descriptive statistics, repeated measures ANOVA, one-way ANOWA, and t-test were used to analyze the data. The results revealed that significant differences of the mean scores of subjective well-being, role mastery and relationships’ well-being were found between the control and experimental groups (p < .000) and between three times (e.g., Day 3 of hospitalization, T1; one day before discharge, T2; and one month after discharge, T3) within group (p < .000). Significant differences between all three pair wise comparisons of these three variables were found in the experimental group (p < .000) while, two pair wise comparisons showed significant differences in the control group. The mean scores of the three variables in the experimental group measured at T2 and T3 were significantly higher than those of the control group (p < .000) whereas those of measured at T1 showed no significant differences between two groups (p > .05). Thus, it is appropriate for nurses to provide the NTPFPT to stroke patients and families. The results revealed that significant differences of the mean scores of subjective well-being, role mastery and well-being of relationships were found between the control and experimental groups (p < .000) and between three times (e.g., Day 3 of hospitalization, T1; one day before discharge, T2; and one month after discharge, T3)within group (p < .000).Significant differences between all three pair wise comparisons of these three variables were found in the experimental group (p < .000) whereas in the control group, only two pair wise comparisons were significant differences. The mean scores of the three variables in the experimental group measured at T2 and T3 were significantly higher than those of the control group (p < .000) whereas those of measured at T1 were non significant differences between two groups (p > .05). Thus, it is appropriate for nurses to provide the NTPFPT to stroke patients and families.


2019 ◽  
Vol 35 ◽  
pp. 153331751986782 ◽  
Author(s):  
Jasemin Todri ◽  
Orges Lena ◽  
José Luis Martínez Gil

Background: Several recent studies have examined the positive effects of physical exercise and equilibrium on individuals with neurodegenerative diseases. Objectives: In this sense, this study based on an experimental design, tested whether global postural reeducation (GPR) can affect equilibrium and cognition, life quality, and psychological symptoms of patients with Alzheimer’s disease (AD). Methods: One hundred thirty-five participants with mild and moderate AD diagnosis were assigned to 2 groups: experimental group (EG, n = 90) and control group (CG, n = 45). The GPR therapy was implemented in the EG for 6 months, while both groups underwent neuropsychological assessments prior and after the 6-month period. Results: According to the repeated measures of analysis of variance, significant differences between groups were found at the 6-month follow-up period, in benefit of the EG such as Mini-Mental State Examination ( P = .000), Geriatric Depression Scale ( P = .000), Neuropsychiatric Inventory ( P = .000), quality of life in AD/patient ( P = .000), quality of life in AD/caregivers ( P = .000), Barthel index ( P = .000), and Tinetti Scale ( P = .000), while the CG showed a low performance in the neuropsychological tests. Conclusions: We suggest that GPR is a therapeutic option, which can improve the psychological, physical, and cognitive aspects of patients with AD.


2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Hui Chen ◽  
Shuai Liu ◽  
Lu Ji ◽  
Tianfeng Wu ◽  
Yong Ji ◽  
...  

Background/Aims. Low serum folate levels can alter inflammatory reactions. Both phenomena have been linked to Alzheimer’s disease (AD), but the effect of folic acid on AD itself is unclear. We quantified folate supplementation’s effect on inflammation and cognitive function in patients with AD over the course of 6 months.Methods. Patients newly diagnosed with AD (age > 60 years;n=121; mild to severe; international criteria) and being treated with donepezil were randomly assigned into two groups with (intervention group) or without (control group) supplemental treatment with folic acid (1.25 mg/d) for 6 months. The Mini-Mental State Examination (MMSE) was administered to all patients at baseline and follow-up, and blood samples were taken before and after treatment. We quantified serum folate, amyloid beta (Aβ), interleukin-6 (IL-6), tumor necrosis factorα(TNFα), plasma homocysteine (Hcy), S-adenosylmethionine (SAM), S-adenosylhomocysteine (SAH), and the mRNA levels of presenilin (PS), IL-6, and TNFαin leukocytes. Data were analyzed using a repeated-measures mixed model.Results. The mean MMSE was slightly increased in the intervention group compared to that in the control group (P<0.05). Posttreatment, plasma SAM and SAM/SAH levels were significantly higher (P<0.05), while Aβ40, PS1-mRNA, and TNFα-mRNA levels were lower in the intervention group than in the control group (P<0.05). The Aβ42/Aβ40ratio was also higher in the intervention group (P<0.05).Conclusions. Folic acid is beneficial in patients with AD. Inflammation may play an important role in the interaction between folic acid and AD. This trial is registered with clinical trial registration numberChiCTR-TRC-13003246.


2018 ◽  
Vol 6 (2) ◽  
pp. 44-54
Author(s):  
Lata Kusum Shah ◽  
Serah Rashmi ◽  
Dhanpal Nanjundappa

Background and Objectives: The well being of oneself, happiness with one’s situation in life and ability to perform and control the different situation of life is HRQoL. Reminiscence therapy is a way for residents of assistant living facilities to become better acquainted with one another and strengthen the personal value and self esteem. The objective of this study was to assess the HRQoL while application of Reminiscence Therapy among the old age people who are residing at a selected old age home in Bengaluru, India. Materials and Methods: For this study quasi experimental research design was selected and convenient sampling technique was used to collect data from 60 samples staying at old age home by using the SF-36 scale. The samples in experimental group receive 10 sessions of reminiscence therapy each session last for 45 minutes to 1 hour. The experimental group was divided into 6 groups each group having five members for group discussion related to the topics like childhood memories, education pattern, first job and first salary, marriage, first child etc. Post test data was collected after a week of implementation of Reminiscence Therapy. Then the data was analyzed and interpreted. Results: The findings of the study with regard to pretest HRQoL reveals that 86.7% has poor HRQoL, 13.3 % moderate HRQoL and no one was having good HRQoL in experimental group. In control group 56.7% has poor HRQoL, 43.3% moderate HRQoL and no one was having good HRQoL. But in posttest, only in experimental group there was significant improvement in HRQoL as 83.3% has good HRQoL, 13.3% moderate HRQoL and 3% poor HRQoL.  Conclusion: This study concluded that with significant improvement in the SF-36 Scale score after administration of the reminiscence therapy and seen improvement in HRQoL.


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