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  • 1
    Online Resource
    Online Resource
    American Psychological Association (APA) ; 2002
    In:  Psychology and Aging Vol. 17, No. 3 ( 2002), p. 505-519
    In: Psychology and Aging, American Psychological Association (APA), Vol. 17, No. 3 ( 2002), p. 505-519
    Type of Medium: Online Resource
    ISSN: 1939-1498 , 0882-7974
    Language: English
    Publisher: American Psychological Association (APA)
    Publication Date: 2002
    detail.hit.zdb_id: 2068707-2
    SSG: 5,2
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2011
    In:  Journal of Geriatric Psychiatry and Neurology Vol. 24, No. 4 ( 2011-12), p. 229-234
    In: Journal of Geriatric Psychiatry and Neurology, SAGE Publications, Vol. 24, No. 4 ( 2011-12), p. 229-234
    Abstract: This study examined the prevalence of irritability and social isolation in veterans with dementia, with and without depression. Participants were diagnosed with dementia and enrolled in a dementia care-coordination and support-service intervention. Participants were interviewed and underwent assessment with the 10-item Center for Epidemiologic Studies Depression scale, a Patient Strain Measure and the Short Blessed Test. In all, of 294 participants completing interviews, 77 (26.2%) were depressed and 107 (36.4%) endorsed irritability; mean social isolation score was 1.59 ± 1.96. Irritability was significantly more likely to be present in depressed versus nondepressed participants ( P  〈  .0001), but this relationship was moderated by dementia severity. The mean social isolation score was also significantly more elevated in depressed rather than nondepressed patients (2.82 ± 1.96 vs 1.15 ± 1.76, respectively). Conclusions: Depressed persons with dementia are significantly more likely to experience irritability and social isolation than those who are not depressed.
    Type of Medium: Online Resource
    ISSN: 0891-9887 , 1552-5708
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2011
    detail.hit.zdb_id: 2094096-8
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  • 3
    In: Dementia, SAGE Publications, Vol. 20, No. 2 ( 2021-02), p. 814-825
    Abstract: Few investigations have examined dementia training programs for rehabilitation professionals. To address this, the Leveraging Existing Abilities in Dementia (LEAD) program was developed and examined with a pilot study. LEAD addressed dementia knowledge; the Strength-Based Approach; strategies for communication, recognizing behaviors, and learning techniques; and documentation. Participants completed pre-program, post-program, and three-month follow-up questionnaires assessing confidence, practice patterns, and dementia knowledge. Confidence and use of treatment strategies increased through the three-month follow-up and dementia knowledge significantly increased following training. LEAD positively impacted rehabilitation professionals’ knowledge, confidence, and use of evidence-based treatment strategies. Implications of LEAD and future research are discussed.
    Type of Medium: Online Resource
    ISSN: 1471-3012 , 1741-2684
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2021
    detail.hit.zdb_id: 2084045-7
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  • 4
    Online Resource
    Online Resource
    SAGE Publications ; 2010
    In:  Dementia Vol. 9, No. 4 ( 2010-11), p. 549-557
    In: Dementia, SAGE Publications, Vol. 9, No. 4 ( 2010-11), p. 549-557
    Abstract: Managing and coping with the symptoms of dementia and memory loss is associated with negative psychosocial outcomes for both persons with dementia and their family caregivers. Research has indicated beneficial results in using dementia-management interventions to impact positively on mental health outcomes for caregivers and address cognitive and functional issues for persons with dementia. However, most intervention programmes to date have primarily worked with each care partner separately, rather than implementing a single intervention protocol that targets both members of the caregiving dyad. This article provides a description of a newly designed intervention that includes both care partners. Using a Strength-Based Approach, the dyadic intervention identifies and builds upon both care partners’ current abilities to address their specific care needs. Two case examples are presented to illustrate the flexibility and advantages of using a Strength-Based Approach. The discussion highlights the extent to which core intervention skills can be tailored to fit a range of care needs.
    Type of Medium: Online Resource
    ISSN: 1471-3012 , 1741-2684
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2010
    detail.hit.zdb_id: 2084045-7
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  • 5
    In: Dementia, SAGE Publications, Vol. 15, No. 5 ( 2016-09), p. 1053-1067
    Abstract: Due to changing cognitive and functional capabilities, individuals with dementia face challenging care-related issues such as feelings of embarrassment, relationship strain, and symptoms of depression and anxiety. Limited research exists examining individuals with dementia's perceptions and concerns about these issues and how their perspectives can impact the quality and process of their illness experience. Design and methods As part of a larger study, individuals with dementia ( n = 114) answered five open-ended questions about their illness experience including: (1) daily routine, (2) concerns about memory loss, (3) relationships with others, (4) fears, and (5) what they wish others understood/knew. For each question, individuals with dementia’s responses were analyzed for common themes within and across questions. Results Individuals with dementia commented on a wide range of issues involving their memory loss, including negative emotional impacts, future concerns and illness progression, forgetting, loss of independence, and the negative and positive influences on interpersonal relationships. Across questions, many individuals also stated that their memory loss did not significantly impact their lives. Implications Discussion highlights how these findings can be used to expand our understanding of individuals with dementia's illness experience and to develop efficacious interventions for addressing negative aspects of living with memory loss while supporting positive aspects.
    Type of Medium: Online Resource
    ISSN: 1471-3012 , 1741-2684
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2016
    detail.hit.zdb_id: 2084045-7
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  • 6
    Online Resource
    Online Resource
    SAGE Publications ; 2020
    In:  Dementia Vol. 19, No. 4 ( 2020-05), p. 1265-1273
    In: Dementia, SAGE Publications, Vol. 19, No. 4 ( 2020-05), p. 1265-1273
    Abstract: Limited evidence exists regarding exercise interventions with individuals with dementia, which is often due to heterogeneity of methodology and outcomes being assessed. This led to the development and evaluation of a moderate-intensity home-based functional exercise program guided by theories from exercise science and the Strength-Based Approach. Data indicated excellent treatment adherence (99.04%) along with high levels of acceptability and feasibility in this sample (age 76.63 years (9.84); Mini Mental State Exam 18.87 (6.40)). This article informs future practice by highlighting the merits of a Strength-Based Approach in research examining exercise and physical rehabilitation to improve adherence and compliance with individuals with dementia.
    Type of Medium: Online Resource
    ISSN: 1471-3012 , 1741-2684
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2084045-7
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  • 7
    In: Journal of Applied Gerontology, SAGE Publications, Vol. 36, No. 5 ( 2017-05), p. 570-591
    Abstract: This study describes engagement of veterans with dementia in an evidence-based care coordination intervention called Partners in Dementia Care (PDC). PDC uses a person-centered approach that encourages participation by individuals with dementia (IWDs), despite their cognitive impairment. PDC also targets primary family or friend caregivers, who often are the main user of the program. Of the total 316 IWDs, 202 passed a mental status screening and were considered to have engagement potential. The study of actual engagement was based on data from IWDs’ PDC records, combined with data from structured research interviews. Approximately 80% of IWDs with engagement potential had a minimum level of actual engagement in PDC. A smaller subsample was more actively engaged, as indicated by assigned and/or accomplished action steps. Younger IWDs and those self-reporting more memory difficulties had higher levels of engagement. Results describe one example of the extent and limits of IWD engagement in psychosocial interventions.
    Type of Medium: Online Resource
    ISSN: 0733-4648 , 1552-4523
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2017
    detail.hit.zdb_id: 2089028-X
    detail.hit.zdb_id: 155897-3
    SSG: 5,2
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  • 8
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2023
    In:  Cerebral Cortex Vol. 33, No. 17 ( 2023-08-23), p. 9917-9926
    In: Cerebral Cortex, Oxford University Press (OUP), Vol. 33, No. 17 ( 2023-08-23), p. 9917-9926
    Abstract: Inhibitory interneurons expressing parvalbumin (PV) play critical roles throughout the brain. Their rapid spiking enables them to control circuit dynamics on a millisecond time scale, and the timing of their activation by different excitatory pathways is critical to these functions. We used a genetically encoded hybrid voltage sensor to image PV interneuron voltage changes with sub-millisecond precision in primary somatosensory barrel cortex (BC) of adult mice. Electrical stimulation evoked depolarizations with a latency that increased with distance from the stimulating electrode, allowing us to determine conduction velocity. Spread of responses between cortical layers yielded an interlaminar conduction velocity and spread within layers yielded intralaminar conduction velocities in different layers. Velocities ranged from 74 to 473 μm/ms depending on trajectory; interlaminar conduction was 71% faster than intralaminar conduction. Thus, computations within columns are more rapid than between columns. The BC integrates thalamic and intracortical input for functions such as texture discrimination and sensory tuning. Timing differences between intra- and interlaminar PV interneuron activation could impact these functions. Imaging of voltage in PV interneurons reveals differences in signaling dynamics within cortical circuitry. This approach offers a unique opportunity to investigate conduction in populations of axons based on their targeting specificity.
    Type of Medium: Online Resource
    ISSN: 1047-3211 , 1460-2199
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2023
    detail.hit.zdb_id: 1483485-6
    SSG: 12
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  • 9
    In: Alzheimer's & Dementia: Translational Research & Clinical Interventions, Wiley, Vol. 1, No. 1 ( 2015-06), p. 13-22
    Abstract: “Partners in Dementia Care” (PDC) tested a care‐coordination program based on partnerships between Veterans Affairs (VA) medical centers and Alzheimer's Association chapters. The hypothesis posited PDC would reduce the likelihood and number of veterans' hospital admissions and emergency department (ED) visits, particularly for those with more cognitive impairment or behavioral symptoms. Methods The sample included 328 veterans with dementia and their primary family or friend caregivers from five matched sites (two randomly selected treatment sites). Data came from VA records; supplemented by caregiver research interviews. Regression analyses using the likelihood and number of hospital and ED visits as outcomes tested for overall treatment‐comparison group differences and statistical interactions with cognitive impairment and behavioral symptoms. Results Consistent with the hypothesis, three significant interactions showed treatment‐group veterans, with more cognitive impairment and behavioral symptoms, had fewer hospital admissions and ED visits than comparison‐group veterans. There were no differences in the likelihood of hospital or ED use. Discussion PDC, a low‐cost program for veterans and caregivers, was effective in reducing the number, but not the likelihood, of hospital admissions and ED visits. Reductions in service use were greater when caregivers reported more difficulties with veterans' symptoms, which in the absence of PDC would place veterans at risk of being high‐volume, high‐cost service users. Clinical Trial Registration: ClinicalTrials.gov : NCT00291161 .
    Type of Medium: Online Resource
    ISSN: 2352-8737 , 2352-8737
    Language: English
    Publisher: Wiley
    Publication Date: 2015
    detail.hit.zdb_id: 2832891-7
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  • 10
    Online Resource
    Online Resource
    SAGE Publications ; 2000
    In:  American Journal of Alzheimer's Disease Vol. 15, No. 1 ( 2000-01), p. 42-46
    In: American Journal of Alzheimer's Disease, SAGE Publications, Vol. 15, No. 1 ( 2000-01), p. 42-46
    Abstract: Clients with dementia in an adult day care center were observed taking part in regular activities programming or Montessori-based activities developed for persons with dementia. During the nine-month study, clients in Montessori-based activities exhibited greater amounts of constructive engagement, defined as motor or verbal behavior exhibited in response to the activity in which the client was taking part, than clients in regular programming. Montessori-based activities also elicited less passive engagement, defined as listening and/or looking behavior exhibited in response to the activity the clients were participating in, than regular programming. Implications of these results and ways to implement Montessori-based programming in settings serving persons with dementia are discussed.
    Type of Medium: Online Resource
    ISSN: 1082-5207
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2000
    detail.hit.zdb_id: 2235173-5
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