International psychogeriatrics最新文献_第8页

Early prediction of mastery of a computerized functional skills training program in participants with mild cognitive impairment.

IF 4.6 2区医学

International psychogeriatrics Pub Date : 2024-12-01 DOI: 10.1017/S1041610224000115

Philip D Harvey, Courtney Dowell-Esquivel, Justin E Macchiarelli, Alejandro Martinez, Peter Kallestrup, Sara J Czaja

{"title":"Early prediction of mastery of a computerized functional skills training program in participants with mild cognitive impairment.","authors":"Philip D Harvey, Courtney Dowell-Esquivel, Justin E Macchiarelli, Alejandro Martinez, Peter Kallestrup, Sara J Czaja","doi":"10.1017/S1041610224000115","DOIUrl":"https://doi.org/10.1017/S1041610224000115","url":null,"abstract":"Background: Cognition in MCI has responded poorly to pharmacological interventions, leading to use of computerized training. Combining computerized cognitive training (CCT) and functional skills training software (FUNSAT) produced improvements in 6 functional skills in MCI, with effect sizes >0.75. However, 4% of HC and 35% of MCI participants failed to master all 6 tasks. We address early identification of characteristics that identify participants who do not graduate, to improve later interventions.Methods: NC participants (n = 72) received FUNSAT and MCI (n = 92) participants received FUNSAT alone or combined FUNSAT and CCT on a fully remote basis. Participants trained twice a week for up to 12 weeks. Participants \"graduated\" each task when they made one or fewer errors on all 3-6 subtasks per task. Tasks were no longer trained after graduation.Results: Between-group comparisons of graduation status on baseline completion time and errors found that failure to graduate was associated with more baseline errors on all tasks but no longer completion times. A discriminant analysis found that errors on the first task (Ticket purchase) uniquely separated the groups, F = 41.40, p < .001, correctly classifying 94% of graduators. An ROC analysis found an AUC of .83. MOCA scores did not increase classification accuracy.Conclusions: More baseline errors, but not completion times, predicted failure to master all FUNSAT tasks. Accuracy of identification of eventual mastery was exceptional. Detection of risk to fail to master training tasks is possible in the first 15 minutes of the baseline assessment. This information can guide future enhancements of computerized training.","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"36 12","pages":"1182-1193"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cognitive decline in Alzheimer's: faster in early-onset than late-onset disease.

IF 4.6 2区医学

International psychogeriatrics Pub Date : 2024-12-01 DOI: 10.1017/S1041610223000789

Zuzana Walker, Tim Whitfield

引用次数: 0

Understanding barriers to evidence-based support for driving cessation. 了解停止驾驶的循证支持障碍。

IF 4.6 2区医学

International psychogeriatrics Pub Date : 2024-12-01 Epub Date: 2023-09-27 DOI: 10.1017/S1041610223000753

Louise Gustafsson, Jacki Liddle, Nancy A Pachana, Theresa Lorraine Scott, Stacey George, Kate Laver

引用次数: 0

Supporting the practical and emotional process of giving-up driving in later life for those living with dementia.

IF 4.6 2区医学

International psychogeriatrics Pub Date : 2024-12-01 DOI: 10.1017/S1041610223000261

Charles B A Musselwhite

引用次数: 0

Supporting the practical and emotional process of giving-up driving in later life for those living with dementia. 支持痴呆症患者在晚年放弃驾驶的实际和情感过程。

IF 4.6 2区医学

International psychogeriatrics Pub Date : 2024-12-01 Epub Date: 2023-03-24 DOI: 10.1017/S1041610223000261

Charles B A Musselwhite

引用次数: 0

Potential impact of the COVID-19 pandemic on everyday preferences for persons with cognitive impairment. COVID-19 大流行对认知障碍患者日常偏好的潜在影响。

IF 4.6 2区医学

International psychogeriatrics Pub Date : 2024-12-01 Epub Date: 2023-08-25 DOI: 10.1017/S1041610223000650

James M Wilkins, Joseph J Locascio, Teresa Gomez-Isla, Bradley T Hyman, Deborah Blacker, Brent P Forester, Olivia I Okereke

{"title":"Potential impact of the COVID-19 pandemic on everyday preferences for persons with cognitive impairment.","authors":"James M Wilkins, Joseph J Locascio, Teresa Gomez-Isla, Bradley T Hyman, Deborah Blacker, Brent P Forester, Olivia I Okereke","doi":"10.1017/S1041610223000650","DOIUrl":"10.1017/S1041610223000650","url":null,"abstract":"The COVID-19 pandemic and subsequent social distancing guidelines and restrictions brought on changes in the everyday experiences of older adults. It is not clear, however, to what extent the pandemic has impacted the importance of everyday preferences for persons with cognitive impairment (CI) or the proxy ratings of those preferences. The sample of this study included 27 dyads of persons with CI and their care partners. The Preferences for Everyday Living Inventory was used to assess importance of preferences among persons with CI; care partners completed concurrent proxy assessments. Mixed random and fixed effects longitudinal models were used to evaluate changes in ratings and concordance levels between persons with CI and care partners prior to and during the COVID-19 pandemic. Persons with CI rated autonomous choice preferences as significantly more important during the COVID-19 pandemic than before; there was no association between the COVID-19 pandemic and change in other everyday preferences domains or discrepancy in proxy assessments of everyday preferences. Identifying avenues to support and provide for autonomy in the decision-making of older adults with CI may offer a way forward in mitigating the psychological and behavioral impacts of the COVID-19 pandemic in this population.","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"1256-1261"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10894308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10127862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Computerized cognitive remediation of Long COVID in older adults.

IF 4.6 2区医学

International psychogeriatrics Pub Date : 2024-12-01 DOI: 10.1017/S1041610224000139

Cutter A Lindbergh, Roger Altizer, James J Grady, Breno S Diniz, Jayesh Kamath, David C Steffens, Sarah Shizuko Morimoto

引用次数: 0

Potential impact of the COVID-19 pandemic on everyday preferences for persons with cognitive impairment.

IF 4.6 2区医学

International psychogeriatrics Pub Date : 2024-12-01 DOI: 10.1017/S1041610223000650

James M Wilkins, Joseph J Locascio, Teresa Gomez-Isla, Bradley T Hyman, Deborah Blacker, Brent P Forester, Olivia I Okereke

{"title":"Potential impact of the COVID-19 pandemic on everyday preferences for persons with cognitive impairment.","authors":"James M Wilkins, Joseph J Locascio, Teresa Gomez-Isla, Bradley T Hyman, Deborah Blacker, Brent P Forester, Olivia I Okereke","doi":"10.1017/S1041610223000650","DOIUrl":"https://doi.org/10.1017/S1041610223000650","url":null,"abstract":"The COVID-19 pandemic and subsequent social distancing guidelines and restrictions brought on changes in the everyday experiences of older adults. It is not clear, however, to what extent the pandemic has impacted the importance of everyday preferences for persons with cognitive impairment (CI) or the proxy ratings of those preferences. The sample of this study included 27 dyads of persons with CI and their care partners. The Preferences for Everyday Living Inventory was used to assess importance of preferences among persons with CI; care partners completed concurrent proxy assessments. Mixed random and fixed effects longitudinal models were used to evaluate changes in ratings and concordance levels between persons with CI and care partners prior to and during the COVID-19 pandemic. Persons with CI rated autonomous choice preferences as significantly more important during the COVID-19 pandemic than before; there was no association between the COVID-19 pandemic and change in other everyday preferences domains or discrepancy in proxy assessments of everyday preferences. Identifying avenues to support and provide for autonomy in the decision-making of older adults with CI may offer a way forward in mitigating the psychological and behavioral impacts of the COVID-19 pandemic in this population.","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"36 12","pages":"1256-1261"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Importance of social functioning for older adults in the communities, the facilities, the clinics, and in the future. 社会功能对老年人在社区、设施、诊所和未来的重要性。

IF 4.6 2区医学

International psychogeriatrics Pub Date : 2024-12-01 DOI: 10.1017/S1041610224000577

Asuna Arai, Takashi Ozaki, Yuriko Katsumata

引用次数: 0

Clinical characteristics of early-onset versus late-onset Alzheimer's disease: a systematic review and meta-analysis. 早发性与晚发性阿尔茨海默病的临床特征：系统回顾与荟萃分析。

IF 4.6 2区医学

International psychogeriatrics Pub Date : 2024-12-01 Epub Date: 2023-07-11 DOI: 10.1017/S1041610223000509

Paige Seath, Luis Enrique Macedo-Orrego, Latha Velayudhan

{"title":"Clinical characteristics of early-onset versus late-onset Alzheimer's disease: a systematic review and meta-analysis.","authors":"Paige Seath, Luis Enrique Macedo-Orrego, Latha Velayudhan","doi":"10.1017/S1041610223000509","DOIUrl":"10.1017/S1041610223000509","url":null,"abstract":"Objectives: A number of studies have compared Alzheimer's disease (AD), the commonest form of dementia, based on their age of onset, i.e. before the age of 65 years (early-onset AD, EO-AD) to those developing after 65 years of age (late-onset AD, LO-AD), but the differences are not clear. We performed a systematic review and meta-analysis to compare clinical characteristics between EO-AD and LO-AD.Design, measurements, and participants: Medline, Embase, PsycINFO, and CINAHL databases were systematically searched for studies comparing time to diagnosis, cognitive scores, annual cognitive decline, activities of daily living (ADLs), neuropsychiatric symptoms (NPS), quality of life (QoL), and survival time for EO-AD and LO-AD patients.Results: Forty-two studies were included (EO-AD participants n = 5,544; LO-AD participants n = 16,042). An inverse variance method with random effects models was used to calculate overall effect estimates for each outcome. People with EO-AD had significantly poorer baseline cognitive performance and faster cognitive decline but longer survival times than people with LO-AD. There was no evidence that EO-AD patients differ from people with LO-AD in terms of symptom onset to diagnosis time, ADLs, and NPS. There were insufficient data to estimate overall effects of differences in QoL in EO-AD compared to LO-AD.Conclusions: Our findings suggest that EO-AD differs from LO-AD in baseline cognition, cognitive decline, and survival time but otherwise has similar clinical characteristics to LO-AD. Larger studies using standardized questionnaires focusing on the clinical presentations are needed to better understand the impact of age of onset in AD.","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"1093-1109"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10144305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0