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Experience and participation implications of daily enhancement meaningful activity in persons with Mild Cognitive Impairment.

机译：轻度认知障碍患者日常增强有意义活动的经验和参与意义。

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摘要

Background: Persons with Mild Cognitive Impairment (PwMCI) battle progressive disengagement from personally meaningful activities that results in functional decline. Little is known about PwMCI experience of engaging in meaningful activities and relationships among MCI stage, confidence, depressive symptoms, and function. Daily Engagement of Meaningful Activity (DEMA) is a multicomponent, family-focused, tailored intervention designed to benefit PwMCI and their caregivers by facilitating goal identification, preserve engagement, and support adjustments to cognitive and functional changes.;Objectives: The aims of this secondary analysis were to: (i) describe PwMCI experience of engagement in DEMA, (ii) evaluate for potential relationship among MCI stage, confidence, depressive symptoms, activity type, activity performance, physical function and (iii) evaluate ability of select outcomes to predict change in depressive symptoms and physical function, (iv) determine difference between participants when sub-grouped by ICF level.;Methods: Mixed methodology was used to conduct a secondary analysis from the parent study. The parent study used a two-group randomized trial involving PwMCI and informal caregivers participating in the Indiana Alzheimer Disease Center DEMA program. Quantitative analysis (dyads: DEMA N=20, Information Support N = 20) examined outcomes at baseline, posttest and follow-up. Analysis employed: (i) Colaizzi's Method of empirical phenomenology to describe PwMCI experience of engagement in activity intervention related to perceptions of changes in confidence, activity performance, and physical function; (ii) Pearson's and Spearman's correlation to ascertain relationship; (iii) Linear regression to model the relationship between explanatory and dependent variables; (iv) Independent t-test to determine significant difference in activities and physical function.;Results: Qualitative themes confirm improved awareness, adjustment, problem-solving, confidence and optimized function. Significant correlations were found at baseline and posttest for MCI stage, depressive symptoms, activity type and physical function. At posttest, change in self-rated performance predicted change in depressive symptoms. Additionally, those who engaged in activity at the ICF level of participation demonstrated a significant increase in confidence and physical function.;Conclusion: Qualitative themes and quantitative results clearly indicate the positive impact of DEMA. Future research should employ a larger, randomized controlled longitudinal trial to ascertain the DEMA impact on physical function, reduction of participation restriction and improved QOL.
机译：背景：患有轻度认知障碍（PwMCI）的人与逐渐脱离个人有意义的活动而导致功能下降的斗争。关于PwMCI从事有意义的活动和MCI阶段，自信心，抑郁症状和功能之间的关系的经验知之甚少。有意义的日常活动（DEMA）是一种多成分，针对家庭的量身定制的干预措施，旨在通过促进目标识别，保持参与度以及支持对认知和功能变化的调整来使PwMCI及其照护者受益。目标：本次研究的目的分析的目的是：（i）描述PwMCI参与DEMA的经历，（ii）评估MCI阶段，信心，抑郁症状，活动类型，活动表现，身体机能之间的潜在关系，以及（iii）评估所选结果的预测能力抑郁症状和身体机能的变化；（iv）按ICF水平分组时确定参与者之间的差异。方法：采用混合方法对父项研究进行二级分析。父项研究使用了一项包括PwMCI和参加印第安纳州阿尔茨海默病中心DEMA计划的非正式护理人员的两组随机试验。定量分析（双色：DEMA N = 20，信息支持N = 20）在基线，后测和随访中检查了结局。使用的分析：（i）Colaizzi的经验现象学方法来描述PwMCI参与活动干预的经验，这些经验与对信心，活动表现和身体功能变化的感知有关； （ii）皮尔逊和斯皮尔曼的关系以确定关系； （iii）线性回归模型化解释变量和因变量之间的关系； （iv）独立的t检验，以确定活动和身体机能的显着差异。；结果：定性的主题证实意识，调整，解决问题，信心和功能得到优化。在基线和后期测试中，MCI阶段，抑郁症状，活动类型和身体机能之间存在显着相关性。在事后测试中，自我评估表现的改变预示了抑郁症状的改变。此外，那些在ICF参与级别参加活动的人表现出信心和身体机能的显着提高。结论：定性主题和定量结果清楚地表明了DEMA的积极影响。未来的研究应采用更大的随机对照纵向试验，以确定DEMA对身体功能的影响，减少参与限制和改善生活质量。

著录项

  • 作者

    Ellis, Jennifer L.;

  • 作者单位

    Indiana University - Purdue University Indianapolis.;

  • 授予单位 Indiana University - Purdue University Indianapolis.;
  • 学科 Gerontology.;Aging.;Mental health.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 164 p.
  • 总页数 164
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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