Abstract:
OBJECTIVE:Many people living in long-term care homes (LTCH) experience changes in behaviour termed the behavioural and psychological symptoms of dementia (BPSD). The valid and reliable assessment of BPSD is essential to guide treatment and monitor the effect of interventions. The aim of this study was to identify behavioural assessment tools implemented in LTCH and factors that impact on their use in clinical care. METHODS:We completed an online mixed-design survey of 300 randomly selected Canadian LTCH between September and November 2018. Respondents were asked to report tools used, reasons for use, methods of administration, training/supports available, confidence in use and challenges faced. Survey results were summarized descriptively and the correlation between implementation supports and confidence examined. Free-text responses were analysed qualitatively. RESULTS:Of 300 LTCH invited to participate, 103 completed the survey. Homes reported using a mean 2.2 ± 1.1 (range 0-7) different tools. The two most commonly used tools were the Dementia Observation System (DOS) and Cohen-Mansfield Agitation Inventory (CMAI). Overall confidence in most aspects of tool use was reported to be high, with workload identified as the greatest challenge. Training and supports correlated with confidence in tool use. Qualitative findings indicate tools provide valuable data to understand behaviours, facilitate team communication, target interventions and track outcomes. CONCLUSIONS:Behavioural assessment tools, in particular a direct observation tool, are widely used in clinical care in Canadian LTCH. Education, enhanced resources, leadership support and applications of technology represent opportunities to improve their use.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Penko M,Quirt H,Schindel Martin L,Iaboni Adoi
10.1080/13607863.2020.1793904subject
Has Abstractpub_date
2020-07-21 00:00:00pages
1-12eissn
1360-7863issn
1364-6915pub_type
杂志文章abstract:OBJECTIVE:Increased focus on the quality of health care requires tools and information to address and improve quality. One tool to evaluate and report the quality of clinical health services is quality indicators based on a clinical database. METHOD:The Capital Region of Denmark runs a quality database for dementia ev...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2010.508769
更新日期:2011-01-01 00:00:00
abstract::Objectives: To examine the extent to which time perspective, an individual's habitual way of relating to the past, the present, and the future time frames, accounts for variations in self-reported depressive symptoms among older adults. Method: Four hundred two participants (60-90 years) completed the Center for Epide...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1506743
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:Few studies have examined health anxiety in older adults, and it is unknown which factors account for age-related differences in health anxiety. Given similarities between health anxiety and the anxiety disorders, anxiety-related constructs, including anxiety sensitivity, intolerance of uncertainty, emotion r...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2012.688192
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Older people with dementia living in care homes often lack appropriate activities. Although homes are expected to offer a range of activities to meet residents' needs, little is known about what makes activities meaningful for people with dementia. This study explores concepts of meaningful activity, as defi...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802343019
更新日期:2008-09-01 00:00:00
abstract::This paper reports on the evaluation of the Enriched Opportunities Programme in improving well-being, diversity of activity, health, and staff practice in nursing home care for people with dementia. Participants were 127 residents with a diagnosis of dementia or enduring mental health problems in three specialist nurs...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860600963679
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVES:Dementia is a major and growing health problem. Diagnosis is an important step in the access to care, but many dementia patients remain undiagnosed. This study investigated the magnitude and variation in the difference between 'observed' and 'estimated' prevalence of dementia in general practices. We also ex...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2011.596805
更新日期:2011-11-01 00:00:00
abstract::The authors used attachment theory to hypothesize about the possible long-term psychological effects of evacuation during World War II, focusing on children who were evacuated unaccompanied by their parents. The study aimed to establish whether this experience had long-term effects on psychological well-being, and to ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/1360786031000150711
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVES:Illness representations shape responses to illness experienced by the self or by others. The illness representations held by family members of those with long-term conditions such as dementia influence their understanding of what is happening to the person and how they respond and provide support. The aim of...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2015.1128882
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to investigate physical decline over 1-year in a cohort of older people across the cognitive spectrum. METHODS:Physical function was assessed using the Physiological Profile Assessment (PPA) in 593 participants (cognitively normal [CN]: n = 342, mild cognitive impairment [MCI]: n =...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1474446
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVES:Caregivers and clinicians may be confronted with the dilemma whether to allow people in early stages of dementia to go outside independently with the risk of getting lost, or to limit their autonomy and mobility. Newly available technology may offer a solution. This pilot study is focused on the feasibility,...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2011.596810
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:With the process of population aging and urbanization, a vast amount of studies have confirmed the increasing urban-rural cognition gaps, while less is known about the extent to which cognition gaps can be explained by urban-rural difference and urbanization status. This study aimed to examine the role of ur...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2021.1872490
更新日期:2021-01-20 00:00:00
abstract::This study examined the relationship between adherence to tradition and depression in a large sample (N = 1502) of Chinese elders living in the People's Republic of China. In Chinese traditional culture, an elder's purpose, meaning and self-worth are derived, in large, from their social roles within the family and com...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500308017
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVES:In many countries veterans from World War II are growing old. Research has shown that war experiences continue to impact those who have been involved in war for a long time. The present study targets old injured war veterans from World War II in Finland. The aim of this study was to produce knowledge of the ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.954525
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:Positive psychological factors (PPFs) have been reported to have a significant impact on health in the general population. However, little is known about the relationship of these factors with mental and physical health in schizophrenia. METHOD:One hundred and thirty-five outpatients with schizophrenia and 1...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1251572
更新日期:2018-03-01 00:00:00
abstract:INTRODUCTION:Global increases in life expectancy are expected to continue, with accompanying physical and mental well-being challenges specifically for older people living in residential care settings. OBJECTIVE:The aim of the study was to investigate the association between mental well-being and social capital of old...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2015.1105196
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVES:This study aimed at exploring the Internet's role in supporting subjective well-being in later life by applying a functional approach, namely, simultaneously but separately examining each of the principal online functions common among older adults (interpersonal communication, information, task performance a...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1232370
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:The associations between subclinical depressive symptoms, as well specific symptom subscales, on brain structure in aging are not completely elucidated. This study investigated the extent to which depressive symptoms were related to brain volumes in fronto-limbic structures in a sample of middle-aged to olde...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1432030
更新日期:2019-07-01 00:00:00
abstract::Objectives: Impaired cognition and pre-frailty are associated with poor health outcomes. However, research has not examined the combined impact of cognitive impairment and pre-frailty on future frailty and mortality among older Mexican Americans. Methods: Data for this analysis came from the 2006-2007 and 2010-2011 wa...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1493719
更新日期:2019-10-01 00:00:00
abstract::Background and objectives: People with dementia occupy around one quarter of general hospital beds, with concerns consistently raised about care quality. Improving workforce knowledge, skills and attitudes is a mechanism for addressing this. However little is known about effective ways of training healthcare staff abo...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1531382
更新日期:2020-03-01 00:00:00
abstract::Objectives: Informal dementia caregivers are thought to experience high levels of depression and burden, which can contribute to worse cognitive functioning. However, poorer cognitive functioning in caregivers is not always found. The current study explored whether caregivers perform better, worse, or similar to non-c...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1617242
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVES:In old age, the will-to-live (WTL) is one of the most important indicators of subjective well-being (SWB). However, few studies to date have focused on WTL. In these studies, WTL has mainly been evaluated via indirect questions concerning factors that may influence peoples' WTL, or by measures directed to pa...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2015.1081149
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVES:Information and communicative technology (ICT) use is a potential vehicle for improving the psychological well-being (PWB) of older people. We examined the roles of age, frailty, and social connectedness in the relationship between ICT use and PWB. METHOD:Telephone interviews were conducted in mid-2016 with...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1358354
更新日期:2018-11-01 00:00:00
abstract::This paper reports findings from the carer component of the Gwynedd Dementia Study. It is based on carer interviews, using quantitative and qualitative data. It confirms earlier findings that carers for people with dementia are typically female and older than other carers, although it notes that caring husbands are am...
journal_title:Aging & mental health
pub_type: 杂志文章,多中心研究
doi:10.1080/13607860120101040
更新日期:2002-02-01 00:00:00
abstract:OBJECTIVES:The purpose of this study is to determine how individual and contextual factors that contribute to homicide-suicide (HS) differ between young adults, middle-aged adults, and older adults, and to describe, in detail, the circumstances that lead to HS by older adults. METHODS:Data were obtained from the Cente...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1795620
更新日期:2020-07-20 00:00:00
abstract::The purpose of this study was to begin a preliminary examination of constructs theorized to be related to suicidal behavior by testing a model of the influence of both temperament and emotion regulation on suicidal ideation and hopelessness in a sample of depressed older adults. The model was evaluated using structura...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860412331303775
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVES:Despite being identified as a significant clinical phenomenon, wandering of persons with dementia (PWDs) has not been studied in Korea. As an initial trial, various factors chosen from the literature for their predictive relationships to wandering of Korean PWDs were evaluated in this study. METHOD:A total ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802120821
更新日期:2008-05-01 00:00:00
abstract::Objectives: This study aimed to assess how childhood socioeconomic conditions are associated with sleeping problems in older adults and how this association may be mediated by socioeconomic conditions across the lives of individuals using a life course perspective. Since the life course opportunities differ systematic...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1534078
更新日期:2020-02-01 00:00:00
abstract::The purpose of this study was to consider the contribution of intergenerational exchange to mental health. Using data from a national sample of Jewish Israelis age 60 and over with children (n = 1799), reciprocal and non-reciprocal exchange patterns were identified and examined in relation to respondents' scores on a ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860410001669723
更新日期:2004-05-01 00:00:00
abstract::The present paper discusses recruitment of older African-Americans for a psycho-physiological study using the matching model of recruitment proposed by Levkoff, Levy, and Weitzman (2000). The hallmark of the model by Levkoff et al. is that there must be a match between research and minority communities' perspectives i...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607860500409781
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVES:The current research explores how family caregivers (1) make sense of caregiving and (2) cope with their circumstance. METHOD:We analysed semistructured interviews of 13 caregivers of people with either stroke (n = 5) or dementia (n = 8) and used photographs that caregivers took exemplifying their caregivin...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.860425
更新日期:2014-07-01 00:00:00