Language-Enriched Exercise plus Socialization for Older Adults with Dementia: Translation to Rural Communities

Rue, Asenath La; Felten, Kristen; Duschene, Kathie; Macfarlane, D. A.; Price, Susan; Zimmerman, Suanne; Hafez, Stephanie

doi:10.1055/s-0033-1358370

Cited by 5 publications

(4 citation statements)

References 41 publications

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“…• 26% of CGs reported increased support group use pre-post intervention. (Brotons & Marti, 2003); horticultural therapy within day programming (Gigliotti, Jarrott, & Yorgason, 2004); in-hospital support (Bateman, Anderson, Bird, & Hungerford, 2016;Ervin & Moore, 2014); cognitivebehavioural and memory training (Jo & Song, 2016); physical and verbal exercise training (La Rue et al, 2013;La Rue, Felten, & Turkstra, 2015), and cognitive stimulation therapy (Paddick et al, 2017). Two support groups for caregivers were described (Moore, 2002;O'Connell, Crossley, Cammer, & Morgan, 2014), and an exercise intervention was aimed at both caregivers and people with dementia (Dal Bello-Haas et al, 2014a).…”

Section: Continuedmentioning

confidence: 99%

“…Participants identified, and some interventions included, non-technological accessibility assistance to facilitate service use. Accessibility considerations for rural populations in Canada, Scotland, Australia, Tanzania, and the United States involved structural decisions around programming such as the provision of in-home and outreach or local services, reduced program sessions, and convenient timing of programming (Clancy, 2015;Innes et al, 2006;La Rue et al, 2013;La Rue et al, 2015;Paddick et al, 2017;Paul et al, 2000;Scharf et al, 2006). For example, La Rue et al (2013) held intervention sessions (physical exercise and language and memory stimulation) in participants' homes or convenient places in the community.…”

Section: Accessibility Assistancementioning

confidence: 99%

“…Strong communication and ties between organizations could facilitate referrals to appropriate services and increase caregiver support at an early stage (Forbes et al, 2012;O'Reilly and Strong, 1997). Recruitment of volunteer assistance in service provision was also perceived to increase the quality and quantity of services (McDonald & Heath), and as a potential strategy to increase their sustainability (La Rue et al, 2013;La Rue et al, 2015).…”

Section: Inter-organization Collaborationmentioning

confidence: 99%

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Dementia-Related Education and Support Service Availability, Accessibility, and Use in Rural Areas: Barriers and Solutions

et al. 2020

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This scoping review mapped and synthesized published literature related to education and support services for individuals with dementia and their caregivers living rurally. Specifically, we investigated education and support service needs, availability and use of services, barriers to service access and use, and solutions to these barriers. Empirical, English-language articles (2,381) were identified within MEDLINE, CINAHL, PSYCINFO, and EMBASE. Articles were screened according to Arksey and O’Malley’s (2005) five-stage scoping review methodology and the recommendations of Levac et al. (2010). Findings suggest limited availability of rural dementia-related support and education services, particularly respite care and day programs. Service use varied across studies, with barriers including low knowledge regarding services, practicality, and resource issues (e.g., transportation, financial), values and beliefs, stigma, and negative perceptions of services. Solutions included tailored and person-centred services, technological service provision, accessibility assistance, inter-organization collaboration, education regarding services, and having a “point of entry” to service use.

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Section: Continuedmentioning

confidence: 99%

Section: Accessibility Assistancementioning

confidence: 99%

Section: Inter-organization Collaborationmentioning

confidence: 99%

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Dementia-Related Education and Support Service Availability, Accessibility, and Use in Rural Areas: Barriers and Solutions

et al. 2020

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“…Within the realm of physical–cognitive activation plus social participation (outdoors) , the volunteers assumed manualized exercises and joint outdoor activities in solely domestic settings. One RCT ( n = 121) [123, 124] and one PP ( n = 64) [125, 126] evaluated this type of support.…”

Section: Resultsmentioning

confidence: 99%

Trained volunteers to support chronically ill, multimorbid elderly between hospital and domesticity – a systematic review of one-on-one-intervention types, effects, and underlying training concepts

2019

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Background New approaches are needed to address the challenges of demographic change, staff shortages, and societal change in the care of the elderly. While volunteering has barely been established as a pillar of the welfare state in several countries, legislators and nonprofit or community-based organizations in some countries favor the increased integration of volunteers, as they can rely on many dedicated people. When caring for the multimorbid elderly, the transition from hospital to domesticity involves certain risks. Currently, no systematic knowledge exists on whether and how elderly benefit from volunteer support after a hospital stay. Objectives of this systematic review were to (1) identify evaluated approaches with trained volunteers supporting chronically ill, multimorbid elderly one-on-one at the interface between hospital and domesticity; (2) investigate the patient-related effectiveness of the approaches; (3) present the characteristics of the supporting volunteers; and (4) present the underlying teaching and training concepts for the volunteers. Methods A systematic search of the following online databases was conducted in April 2017: the Cochrane Library, Medline (PubMed), CINAHL, and PsycINFO (Ebscohost). We included (cluster/quasi-) randomized controlled trials, controlled clinical trials and single-group pre-post design. An institutional search was conducted on eight national institutions from research and practice in Germany. Screening was conducted by one researcher, risk of bias was assessed. Study authors were contacted for study and training details. Results We identified a total of twelve studies, eight of which evaluated treatment following hospital stay: psychosocial-coordinative support ( n = 2), physical-cognitive activation ( n = 4), and assistance with medication intake ( n = 2). We saw short-term effects with small and medium effect sizes. Most volunteers were women aged between 45 and 61 years. Their training lasted 12–26 h and took place prior to first patient contact. During the intervention, volunteers could rely on permanent supporting structures. Conclusions Few studies exist that have evaluated one-on-one-volunteer support following hospitalization, and the effects are inconsistent. As such, further, well-designed studies are needed. The suitability and transferability of the interventions in country-specific settings should be examined in feasibility studies. Furthermore, an international discussion on the appropriate theoretical backgrounds of volunteer training is needed. Electronic supplementary material The online version of this article (10.1186/s12877-019-1130-2) contains supplementary material, which is available to authorized users.

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Implementation of Cognitive (Neuropsychological) Interventions for Older Adults in Clinical or Community Settings: A Scoping Review

Pike,

Li,

Naismith

et al. 2024

Neuropsychol Rev

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Despite compelling evidence that cognitive interventions for older adults improve cognition, mood, and everyday function, few are implemented in clinical or community practice. This scoping review aims to understand the implementation frameworks and methods used and their contribution to implementation success of cognitive interventions for older adults. We followed the Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for Scoping Reviews (PRISMA-ScR), and searched CINAHL, EMBASE, MEDLINE, and PSYCINFO databases, using terms related to cognitive interventions, implementation, and older adults. This resulted in 5002 studies, of which 29 were included following an iterative process. Most studies reported on implementation of cognitive stimulation for people with dementia. Only four studies used formal implementation frameworks, with three using RE-AIM, and one a process evaluation using complexity theory. The most frequently addressed implementation concepts were Acceptability, Feasibility, and Effectiveness, while Cost, Cost-Effectiveness, and Maintenance were rarely reported. Solutions to common barriers included the importance of good stakeholder relationships and engagement, a manualised intervention flexible enough to adapt to the context, and ensuring facilitators were well-trained, confident, and enthusiastic.

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Language-Enriched Exercise plus Socialization for Older Adults with Dementia: Translation to Rural Communities

Cited by 5 publications

References 41 publications

Dementia-Related Education and Support Service Availability, Accessibility, and Use in Rural Areas: Barriers and Solutions

Dementia-Related Education and Support Service Availability, Accessibility, and Use in Rural Areas: Barriers and Solutions

Trained volunteers to support chronically ill, multimorbid elderly between hospital and domesticity – a systematic review of one-on-one-intervention types, effects, and underlying training concepts

Implementation of Cognitive (Neuropsychological) Interventions for Older Adults in Clinical or Community Settings: A Scoping Review

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