scholarly journals xPsychometric Evaluation and Workflow Integration Study of a Tablet-Based Tool to Detect Mild Cognitive Impairment in Older Adults: Protocol for a Mixed Methods Study (Preprint)

10.2196/25520 ◽  
2020 ◽  
Author(s):  
Josephine McMurray ◽  
AnneMarie Levy ◽  
Paul Holyoke
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Mixed Methods ◽  
Mild Cognitive Impairment ◽  
Mixed Methods Study ◽  
Workflow Integration

scholarly journals Factors that Influence the Emotional Impact of Memory Problems in Older Adults: A Mixed-Methods Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 698-698
Author(s):  
Emily Bratlee-Whitaker ◽  
Nikki Hill ◽  
Jacqueline Mogle ◽  
Rachel Wion ◽  
Caroline Madrigal ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Mixed Methods ◽  
Well Being ◽  
Community Dwelling ◽  
Mixed Methods Study ◽  
Emotional Impact ◽  
Important Indicator ◽  
Memory Problems ◽  
Affective Symptoms

Abstract Older adults’ experiences with memory problems may be an important indicator of current and future well-being; however, these experiences and their impacts are poorly characterized, particularly in those with co-occurring affective symptoms. The purpose of this mixed-methods study was to examine how the experience of memory problems influences emotional well-being in older adults without dementia, and whether this differs based on cognitive status and current depressive symptoms or anxiety symptoms. A convergent parallel mixed methods design was used in which quantitative and qualitative data were collected simultaneously, analyzed separately, and then integrated to determine how participants’ experiences differed. Community-dwelling older adults (n=49, Mage = 74.5, 63% female) without severe cognitive impairment completed study questionnaires and two individual, semi-structured interviews. Five themes were identified that described the influence of memory problems on emotional well-being: Evoking Emotions, Fearing Future, Undermining Self, Normalizing Problems, and Adjusting Thinking. The extent to which memory problems impacted emotional well-being depended on multiple factors including current affective symptoms (primarily anxiety), characteristics of the experience (such as judgments of its importance), as well as personal experience with dementia. Notably, there were no thematic differences in the emotional impact of memory problems between older adults with normal cognition and those with evidence of mild cognitive impairment. Our findings suggest that thorough assessment of reports of memory problems, regardless of cognitive testing outcomes, should consider co-occurring subsyndromal affective disorders as well as older adults’ evaluations of how memory problems influence their daily lives and well-being.

Pilot testing of Dual-task Zumba Gold (DTZ) for community-dwelling people with mild cognitive impairment: A mixed-methods study

2021 ◽  
Vol 42 (6) ◽  
pp. 1397-1407
Author(s):  
Laurence Lloyd Parial ◽  
Angela Yee Man Leung ◽  
Earl Francis Sumile ◽  
Simon Ching Lam
Keyword(s):  
Cognitive Impairment ◽  
Mixed Methods ◽  
Mild Cognitive Impairment ◽  
Dual Task ◽  
Community Dwelling ◽  
Mixed Methods Study ◽  
Pilot Testing

A Mixed-Methods Study of the Impact of Mild Cognitive Impairment Diagnosis on Patient and Care Partner Perception of Health Risks

2021 ◽  
pp. 1-13
Author(s):  
Hannah J. Kimmel ◽  
Deborah A. Levine ◽  
Rachael T. Whitney ◽  
Jane Forman ◽  
Brenda L. Plassman ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mixed Methods ◽  
Mild Cognitive Impairment ◽  
Cognitive Decline ◽  
Health Risks ◽  
Heart Attack ◽  
Older Patients ◽  
Mixed Methods Study ◽  
Care Partners ◽  
Dementia Risk

Background: Older patients (≥65 years) with mild cognitive impairment (MCI) are undertreated for cardiovascular disease (CVD). One reason for this disparity could be that patients with MCI might underestimate the chances of CVD and overestimate dementia. Objective: To compare conceptions of health risk between older patients with MCI and normal cognition (NC) and their care partners. Methods: We conducted a multi-center mixed-methods study of patient-care partner dyads completing written quantitative surveys (73% response rate; 127 dyads: 66 MCI and 61 NC) or semi-structured interviews (20 dyads: 11 MCI, and 9 NC). Surveys assessed two-year patient risks of dementia, heart attack, stroke, and fall. Interviews assessed similar health risks and reasons for risk perceptions. Results: On surveys, a similarly low proportion of MCI and NC patients felt they were at risk of stroke (5% versus 2% ; p = 0.62) and heart attack (2% versus 0% ; p = 0.99). More MCI than NC patients perceived dementia risk (26% versus 2% ; p <  0.001). Care partners’ survey findings were similar. Interviews generally confirmed these patterns and also identified reasons for future health concerns. For both MCI and NC dyads, personal experience with cognitive decline or CVD (personal or family history) increased concerns about each disease. Additionally, perceptions of irreversibility and lack of treatment for cognitive decline increased concern about dementia. Conclusion: Less use of CVD treatments in MCI seems unlikely to be driven by differential perceptions of CVD risk. Future work to improve awareness of CVD risks in older patients and dementia risk in patients with MCI are warranted.

Toward Identifying Mild Cognitive Impairment in Hispanic and African American Adults

2017 ◽  
Vol 2 (2) ◽  
pp. 110-116
Author(s):  
Valarie B. Fleming ◽  
Joyce L. Harris
Keyword(s):  
Older Adults ◽  
African American ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Healthcare Access ◽  
Communication Disorders ◽  
Healthcare Systems ◽  
Prevention Education ◽  
Education Management ◽  
African American Adults

Across the breadth of acquired neurogenic communication disorders, mild cognitive impairment (MCI) may go undetected, underreported, and untreated. In addition to stigma and distrust of healthcare systems, other barriers contribute to decreased identification, healthcare access, and service utilization for Hispanic and African American adults with MCI. Speech-language pathologists (SLPs) have significant roles in prevention, education, management, and support of older adults, the population must susceptible to MCI.

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