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Effects of Exergaming in People with Dementia

Abstract. Background: Physical exercise benefits functioning, health, and well-being. However, people living with dementia in particular hardly engage in exercise. Exergaming (exercise and gaming) is an innovative, fun, and relatively safe way of exercising in a virtual reality or gaming environment. It may help people living with dementia overcome barriers they can experience regarding regular exercise activities. Objective: This systematic literature review aims to provide an overview of the cost-effectiveness of exergaming and its effects on physical, cognitive, emotional, and social functioning, as well as the quality of life in people living with dementia. Methods: PubMed, Embase, Cinahl, PsycINFO, the Cochrane Library, and the Web of Science Core Collection were searched. Selection of studies was carried out by at least two independent researchers. Results: Three studies were found to be eligible and were included in this review. Two of these showed some statistically significant effects of exergaming on physical, cognitive, and emotional functioning in people living with dementia, although based on a very small sample. No articles were found about the cost-effectiveness of exergaming. Conclusion: Only a few controlled studies have been conducted into the effectiveness of exergaming, and these show very little significant benefits. More well-designed studies are necessary to examine the effects of exergaming

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Effects of Exergaming in People with Dementia

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Perspectives on recovery by older persons with bipolar disorder, their caregivers, and mental healthcare professionals

Although bipolar disorder (BD) has been understood classically as a cyclic disease with full recovery between manic and depressive mood episodes, the long-term outcome has been associated with cognitive deficits, impaired psychosocial functioning, and premature death.1 Due to ageing of the population the absolute number of older persons with BD will rise in the next decades1 with substantial burden for their caregivers. 2. Acknowledging that recovery is defined more broadly than the absence of mood symptoms,3 insights regarding perspectives of recovery and expectations of mental health care (MHC) are urgently warranted to meet the needs of this growing complex patient group.

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Perspectives on recovery by older persons with bipolar disorder, their caregivers, and mental healthcare professionals

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Psychiatrists Harnessing Lived Experiences: a Risky Business?

Many mental health professionals have also used mental health services. What role should their personal experience play in their clinical practice - if any? - a commentary

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Research contributions to adults learning mathematics in the field of numeracy in the last twenty years

This paper explores the contributions of research to the field of adults learning mathematics (ALM) in the last twenty years. The results of the review of the literature on ALM show that the most cited studies that have been published in the last twenty years tend to focus on the field of numeracy to understand health data (such as understanding how to dose a medicine in a medical treatment). However, we know little about key aspects of how adults learn mathematics, what obstacles they encounter, and how they overcome them. This paper identifies the main gaps that ALM research faces in the coming years.

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Research contributions to adults learning mathematics in the field of numeracy in the last twenty years

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Frailty at Risk Scale (FARS)

Abstract The aim of this cross-sectional study was to develop a Frailty at Risk Scale (FARS) incorporating ten well-known determinants of frailty: age, sex, marital status, ethnicity, education, income, lifestyle, multimorbidity, life events, and home living environment. In addition, a second aim was to develop an online calculator that can easily support healthcare professionals in determining the risk of frailty among community-dwelling older people. The FARS was developed using data of 373 people aged ≥ 75 years. The Tilburg Frailty Indicator (TFI) was used for assessing frailty. Multivariate logistic regression analysis showed that the determinants multimorbidity, unhealthy lifestyle, and ethnicity (ethnic minority) were the most important predictors. The area under the curve (AUC) of the model was 0.811 (optimism 0.019, 95% bootstrap CI = −0.029; 0.064). The FARS is offered on a Web site, so that it can be easily used by healthcare professionals, allowing quick intervention in promoting quality of life among community-dwelling older people.

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Aggressive behaviour of inpatients with acquired brain injury

Objective. To study the prevalence, nature and determinants of aggression among inpatients with acquired brain injury. Background. Patients with acquired brain injury often have difficulty in controlling their aggressive impulses. Design. A prospective observational study design. Methods. By means of the Staff Observation Aggression Scale-Revised, the prevalence, nature and severity of aggressive behaviour of inpatients with acquired brain injury was assessed on a neuropsychiatric treatment ward with 45 beds. Additional data on patient-related variables were gathered from the patients’ files. Results. In total, 388 aggressive incidents were recorded over 17 weeks. Of a total of 57 patients included, 24 (42%) patients had engaged in aggressive behaviour on one or more occasions. A relatively small proportion of patients (n = 8; 14%) was found to be responsible for the majority of incidents (n = 332; 86%). The vast majority of aggression incidents (n = 270; 70%) were directly preceded by interactions between patients and nursing staff. In line with this, most incidents occurred at times of high contact intensity. Aggressive behaviour was associated with male gender, length of stay at the ward, legal status and hypoxia as the cause of brain injury. Conclusion. Aggression was found to be highly prevalent among inpatients with acquired brain injury. The results suggest that for the prevention of aggression on the ward, it may be highly effective to develop individually tailored interventions for the subgroup with serious aggression problems. Relevance to clinical practice. Insight into the frequency, nature and determinants of aggressive behaviour in inpatients with acquired brain injury provides nurses with tools for the prevention and treatment of aggressive behaviour.

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Aggressive behaviour of inpatients with acquired brain injury

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A Case Report for Diagnosing Anxiety in People With Intellectual Disability: The Role of Nurses in the Application of a Multidimensional Diagnostic Guideline

The purpose of this article is the presentation of a multidimensional guideline for the diagnosis of anxiety and anxiety-related behavior problems in people with intellectual disability (ID), with a substantial role for the nurse in this diagnostic process. DESIGN AND METHODS: The guideline is illustrated by a case report of a woman with ID with severe problems. FINDINGS: It appears that a multidimensional diagnostic approach involving multidisciplinary team efforts can result in a more accurate diagnosis and improved subsequent treatment. PRACTICE IMPLICATIONS: Nurses should be engaged in the diagnostic process because of their ability to make direct observations and to actively participate in carrying out all parts of the guideline.

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A Case Report for Diagnosing Anxiety in People With Intellectual Disability: The Role of Nurses in the Application of a Multidimensional Diagnostic Guideline

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Design and methods of the Hospital Elder Life Program (HELP), a multicomponent targeted intervention to prevent delirium in hospitalized older patients: efficacy and cost-effectiveness in Dutch health care

The Hospital Elder Life Program (HELP) has been shown to be highly efficient and (cost-)effective in reducing delirium incidence in the USA. HELP provides multicomponent protocols targeted at specific risk factors for delirium and introduces a different view on care organization, with trained volunteers playing a pivotal role. The primary aim of this study is the quantification of the (cost-)effectiveness of HELP in the Dutch health care system. The second aim is to investigate the experiences of patients, families, professionals and trained volunteers participating in HELP.

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Design and methods of the Hospital Elder Life Program (HELP), a multicomponent targeted intervention to prevent delirium in hospitalized older patients: efficacy and cost-effectiveness in Dutch health care

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Kognitiv verhaltenstherapeutisches Behandlungsprogramm zur Verbesserung des Selbstbildes bei forensisch psychiatrischen Patienten mit einer psychotischen Störung und Paranoia. Eine randomisierte kontrollierte Studie

Menschen mit einer psychotischen Störung haben häufig ein negatives Selbstbild und damit ein geringes Selbstwertgefühl. Untersuchungen haben auch gezeigt, dass Paranoia direkt mit negativen Vorstellungen über das Selbst zusammenhängen kann. Sich minderwertig zu fühlen und an Paranoia zu leiden, kann zu Verletzlichkeit und Aggression führen. In der forensischen Psychiatrie gibt es eine Kategorie stationärer Patienten mit einer psychotischen Erkrankung und Paranoia. Diese Patienten leiden schwer unter ihrer Störung, die obendrein ein Prädiktor für einen ungünstigen Behandlungsverlauf ist und eine lange Verweildauer innerhalb der (forensischen) Psychiatrie nach sich zieht. In einer randomisierten kontrollierten Studie wird die Wirksamkeit des Competitive Memory Training (COMET), eines kognitiv-verhaltenstherapeutischen Behandlungsprogramms zur Verbesserung des Selbstbildes bei in der Forensik untergebrachten psychotischen Patienten, die ebenfalls an Paranoia leiden, evaluiert und untersucht, ob ein positiveres Selbstbild auch zur Verringerung der Paranoia dieser Patienten führt. Die an einer kleinen Stichprobe durchgeführte Studie ergab eine signifikante Verbesserung des Selbstwertgefühls, aber keine Verringerung der Paranoia bei den Patienten, die an COMET teilnahmen.

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Zoekresultaten

Producten 15

Effects of Exergaming in People with Dementia

Perspectives on recovery by older persons with bipolar disorder, their caregivers, and mental healthcare professionals

Psychiatrists Harnessing Lived Experiences: a Risky Business?

Research contributions to adults learning mathematics in the field of numeracy in the last twenty years

Frailty at Risk Scale (FARS)

Aggressive behaviour of inpatients with acquired brain injury

A Case Report for Diagnosing Anxiety in People With Intellectual Disability: The Role of Nurses in the Application of a Multidimensional Diagnostic Guideline

Design and methods of the Hospital Elder Life Program (HELP), a multicomponent targeted intervention to prevent delirium in hospitalized older patients: efficacy and cost-effectiveness in Dutch health care

Kognitiv verhaltenstherapeutisches Behandlungsprogramm zur Verbesserung des Selbstbildes bei forensisch psychiatrischen Patienten mit einer psychotischen Störung und Paranoia. Eine randomisierte kontrollierte Studie

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Producten 15

Effects of Exergaming in People with Dementia

Perspectives on recovery by older persons with bipolar disorder, their caregivers, and mental healthcare professionals

Psychiatrists Harnessing Lived Experiences: a Risky Business?

Research contributions to adults learning mathematics in the field of numeracy in the last twenty years

Frailty at Risk Scale (FARS)

Aggressive behaviour of inpatients with acquired brain injury

A Case Report for Diagnosing Anxiety in People With Intellectual Disability: The Role of Nurses in the Application of a Multidimensional Diagnostic Guideline

Design and methods of the Hospital Elder Life Program (HELP), a multicomponent targeted intervention to prevent delirium in hospitalized older patients: efficacy and cost-effectiveness in Dutch health care

Kognitiv verhaltenstherapeutisches Behandlungsprogramm zur Verbesserung des Selbstbildes bei forensisch psychiatrischen Patienten mit einer psychotischen Störung und Paranoia. Eine randomisierte kontrollierte Studie

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