Articles: dementia.
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Palliative medicine · Jan 2025
Randomized Controlled TrialMixed methods process evaluation of an advance care planning intervention among nursing home staff.
We developed the ACP+ intervention to support nursing home staff with implementation of advance care planning. While ACP+ was found to improve staff's self-efficacy, it did not change their knowledge about advance care planning. ⋯ There was limited staff engagement. Management ownership, clear roles, and collaborative practices may enhance nursing home advance care planning. Accessible and ongoing training for all staff, and ample practical learning opportunities are needed.
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Randomized Controlled Trial
Effectiveness and feasibility of a theory-informed intervention to improve Mediterranean diet adherence, physical activity and cognition in older adults at risk of dementia: the MedEx-UK randomised controlled trial.
Despite an urgent need for multi-domain lifestyle interventions to reduce dementia risk, there is a lack of interventions which are informed by theory- and evidence-based behaviour change strategies, and no interventions in this domain have investigated the feasibility or effectiveness of behaviour change maintenance. We tested the feasibility, acceptability and cognitive effects of a personalised theory-based 24-week intervention to improve Mediterranean diet (MD) adherence alone, or in combination with physical activity (PA), in older-adults at risk of dementia, defined using a cardiovascular risk score. ⋯ The intervention was successful in initiating and maintaining dietary behaviour change for up to 12 months which resulted in cognitive benefits. It provides a framework for future complex behaviour change interventions with a range of health and well-being endpoints.
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Randomized Controlled Trial
The Effect of the "Safety in Dementia" Online Tool to Assist Decision Making for Caregivers of Persons With Dementia and Access to Firearms : A Randomized Trial.
Caregivers face challenges (including competing desires to prevent injury, respect autonomy, and avoid conflict) when addressing firearm access by community-dwelling persons with Alzheimer disease and related dementias (ADRD). ⋯ National Institute on Aging, National Institutes of Health.
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J Pain Symptom Manage · Aug 2024
Randomized Controlled TrialAssessing Advance Care Planning Fidelity within the Context of Cognitive Impairment: The SHARE Trial.
Advance care planning (ACP) is critical among primary care patients with cognitive impairment, but few interventions have tested ACP with this population. ⋯ Assessing the fidelity of ACP conversations involving primary care patients living with cognitive impairment and their care partners is feasible.
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Comment Randomized Controlled Trial
The effect of music-based caregiving intervention on pain intensity in nursing home patients with dementia.