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      Gerontechnology: Providing a Helping Hand When Caring for Cognitively Impaired Older Adults—Intermediate Results from a Controlled Study on the Satisfaction and Acceptance of Informal Caregivers

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          Abstract

          The incidence of cognitive impairment in older age is increasing, as is the number of cognitively impaired older adults living in their own homes. Due to lack of social care resources for these adults and their desires to remain in their own homes and live as independently as possible, research shows that the current standard care provisions are inadequate. Promising opportunities exist in using home assistive technology services to foster healthy aging and to realize the unmet needs of these groups of citizens in a user-centered manner. ISISEMD project has designed, implemented, verified, and assessed an assistive technology platform of personalized home care (telecare) for the elderly with cognitive impairments and their caregivers by offering intelligent home support services. Regions from four European countries have carried out long-term pilot-controlled study in real-life conditions. This paper presents the outcomes from intermediate evaluations pertaining to user satisfaction with the system, acceptance of the technology and the services, and quality of life outcomes as a result of utilizing the services.

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          The Zarit Burden Interview: a new short version and screening version.

          M Bedard, D W Molloy, L Squire … (2001)
          The purpose of the study was to develop a short and a screening version of the Zarit Burden Interview (ZBI) that would be suitable across diagnostic groups of cognitively impaired older adults, and that could be used for cross-sectional, longitudinal, and intervention studies. We used data from 413 caregivers of cognitively impaired older adults referred to a memory clinic. We collected information on caregiver burden with the 22-item ZBI, and information about dependence in activities of daily living (ADLs) and the frequency of problem behaviors among care recipients. We used factor analysis and item-total correlations to reduce the number of items while taking into consideration diagnosis and change scores. We produced a 12-item version (short) and a 4-item version (screening) of the ZBI. Correlations between the short and the full version ranged from 0.92 to 0.97, and from 0.83 to 0.93 for the screening version. Correlations between the three versions and ADL and problem behaviors were similar. We further investigated the behavior of the short version with a two-way analysis of variance and found that it produced identical results to the full version. The short and screening versions of the ZBI produced results comparable to those of the full version. Reducing the number of items did not affect the properties of the ZBI, and it may lead to easier administration of the instrument.
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            Prevalence of cognitive impairment without dementia in the United States.

            Brenda Plassman (2008)
            Cognitive impairment without dementia is associated with increased risk for disability, increased health care costs, and progression to dementia. There are no population-based prevalence estimates of this condition in the United States. To estimate the prevalence of cognitive impairment without dementia in the United States and determine longitudinal cognitive and mortality outcomes. Longitudinal study from July 2001 to March 2005. In-home assessment for cognitive impairment. Participants in ADAMS (Aging, Demographics, and Memory Study) who were age 71 years or older drawn from the nationally representative HRS (Health and Retirement Study). Of 1770 selected individuals, 856 completed initial assessment, and of 241 selected individuals, 180 completed 16- to 18-month follow-up assessment. Assessments, including neuropsychological testing, neurologic examination, and clinical and medical history, were used to assign a diagnosis of normal cognition, cognitive impairment without dementia, or dementia. National prevalence rates were estimated by using a population-weighted sample. In 2002, an estimated 5.4 million people (22.2%) in the United States age 71 years or older had cognitive impairment without dementia. Prominent subtypes included prodromal Alzheimer disease (8.2%) and cerebrovascular disease (5.7%). Among participants who completed follow-up assessments, 11.7% with cognitive impairment without dementia progressed to dementia annually, whereas those with subtypes of prodromal Alzheimer disease and stroke progressed at annual rates of 17% to 20%. The annual death rate was 8% among those with cognitive impairment without dementia and almost 15% among those with cognitive impairment due to medical conditions. Only 56% of the nondeceased target sample completed the initial assessment. Population sampling weights were derived to adjust for at least some of the potential bias due to nonresponse and attrition. Cognitive impairment without dementia is more prevalent in the United States than dementia, and its subtypes vary in prevalence and outcomes.
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              The Zarit Burden Interview

              Sacha Dubois, Larry Squire, D. Molloy … (2001)
              Article 0 comments Cited 156 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Curr Gerontol Geriatr Res
                Journal ID (iso-abbrev): Curr Gerontol Geriatr Res
                Journal ID (publisher-id): CGGR
                Title: Current Gerontology and Geriatrics Research
                Publisher: Hindawi Publishing Corporation
                ISSN (Print): 1687-7063
                ISSN (Electronic): 1687-7071
                Publication date (Print): 2012
                Publication date (Electronic): 22 March 2012
                Volume: 2012
                Electronic Location Identifier: 401705
                Affiliations
                1North Denmark EU-Office, Aalborg Municipality, Boulevarden 13, 9000 Aalborg, Denmark
                2Center for TeleInFrastruktur (CTiF), Aalborg University, Niels Jernes Vej 12, 9220 Aalborg, Denmark
                3Municipal Enterprise for Social Development (DEKA) of Trikala, European Projects Department, Valkanou 6, 42100 Trikala, Greece
                4e-Trikala SA, e-Health Department and R&D Department, Street Sarafi 44, 42100 Trikala, Greece
                5Hellenic Statistical Authority, Census Department, Piraeus 46 & Eponiton, 18510 Piraeus, Greece
                Author notes
                *Anelia Mitseva: aim@ 123456aalborg.dk

                Academic Editor: Ann L. Gruber-Baldini

                Article
                DOI: 10.1155/2012/401705
                PMC ID: 3318209
                PubMed ID: 22536230
                SO-VID: c3168b48-e51c-4d27-a7d1-0b5631eda6e5
                Copyright © Copyright © 2012 Anelia Mitseva et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 31 May 2011
                Date revision received : 5 November 2011
                Date accepted : 17 November 2011
                Categories
                Subject: Clinical Study

                ScienceOpen disciplines: Geriatric medicine
                Data availability:
                ScienceOpen disciplines: Geriatric medicine

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