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  • 1
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2018
    In:  International Psychogeriatrics Vol. 30, No. 1 ( 2018-01), p. 161-165
    In: International Psychogeriatrics, Cambridge University Press (CUP), Vol. 30, No. 1 ( 2018-01), p. 161-165
    Abstract: Fall rates from 3.2 to 17.1 falls per 1,000 hospital days in geriatric psychiatry facilities have been reported to date. Up to 5% of the falls result in severe injuries, but data concerning medical consequences are scare. This brief report presents a retrospective analysis of one year fall protocols from a geriatric psychiatry department focusing on consequences of falls. Fall-induced injuries were rated in four categories: no injuries, mild injuries (contusions, hematomas, abrasions), moderate injuries (lacerations, dislocations), and severe injuries (fractures, cerebral hemorrhages). In total, 510 falls were registered during the study period, indicating a fall rate of 17.7 falls per 1,000 hospital days. Overall, 375 falls (73.5%) resulted in no injuries, 67 (13.1%) resulted in mild injuries, 59 (11.6%) resulted in moderate injuries, and only 9 (1.8%) falls led to severe injuries (fractures and cerebral hemorrhages). These results indicate a quite high fall rate in our sample of hospitalized geriatric psychiatry patients with only a relatively small number of severe injuries resulting from the falls. These results raise the question about the use of physical restraints and the use of bedrails in geriatric patients to prevent falls as the medical implications of falls may be less problematic than previously thought.
    Type of Medium: Online Resource
    ISSN: 1041-6102 , 1741-203X
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2018
    detail.hit.zdb_id: 2147136-8
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2023
    In:  Journal of Geriatric Psychiatry and Neurology Vol. 36, No. 3 ( 2023-05), p. 175-184
    In: Journal of Geriatric Psychiatry and Neurology, SAGE Publications, Vol. 36, No. 3 ( 2023-05), p. 175-184
    Abstract: Dance as a non-pharmacological therapy is commonly used in dementia care, although the evidence of its effects remains unclear. This study systematically reviewed the effects of dance interventions on neuropsychiatric symptoms (NPS) in people living with dementia. To systematically identify and evaluate dance interventions, a standardized terminology for Dance-Specific Activity (DSA) is proposed. Methods Literature search was conducted on electronic databases until April 30 th 2021. Studies were included when they quantified the effects of DSA on NPS in people with clinical diagnosis of dementia. Included studies were analyzed in detail for NPS. Study quality was assessed by PEDro scale (German version). Results 4 studies were included. The studies differed in study design, intervention protocols, dance styles, or measurement tools, and were generally of low study quality. Two trials showed improvements in NPS and 2 trials showed no exacerbation of NPS after DSA. Conclusions The results of the 4 available trials indicate a positive tendency towards the effects of DSA, but considering the limitations of the few available studies, a clear statement about the effects of DSA is not possible yet. Based on the included trials, the following implications for clinical research and routine care can be derived: (1) DSA seems to be a practical terminology for identifying dance interventions (2) DSA seems to be a safe intervention for people living with dementia. (3) Different dance styles can be used. (4) DSA approaches should be better structured by differentiating between the domains type, content, intention, and protocol of the intervention.
    Type of Medium: Online Resource
    ISSN: 0891-9887 , 1552-5708
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2094096-8
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  • 3
    In: Sensors, MDPI AG, Vol. 21, No. 6 ( 2021-03-18), p. 2121-
    Abstract: Disruptions of circadian motor behavior cause a significant burden for older adults as well as their caregivers and often lead to institutionalization. This cross-sectional study investigates the association between mobility-related behavior and subjectively rated circadian chronotypes in healthy older adults. The physical activity of 81 community-dwelling older adults was measured over seven consecutive days and nights using lower-back-worn hybrid motion sensors (MM+) and wrist-worn actigraphs (MW8). A 30-min and 120-min active period for the highest number of steps (MM+) and activity counts (MW8) was derived for each day, respectively. Subjective chronotypes were classified by the Morningness-Eveningness Questionnaire into 40 (50%) morning types, 35 (43%) intermediate and six (7%) evening types. Analysis revealed significantly earlier starts for the 30-min active period (steps) in the morning types compared to the intermediate types (p ≤ 0.01) and the evening types (p ≤ 0.01). The 120-min active period (steps) showed significantly earlier starts in the morning types compared to the intermediate types (p ≤ 0.01) and the evening types (p = 0.02). The starting times of active periods determined from wrist-activity counts (MW8) did not reveal differences between the three chronotypes (p = 0.36 for the 30-min and p = 0.12 for the 120-min active period). The timing of mobility-related activity, i.e., periods with the highest number of steps measured by hybrid motion sensors, is associated to subjectively rated chronotypes in healthy older adults. The analysis of individual active periods may provide an innovative approach for early detecting and individually tailoring the treatment of circadian disruptions in aging and geriatric healthcare.
    Type of Medium: Online Resource
    ISSN: 1424-8220
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2052857-7
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  • 4
    In: Trials, Springer Science and Business Media LLC, Vol. 16, No. 1 ( 2015-12)
    Type of Medium: Online Resource
    ISSN: 1745-6215
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2015
    detail.hit.zdb_id: 2040523-6
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  • 5
    In: European Review of Aging and Physical Activity, Springer Science and Business Media LLC, Vol. 20, No. 1 ( 2023-05-18)
    Abstract: To identify and analyze the components applied in interventions using physical activity (PA) monitoring in geriatric patients and determine their feasibility and applicability. Methods A systematic search in six databases (PubMed, Embase, SPORTDiscus, CINAHL, Web of Science, and GeroLit) was conducted to identify studies reporting interventions that included the application of a PA monitor in adults aged ≥ 60 years with a clinical diagnosis. PA monitor interventions were analyzed regarding their feedback, goal-setting and behavior change technique (BCT) components. To determine the feasibility and applicability of interventions, the participants’ adherence to the intervention, their experience as well as adverse events were analyzed. Results Seventeen eligible studies, applying 22 interventions, were identified. Studies included a total of 827 older patients with a median age of 70.2 years. In thirteen interventions (59%), the PA monitor was embedded in a structured behavioral intervention, an indication-specific intervention or usual care. Most frequently applied intervention components were goal setting and self-monitoring ( n  = 18), real-time PA monitor feedback complemented by feedback from the study team ( n  = 12), use of further BCTs ( n  = 18), and regular counseling with the study team ( n  = 19). Comprehensive information on the participants’ intervention adherence and experience were reported for 15 (68%) and 8 (36%) interventions, respectively. Conclusion The components included in PA monitoring-based interventions varied considerably especially regarding the extent, frequency, and content of feedback, goal setting and BCTs counseling. Future research should evaluate which components are most effective and clinically applicable to promote physical activity in geriatric patients. To be able to precisely analyze the effects, trials should seek to report details on intervention components, adherence and adverse events, while future reviews may use the findings of this scoping review to conduct analyses with less heterogeneity in study characteristics and intervention strategies.
    Type of Medium: Online Resource
    ISSN: 1861-6909
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2236925-9
    SSG: 31
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  • 6
    Online Resource
    Online Resource
    Wiley ; 2021
    In:  Journal of Cachexia, Sarcopenia and Muscle Vol. 12, No. 5 ( 2021-10), p. 1153-1160
    In: Journal of Cachexia, Sarcopenia and Muscle, Wiley, Vol. 12, No. 5 ( 2021-10), p. 1153-1160
    Abstract: Sarcopenia is an age‐related progressive and general skeletal muscle disease associated with negative consequences such as falls, disability, and mortality. An early‐stage diagnosis is important to enable adequate treatment, especially in geriatric psychiatry. However, there presently is little information about the feasibility of diagnostic procedures and the prevalence of sarcopenia in clinical geriatric psychiatry settings. The aim of this study is to implement a diagnostic process for sarcopenia in a geriatric psychiatry hospital, to investigate its feasibility and to analyse the prevalence rates. Methods A single‐centre cross‐sectional study over 3 months was conducted in a geriatric psychiatry hospital. All admitted patients with a diagnosis of dementia, depression, or delirium were screened regarding the clinical impression of frailty and sarcopenia according to the current diagnostic algorithm of the European Working Group on Sarcopenia in Older People 2 (EWGSOP2). Results We found that short physical performance tests, such as the handgrip strength testing (91%) or 4 m walking test (91%), were applicable in our sample. The original standardized instructions of longer tests could not be performed appropriately, for example, in the five‐times‐sit‐to‐stand‐test (32%), the timed‐up‐and‐go‐test (68%), and the 400 m walking test (38%). Muscle mass measurements using bioelectric impedance analysis were feasible in all patients (100%). The analysis revealed an estimated prevalence rate for sarcopenia of 65% for patients suffering from dementia and 36% for patients suffering from depression. In our final analysis, 15 patients suffering from dementia, 19 suffering from depression, and no patient suffering from delirium were included [22 female (64.7%) and twelve male (35.3%) patients]. The patients were on average 78.9 ± 7.7 years old, with the youngest patient being 61 years old and the oldest patient 93 years old. Out of the total sample, 14 patients suffering from dementia and eight patients suffering from depression were diagnosed with a severe stage of sarcopenia. Conclusions The EWGSOP2 algorithm seems to be applicable in the clinical routine of a geriatric psychiatry hospital. The high estimated prevalence rates of sarcopenia highlight the need for an early and comprehensive screening for sarcopenia in geriatric psychiatry.
    Type of Medium: Online Resource
    ISSN: 2190-5991 , 2190-6009
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2586864-0
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  • 7
    In: GeroPsych, Hogrefe Publishing Group, Vol. 28, No. 4 ( 2015-12), p. 173-181
    Abstract: Abstract. Although programs to promote physical activity have been implemented in routine geriatric psychiatry, there are presently no evidence-based recommendations and only few randomized controlled exercise trials have been conducted. Therefore, a program called Geriatric Psychiatry in Motion was established in a psychiatric hospital. The primary objective was to promote physical activity and to investigate the effects of different physical activity programs in elderly psychiatric patients. The following key features were developed and are under investigation: (1) a program to promote general physical activity; (2) specific exercise programs for inpatients; (3) specific programs for outpatient services; and (4) the implementation of an integrative objective mobility and physical activity assessment. The first results show benefits for patients, caregivers as well as hospital staff.
    Type of Medium: Online Resource
    ISSN: 1662-9647 , 1662-971X
    Language: English
    Publisher: Hogrefe Publishing Group
    Publication Date: 2015
    detail.hit.zdb_id: 2539807-6
    SSG: 5,2
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  • 8
    In: Scientific Reports, Springer Science and Business Media LLC, Vol. 8, No. 1 ( 2018-05-04)
    Abstract: Long term monitoring of locomotor behaviour in humans using body-worn sensors can provide insight into the dynamical structure of locomotion, which can be used for quantitative, predictive and classification analyses in a biomedical context. A frequently used approach to study daily life locomotor behaviour in different population groups involves categorisation of locomotion into various states as a basis for subsequent analyses of differences in locomotor behaviour. In this work, we use such a categorisation to develop two feature sets, namely state probability and transition rates between states, and use supervised classification techniques to demonstrate differences in locomotor behaviour. We use this to study the influence of various states in differentiating between older adults with and without dementia. We further assess the contribution of each state and transition and identify the states most influential in maximising the classification accuracy between the two groups. The methods developed here are general and can be applied to areas dealing with categorical time series.
    Type of Medium: Online Resource
    ISSN: 2045-2322
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2018
    detail.hit.zdb_id: 2615211-3
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  • 9
    In: Journal of Alzheimer's Disease, IOS Press, Vol. 60, No. 1 ( 2017-08-29), p. 107-120
    Type of Medium: Online Resource
    ISSN: 1387-2877 , 1875-8908
    Language: Unknown
    Publisher: IOS Press
    Publication Date: 2017
    detail.hit.zdb_id: 2070772-1
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  • 10
    Online Resource
    Online Resource
    IOS Press ; 2020
    In:  Journal of Alzheimer's Disease Vol. 77, No. 2 ( 2020-09-15), p. 581-590
    In: Journal of Alzheimer's Disease, IOS Press, Vol. 77, No. 2 ( 2020-09-15), p. 581-590
    Abstract: Background: The Quality of Life–Alzheimer’s Disease (QoL-AD) scale is a widely used measure of quality of life (QoL) in dementia. Although the instrument has been validated in several languages, the psychometric properties of the German self-report version have not yet been analyzed. Objective: This study examines the internal consistency, test-retest reliability, and construct validity of the German QoL-AD self-report scale. Methods: The sample included 30 patients suffering from mild to moderate Alzheimer’s disease or vascular dementia (19 females; mean age 77.3 years; mean Mini-Mental State Examination (MMSE) score 19.7 points). To determine test-retest reliability, the QoL-AD self-report scale was re-administered four to seven days apart. For construct validity analysis, the Dementia Quality of Life instrument (DQoL), Geriatric Depression Scale (GDS), MMSE, and an adapted short form of the Neuropsychiatric Inventory (NPI) were used. Results: The German QoL-AD self-report scale shows an internal consistency of α= 0.79 and a test-retest reliability of r = 0.75 (p  〈  0.01). Regarding construct validity, there was a significant positive correlation between the total scores of the QoL-AD and DQoL (r = 0.47, p  〈  0.05). The analysis revealed no significant correlations with the GDS or the adapted NPI. No association could be observed between the QoL-AD and the MMSE (r = 0.01), confirming divergent validity. Conclusion: The results indicate that the German QoL-AD self-report scale is a suitable instrument for assessing QoL in patients suffering from mild to moderate dementia, thus supporting its use in clinical practice and research.
    Type of Medium: Online Resource
    ISSN: 1387-2877 , 1875-8908
    Language: Unknown
    Publisher: IOS Press
    Publication Date: 2020
    detail.hit.zdb_id: 2070772-1
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