國立虎尾科技大學 |

Occupational Therapist-Led Mindfulness-Based Stress Reduction for Older Adults Living with Subjective Cognitive Decline or Mild Cognitive Impairment in Primary Care : = A Feasibility Randomized Controlled Trial.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Occupational Therapist-Led Mindfulness-Based Stress Reduction for Older Adults Living with Subjective Cognitive Decline or Mild Cognitive Impairment in Primary Care :/
Reminder of title:	A Feasibility Randomized Controlled Trial.
Author:	Tran, Todd D.
Description:	1 online resource (298 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-03, Section: B.
Contained By:	Dissertations Abstracts International85-03B.
Subject:	Therapists. -
Online resource:	click for full text (PQDT)
ISBN:	9798380319935

Occupational Therapist-Led Mindfulness-Based Stress Reduction for Older Adults Living with Subjective Cognitive Decline or Mild Cognitive Impairment in Primary Care : = A Feasibility Randomized Controlled Trial.
Tran, Todd D.

Occupational Therapist-Led Mindfulness-Based Stress Reduction for Older Adults Living with Subjective Cognitive Decline or Mild Cognitive Impairment in Primary Care :A Feasibility Randomized Controlled Trial. - 1 online resource (298 pages)

Source: Dissertations Abstracts International, Volume: 85-03, Section: B.

Thesis (Ph.D.)--Queen's University (Canada), 2023.

Includes bibliographical references

Introduction:Community-dwelling older adults living with subjective cognitive decline (SCD) or mild cognitive impairment (MCI) may experience decreased efficiency in their overall functional performance. This decreased cognitive efficiency may result in anxiety, low mood, perceived stress, and decreased emotional well-being and quality-of-life. These psychological symptoms may further exacerbate cognitive decline.Exploring non-pharmacological interventions such as mindfulness within primary care is vital in enabling individuals to develop strategies to manage cognitive impairment or psychological symptoms. Mindfulness-Based Stress Reduction (MBSR) is a 9-week program that is beneficial in alleviating psychological symptoms; however, its impact on perceived satisfaction on overall functional performance with this population has not been evaluated. The primary objective of this study is to explore the feasibility of conducting an RCT of an occupational therapist-led MBSR program within primary care.Methods:Convergent mixed-methods, randomized control feasibility trial with 30 plus participants from an inter professional primary care team in Toronto, Ontario. Participants are randomized into the 9-week MBSR group or wait-list control will be compared at baseline, postintervention and four-weeks follow-up. The primary aim is to determine the feasibility of the intervention with this population and setting. The secondary aim is to examine perceived satisfaction with functional performance as measured by the Canadian Occupational Performance Measure (COPM). Secondary clinical outcomes include psychological symptoms.Analysis:Investigators will analyze the quantitative and qualitative data strands separately. Descriptive statistics, focus group and interviews will then be merged and further analyzed to best understand the feasibility and preliminary clinical outcomes from the study.Ethics and dissemination:The study is approved by Women's College Hospital (2017-0056-E), and Queen's University, Kingston, Ontario (6026418). This study is registered at Clinicaltrials.gov (NCT03867474). The study will follow Standard Protocol Items: Recommendations for Interventional Trials. The results will be published in peer-reviewed academic journals and disseminated to patient organizations and media.Strength and Limitations of this Study• The study will provide valuable data on feasibility and clinical outcomes to determine whether occupational therapist-led MBSR is appropriate for a larger clinical trial• The first study to use the COPM to evaluate perceived satisfaction on functional performance with community-dwelling older individuals living with SCD or MCI within an inter professional primary care context• The only study to explore the qualitative perspective of both participants and health care providers in terms of barriers, enablers and facilitators of implementing and delivering the MBSR program within a primary care setting• The study is innovative in exploring the acceptability of a tablet computer as a method of intervention delivery and data collection with this population• The lack of an attention control comparison group and the small sample size is a study limitation.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798380319935Subjects--Topical Terms:

1372769
Therapists.
Index Terms--Genre/Form:

554714
Electronic books.

Occupational Therapist-Led Mindfulness-Based Stress Reduction for Older Adults Living with Subjective Cognitive Decline or Mild Cognitive Impairment in Primary Care : = A Feasibility Randomized Controlled Trial.
LDR:04817ntm a22004577 4500 001 1142823
005 20240429063842.5
006 m o d
007 cr mn ---uuuuu
008 250605s2023 xx obm 000 0 eng d
020 $a 9798380319935
035 $a (MiAaPQ)AAI30565943
035 $a (MiAaPQ)QueensUCan_197431653
035 $a AAI30565943
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Tran, Todd D. $3 1467286
245 1 0 $a Occupational Therapist-Led Mindfulness-Based Stress Reduction for Older Adults Living with Subjective Cognitive Decline or Mild Cognitive Impairment in Primary Care : $b A Feasibility Randomized Controlled Trial.
264 0 $c 2023
300 $a 1 online resource (298 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 85-03, Section: B.
500 $a Advisor: Donnelly, Catherine.
502 $a Thesis (Ph.D.)--Queen's University (Canada), 2023.
504 $a Includes bibliographical references
520 $a Introduction:Community-dwelling older adults living with subjective cognitive decline (SCD) or mild cognitive impairment (MCI) may experience decreased efficiency in their overall functional performance. This decreased cognitive efficiency may result in anxiety, low mood, perceived stress, and decreased emotional well-being and quality-of-life. These psychological symptoms may further exacerbate cognitive decline.Exploring non-pharmacological interventions such as mindfulness within primary care is vital in enabling individuals to develop strategies to manage cognitive impairment or psychological symptoms. Mindfulness-Based Stress Reduction (MBSR) is a 9-week program that is beneficial in alleviating psychological symptoms; however, its impact on perceived satisfaction on overall functional performance with this population has not been evaluated. The primary objective of this study is to explore the feasibility of conducting an RCT of an occupational therapist-led MBSR program within primary care.Methods:Convergent mixed-methods, randomized control feasibility trial with 30 plus participants from an inter professional primary care team in Toronto, Ontario. Participants are randomized into the 9-week MBSR group or wait-list control will be compared at baseline, postintervention and four-weeks follow-up. The primary aim is to determine the feasibility of the intervention with this population and setting. The secondary aim is to examine perceived satisfaction with functional performance as measured by the Canadian Occupational Performance Measure (COPM). Secondary clinical outcomes include psychological symptoms.Analysis:Investigators will analyze the quantitative and qualitative data strands separately. Descriptive statistics, focus group and interviews will then be merged and further analyzed to best understand the feasibility and preliminary clinical outcomes from the study.Ethics and dissemination:The study is approved by Women's College Hospital (2017-0056-E), and Queen's University, Kingston, Ontario (6026418). This study is registered at Clinicaltrials.gov (NCT03867474). The study will follow Standard Protocol Items: Recommendations for Interventional Trials. The results will be published in peer-reviewed academic journals and disseminated to patient organizations and media.Strength and Limitations of this Study• The study will provide valuable data on feasibility and clinical outcomes to determine whether occupational therapist-led MBSR is appropriate for a larger clinical trial• The first study to use the COPM to evaluate perceived satisfaction on functional performance with community-dwelling older individuals living with SCD or MCI within an inter professional primary care context• The only study to explore the qualitative perspective of both participants and health care providers in terms of barriers, enablers and facilitators of implementing and delivering the MBSR program within a primary care setting• The study is innovative in exploring the acceptability of a tablet computer as a method of intervention delivery and data collection with this population• The lack of an attention control comparison group and the small sample size is a study limitation.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2024
538 $a Mode of access: World Wide Web
650 4 $a Therapists. $3 1372769
650 4 $a Memory. $3 555749
650 4 $a Mental disorders. $3 647312
650 4 $a Religion. $3 555020
650 4 $a Older people. $3 554842
650 4 $a Cognitive ability. $3 1372497
650 4 $a Teachers. $3 881385
650 4 $a Cognition & reasoning. $3 1372461
650 4 $a Alzheimers disease. $3 1413648
650 4 $a Stress. $2 gtt $3 788293
650 4 $a Dementia. $3 678297
650 4 $a Behavior modification. $3 562662
650 4 $a Primary care. $3 1467287
650 4 $a Mental depression. $3 1437650
650 4 $a Mental health. $3 564038
650 4 $a Occupations. $3 935850
650 4 $a Buddhism. $3 567194
650 4 $a Health services. $3 1467288
650 4 $a Aging. $3 559847
650 4 $a Clinical psychology. $3 649607
650 4 $a Cognitive psychology. $3 556029
650 4 $a Gerontology. $3 559846
650 4 $a Health care management. $3 1148454
650 4 $a Health sciences. $3 1179212
650 4 $a Neurosciences. $3 593561
650 4 $a Philosophy of religion. $2 bicssc $3 1009204
650 4 $a Psychology. $3 555998
650 4 $a Therapy. $3 1181514
655 7 $a Electronic books. $2 local $3 554714
690 $a 0347
690 $a 0318
690 $a 0493
690 $a 0622
690 $a 0633
690 $a 0351
690 $a 0769
690 $a 0566
690 $a 0317
690 $a 0322
690 $a 0621
690 $a 0212
710 2 $a ProQuest Information and Learning Co. $3 1178819
710 2 $a Queen's University (Canada). $3 1148613
773 0 $t Dissertations Abstracts International $g 85-03B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30565943 $z click for full text (PQDT)