Across the Cognitive Impairment Continuum Increasing Patient Dependence is Associated with an Increase in Caregiver Burden
|
|
- Gillian Wright
- 5 years ago
- Views:
Transcription
1 Across the Cognitive Impairment Continuum Increasing Patient Dependence is Associated with an Increase in Caregiver Burden Loretto Lacey Janssen Alzheimer s Immunotherapy Dublin, Ireland Alzheimer's Europe Meeting Warsaw, Poland October 2011
2 Collaborators Jacqui Buchanan (Janssen Alzheimer s Immunotherapy) Chris Leibman (Janssen Alzheimer s Immunotherapy) Jonathan de Courcy (Adelphi Real World, UK) Daniel Shaw (Adelphi Real World, UK) Eddie Jones (Adelphi Real World, UK) 2
3 Background Alzheimer s disease (AD) in its early stages is often diagnosed as mild cognitive impairment (MCI) or predementia Alzheimer s As cognitive impairment progresses individuals become increasingly dependent on caregivers to help them with day to day living The Dependence Scale (DS) was developed to directly measure the actual level of care required by a patient with Alzheimer s disease (AD) because of impairments in cognition, function, and behaviour a a Stern Y et al. Assessing patient dependence in Alzheimers disease. J Gerontol Med Sci. 1994;49:M216-M222. 3
4 Aim To examine the association between patient dependence as measured with the Dependence Scale (DS) and caregiver measures of subjective burden (measured with the Zarit burden interview, ZBI) across the cognitive impairment continuum 4
5 Methods: Sample Adelphi Dementia-specific Programme (DSP)# Survey of physicians (N=443), patients (N=383), and nonprofessional caregivers (N=383) EU countries involved: France, Germany, Spain, UK Survey conducted August October 2010 MCI patients were defined by a diagnosis of MCI or pre-dementia AD made by the physician AD stages were defined by an AD diagnosis and mild MMSE>19, moderate MMSE10-19 or severe MMSE<10 For each patient record caregivers were asked to complete a caregiver questionnaire # Anderson P et al Real-world physician and patient behaviour across countries: disease specific programmes-a means to understand Curr Med Res Opin 24:
6 Methods: Analyses Correlations between dependence (DS) and caregiver burden (ZBI) were performed. Mean comparison between patients groups was done using one-way ANOVA with bonferroni correction for multiple comparison. A stepwise ordinary least squares (OLS) model was created to identify significant drivers of ZBI using various patient and caregiver demographics and characteristics. 6
7 Key Measures Included in Survey Patient and caregiver demographics Caregiver s relationship to patient Patient s cognitive status and causes (including AD) Patient s functional status Patient s most recent Mini-Mental State Examination(MMSE) score Patient s behavioural status Patient s co-morbid conditions Dependence Scale (DS) Resource use Zarit Caregiver Burden Interview Caregiver health status/utility (EQ-5D) 7
8 Sample Demographics Patient age, yrs (mean ± SD) France (N = 97) Germany (N = 21) Spain (N = 170) UK (N = 95) Total (N = 383) 77.9 ± ± ± ± ± 7.7 Female 57.7% 42.9% 60.6% 55.8% 57.7% Caregiver age, yrs (mean ± SD) 65.2 ± ± ± ± ± 14.0 Relationship to patient Partner/ spouse 54.7% 61.9% 44.1% 57.5% 51.1% Child 29.5% 28.6% 39.3% 20.2% 31.5% Other 15.8% 9.5% 16.7% 22.3% 17.5% 11
9 Severity of the Cohort MCI (N = 48) Mild AD (N = 121) Moderate AD (N = 161) Severe AD (N = 53) Total (N = 383) MMSE (mean ± SD) 23.3 ± 3.1 *(n=28) 22.5± 2.1 *(n=95) 15.5± 2.7 *(n=122) 6.38± 2.5 *(n=24) 18.0± 5.6 *(n=266) *not all patients have a current MMSE score 12
10 Dependence Scale (Range 0-15) Increasing patient severity is correlated with an increase in Dependence, as measured on the Dependence Scale Analyses of differences between groups were performed using one-way analysis of variance with Bonferroni corrections for multiple comparisons. Patient s severity group P values: MCI vs. Mild : p = Mild vs. Moderate : p = <0.001 MCI vs. Moderate : p = <0.001 Mild vs. Severe : p = <0.001 MCI vs. Severe : p = <0.001 Moderate vs. Severe : p = <0.001
11 Zarit Caregiver Burden Index Increasing patient severity is correlated with an increase in caregiver burden, as measured on the Zarit Burden Index Analyses of differences between groups were performed using one-way analysis of variance with Bonferroni corrections for multiple comparisons. Patient s severity group P values: MCI vs. Mild : p = Mild vs. Moderate : p = <0.001 MCI vs. Moderate : p = <0.001 Mild vs. Severe : p = MCI vs. Severe : p = <0.001 Moderate vs. Severe : p = Note: The Zarit Score runs from 0 88 where 88 would equal the highest level of burden
12 Relationship between Burden and Dependence Zarit Burden Score Mean Zarit Burden Score for each level of Dependence (Pearson s , p<0.0001) Dependence Scale
13 Caregiver Zarit Burden Score Stage of cognitive impairment Intercept Age of patient Gender of patient Age of caregiver DS sum Doctors Opinion MMSE score Number of behavioural problems Number of ADL/IADL Limitations NS NS NS 1.61 NS NS NS P <0.001 P < OLS model Calculated using stepwise backward elimination; starting with all of the above components, then removing the components that were not statistically significant predictors of Zarit Burden score. Zarit = intercept + age of patient + gender of patient + age of caregiver + DS sum + MMSE score + Doctors Opinion + number of behavioral problems + number of ADL/IADL limitations. R 2 = 0.17; P < NS = not significant. 16
14 Limitations Small sample size in some countries; therefore, country effect could not be evaluated thoroughly There may be other factors, not captured in model that influence caregiver burden (e.g., psychological resources and social resources a ) a Vitaliano PP et al. A model of burden in caregivers of DAT patients. In: Light E, Lebowitz B, eds. Alzheimer s Disease Treatment and Family Stress: Future Directions for Research. Washington, DC: GPO; 1989:
15 Conclusions A significant relationship exists between patient dependence and the burden that this puts on their caregiver These results suggest that as patients progress across the continuum of cognitive impairment, patient dependence increases and the burden to the caregiver increases A significant increase in caregiver burden occurs when a patient progresses from mild to moderate AD dementia 18
16 Back-up slides 19
17 DSP Methodology Collects Insights From Both the Physician s and Patient s Perspectives PHYSICIANS Primary Care & Specialists PATIENTS Consulting Physician completed Patient completed DOCTOR S PERSPECTIVE Patient data Patient record forms (PRF) completed by doctors prospectively Matched with PRF Matched sample CAREGIVER S PERSPECTIVE Caregiver data Self-completion (CSC) questionnaires completed by caregivers CSC 20
Study Objectives. To understand the influence of socio-economic factors, from a physician viewpoint, regarding the patients :
1 Impact of Socio-Economic Factors on Patients Knowledge of their Condition, Involvement in Treatment Decisions and Subsequent Compliance with their Treatment Regimen ISPOR, Dublin Oct 20-23 2007 M Palm,
More informationK. Kahle-Wrobleski 1, J.S. Andrews 1, M. Belger 2, S. Gauthier 3, Y. Stern 4, D.M. Rentz 5, D. Galasko 6
The Journal of Prevention of Alzheimer s Disease - JPAD Volume 2, Number 2, 2015 Clinical and Economic Characteristics of Milestones along the Continuum of Alzheimer s Disease: Transforming Functional
More informationRESEARCH AND PRACTICE IN ALZHEIMER S DISEASE VOL 10 EADC OVERVIEW B. VELLAS & E. REYNISH
EADC BRUNO VELLAS 14/01/05 10:14 Page 1 EADC OVERVIEW B. VELLAS & E. REYNISH (Toulouse, France, EU) Bruno Vellas: The European Alzheimer's Disease Consortium is a European funded network of centres of
More informationA pan-european study on outcome measures for psychosocial intervention research in dementia
A pan-european study on outcome measures for psychosocial intervention research in dementia CHATTAT Rabih, MONIZ-COOK Esme, WOODS Bob, and members of the INTERDEM JPND outcomes working group 26 th Alzheimer
More informationEuropean Collaboration on Dementia. Luxembourg, 13 December 2006
European Collaboration on Dementia Luxembourg, 13 December 2006 2005 Call for projects Special attention has also to be given to information and definition of indicators on neurodegenerative, neurodevelopment,
More informationESS Workshop, The Hague, March
International variation in health care consumption in 16 European countries: National and individual drivers in the case of mild medical conditions. Ingmar Leijen, Vrije Universiteit Amsterdam Hester van
More informationCATRIONA GEORGE (UNIVERSITY OF EDINBURGH, NHS LOTHIAN) NUNO FERREIRA (UNIVERSITY OF EDINBURGH)
AN EXPLORATION OF CARER BURDEN AND POSITIVE GAIN IN DEMENTIA: THE ROLE OF EXECUTIVE FUNCTIONING DEFICITS, MANAGEMENT STRATEGIES AND EXPERIENTIAL AVOIDANCE CATRIONA GEORGE (UNIVERSITY OF EDINBURGH, NHS
More informationAccepted 26 March 2013
Journal of Alzheimer s Disease 36 (2013) 385 399 DOI 10.3233/JAD-122392 IOS Press 385 The GERAS Study: A Prospective Observational Study of Costs and Resource Use in Community Dwellers with Alzheimer s
More informationKingston Caregiver Stress Scale
Kingston Caregiver Stress Scale ADMINISTRATION AND INTERPRETATION MANUAL Seniors Mental Health Program, Providence Care Mental Health Services Kingston, Canada K7L 4X3 The Kingston Scales and Manuals can
More informationDementia, stigma, health and wellbeing - are there connections?
Dementia, stigma, health and wellbeing - are there connections? Corporate partnerships Translating evidence Research partnerships Partner logo here Dementia, stigma, health and wellbeing - are there connections?
More informationFactors related to Caregiver Burden in Caregivers of Patients with Parkinson s disease in Mumbai, India.
The International Journal of Indian Psychology ISSN 2348-5396 Volume 2, Issue 1, Paper ID: B00231V2I12014 http://www.ijip.in Oct to Dec 2014 Factors related to Caregiver Burden in Caregivers of Patients
More informationABSTRACT INTRODUCTION
Adv Ther (2011) 28(3):202-212. DOI 10.1007/s12325-010-0108-4 ORIGINAL RESEARCH Importance of Inhaler-Device Satisfaction in Asthma Treatment: Real-World Observations of Physician-Observed Compliance and
More informationHIV/AIDS, STI, hepatitis
ECDC update HIV/AIDS, STI, hepatitis HIV EU Think Tank meeting Brussels, 25-26 March 2009 European Centre for Disease Prevention and Control HIV and AIDS surveillance activities Coordination of European-wide
More informationSOCIABLE DELIVERABLE D7.2a Interim Assessment of the SOCIABLE Platform and Services
SOCIABLE ICT-PSP No. 238891 SOCIABLE DELIVERABLE D7.2a Interim Assessment of the SOCIABLE Platform and Services Project Acronym SOCIABLE Grant Agreement No. 238891 Project Title Motivating platform for
More informationThe Australian Imaging Biomarkers and Lifestyle Flagship Study of Ageing
The Australian Imaging Biomarkers and Lifestyle Flagship Study of Ageing. (AUSTRALIAN ADNI) July 2013 UPDATE Imaging Christopher Rowe MD Neuroimaging stream leader June 2013 The Australian Imaging Biomarkers
More informationThe Zarit Burden Interview: A New Short Version and Screening Version
The Gerontologist Vol. 41, No. 5, 652 657 Copyright 2001 by The Gerontological Society of America The Zarit Burden Interview: A New Short Version and Screening Version Michel Bédard, PhD, 1,2 D. William
More informationCLL Patient Voices Survey Final Report. PHEM/DAT/0418/0008 May 2018
CLL Patient Voices Survey Final Report PHEM/DAT/0418/0008 May 2018 Table of contents OBJECTIVES, SAMPLE & METHODOLOGY FINDINGS Treatment experience Satisfaction with current treatments Treatment adherence
More informationMultidimensional fatigue and its correlates in hospitalized advanced cancer patients
Chapter 5 Multidimensional fatigue and its correlates in hospitalized advanced cancer patients Michael Echtelda,b Saskia Teunissenc Jan Passchierb Susanne Claessena, Ronald de Wita Karin van der Rijta
More informationHealth System Preparedness of Six EU Countries for a Future Alzheimer s Treatment. European Health Forum Gastein Soeren Mattke Oct 3, 2018
Health System Preparedness of Six EU Countries for a Future Alzheimer s Treatment European Health Forum Gastein Soeren Mattke Oct 3, 2018 Why focus on Alzheimer s treatment now? After many failures, guarded
More informationCARE-NMD results. Jan Kirschner
CARE-NMD results Jan Kirschner TREAT-NMD Alliance Meeting Newcastle 30 Oct -1 Nov 2013 Care recommendations for DMD Consensus process 2 Care recommendations for DMD Consensus process Scientific publication
More informationResearch into practice - practice into research: outreach work with people with dementia at Tyne & Wear Archives and Museums
Research into practice - practice into research: outreach work with people with dementia at Tyne & Wear Archives and Museums Zoë Brown Outreach Officer (TWAM) Bruce Davenport Associate Staff (ICCHS) &
More informationJoint Programming in Neurodegenerative Disease Research (JPND)
Joint Programming in Neurodegenerative Disease Research (JPND) Building Alliances and Collaborations Prof. Philippe Amouyel, MD, PhD JPND Chair France Disclosure CEO of Fondation Plan Alzheimer Conference
More informationSymptom Severity, Quality of Life and Work Productivity of US Psoriasis Patients During Periods of Flare and Remission
Symptom Severity, Quality of Life and Work Productivity of US Psoriasis Patients During Periods of Flare and Remission 93 Korman, NJ 1, Zhao, Y 2, Roberts, J 3 Pike, J 3, Lu, J 2, Tran, MH 2 (Please see
More informationWorld Journal of Pharmaceutical and Life Sciences WJPLS
wjpls, 2016, Vol. 2, Issue 6, 376-388. Research Article ISSN 2454-2229 Salma et al. WJPLS www.wjpls.org SJIF Impact Factor: 3.347 ROLE STRAIN AND BURDEN AMONG CAREGIVERS OF PARKINSON S DISEASE 1 Salma
More informationThe Australian Imaging, Biomarkers and Lifestyle Flagship Study of Ageing an example of Australian research on Alzheimer s disease
The Australian Imaging, Biomarkers and Lifestyle Flagship Study of Ageing an example of Australian research on Alzheimer s disease AIBL: Two site collaborative study Study is conducted at two sites: Perth
More informationKaren A. Roberto, Ph.D.
Patient Views of Mild Cognitive Impairment Rosemary Blieszner, Ph.D. Karen A. Roberto, Ph.D. In: Professional and Personal Perspectives on Mild Cognitive Impairment Symposium presented at the Annual Scientific
More informationRecognizing Dementia can be Tricky
Dementia Abstract Recognizing Dementia can be Tricky Dementia is characterized by multiple cognitive impairments that cause significant functional decline. Based on this brief definition, the initial expectation
More informationDementia Cafés: An evaluation of their effectiveness in supporting carers of people with dementia. Anne Tunks. Inner West Dementia Advisory Service
Dementia Cafés: An evaluation of their effectiveness in supporting carers of people with dementia Anne Tunks Inner West Dementia Advisory Service May 2013 Session Outline SLHD Dementia Cafés Model Aims
More informationInvolving research participants in research: The example of the EPAD (European Prevention of Alzheimer s Dementia) project
Involving research participants in research: The example of the EPAD (European Prevention of Alzheimer s Dementia) project Stina Saunders Alzheimer Europe Annual Conference Barcelona 2018 @stina_saunders
More informationBehavioural indicators in men who have sex with men
Behavioural indicators in men who have sex with men Dr. Brenda Spencer, IUMSP, Lausanne 13 th HIV/AIDS Think Tank Meeting First presented by Prof. Jonathan Elford, City University London European Parliament,
More informationField Evaluation with Cognitively- Impaired Older Adults of Attention Management in the Embodied Conversational Agent Louise
Field Evaluation with Cognitively- Impaired Older Adults of Attention Management in the Embodied Conversational Agent Louise P. Wargnier, G. Carletti, Y. Laurent-Corniquet, S. Benveniste, P. Jouvelot and
More informationAlzheimer Europe. European Collaboration on Dementia
Alzheimer Europe European Collaboration on Dementia Members Care Manual Audience: Informal caregivers Analysis of existing information and data Tips for carers Available on AE website and in DE, FR, IT,
More informationCOGNOS. Care for people with Cognitive dysfunction A National Observational Study. Professor Dr Jan De Lepeleire COGNOS members
COGNOS Care for people with Cognitive dysfunction A National Observational Study Professor Dr Jan De Lepeleire COGNOS members Luxembourg Alzheimer Europe 2010 The Careplan in Belgium Requirements for reimbursement
More informationRenewing priority for dementia: Where do we stand?
Policy brief Renewing priority for dementia: Where do we stand? Renewing priority for dementia: Where do we stand? Contents Overview 03 Putting dementia higher on the agenda 04 Diagnosing and identifying
More informationTable Of Content. Standardizing Measurement of Alcohol Related Troubles... 2 Summary... 3 Coordinator, Leader contact and partners Outputs...
Table Of Content Standardizing Measurement of Alcohol Related Troubles... 2 Summary... 3 Coordinator, Leader contact and partners... 4 Fundació Clínic per a la Recerca Biomèdica - FCRB... 4 Generalitat
More informationDiagnostic Disclosure of Mild Cognitive Impairment: what is told to the patient?
Chapter 5 Diagnostic Disclosure of Mild Cognitive Impairment: what is told to the patient? Els Derksen Maud Graff Pieter-Jelle Visser Marcel Olde Rikkert Myrra Vernooij-Dassen 1 ABSTRACT Objective: To
More informationSupplementary webappendix
Supplementary webappendix This webappendix formed part of the original submission and has been peer reviewed. We post it as supplied by the authors. Supplement to: Kazui H, Miyajima M, Mori E, Ishikawa
More informationDescription and Psychometrics
APPENDIX 6.3: Revised Memory and Behavior Problem Checklist Description and Psychometrics Brief Descriptive Information The Revised Memory and Behavior Problems Checklist (RMBPC; Teri et al., 1992) is
More informationABSTRACT. Keywords: Alzheimer s disease; Informal caregiver; Time and costs ORIGINAL RESEARCH
Neurol Ther (2017) 6:11 23 DOI 10.1007/s40120-016-0056-2 ORIGINAL RESEARCH Informal Care Time and Cost in a Large Clinical Trial Sample of Patients with Mild to Moderate Alzheimer s Disease: Determinants
More informationG. Karwig 1, M. Maxwell 2, P. Abhyankar 2, F. Harris 2, C. Rummel-Kluge 3, E. Arensman 1, U. Hegerl 3, & PREDI-NU Consortium
Computerised Cognitive-Behavioural Therapy Interventions: Outcomes of a Systematic Review and Implications for Internet-Based Self-Help Programmes for Depression G. Karwig 1, M. Maxwell 2, P. Abhyankar
More informationBehavioral and psychological symptoms of dementia characteristic of mild Alzheimer patients
Blackwell Science, LtdOxford, UKPCNPsychiatry and Clinical Neurosciences1323-13162005 Blackwell Publishing Pty Ltd593274279Original ArticleDementia and mild AlzheimersJ. Shimabukuro et al. Psychiatry and
More informationRELATIONSHIP QUALITY PERCEPTION OF SPOUSES AND ADULT CHILD CARERS OF PEOPLE WITH DEMENTIA
27th Alzheimer Europe Conference Care today, cure tomorrow Berlin 2-4 October 2017 RELATIONSHIP QUALITY PERCEPTION OF SPOUSES AND ADULT CHILD CARERS OF PEOPLE WITH DEMENTIA MARIA J. MARQUES 1, BOB WOODS
More informationTable 1. Baseline Battery Measures
Table 1. Baseline Battery Measures Category Name of Measure/Form Citation/Source Items Time Comments α Demographic CG/CR demographic REACH I, 1995 21 8 min Provides basic descriptive data on CGs and CRs.
More informationOutcome measures in dementia care research
Versorgungsforschung für demenziell erkrankte Menschen Health Services Research for People with Dementia Symposium Bonn 11.-12. Dezember 2008 (World Conference Center Bonn) Plenary Lectures: PREVENTION
More informationREFERENCE CODE GDHCER046 PUBLICAT ION DATE OCTOBER 2013 DIABETIC FOOT ULCERS - EPIDEMIOLOGY FORECAST TO 2022
REFERENCE CODE GDHCER046 PUBLICAT ION DATE OCTOBER 2013 DIABETIC FOOT ULCERS - Executive Summary Diabetic foot ulcers (DFUs) are a major complication of diabetes that occurs as a result of trauma to or
More informationSupplementary Online Content
Supplementary Online Content Atri A, Frölich L, Ballard C, et al. Effect of idalopirdine as adjunct to cholinesterase inhibitors on in cognition in patients with Alzheimer disease: three randomized clinical
More informationAssessment of People with Early Dementia and their Families
Assessment of People with Early Dementia and their Families Claudia K Y Lai, RN, PhD Professor, School of Nursing The Hong Kong Polytechnic University Advanced Management of People with Early Dementia
More informationTHE ROLE OF ACTIVITIES OF DAILY LIVING IN THE MCI SYNDROME
PERNECZKY 15/06/06 14:35 Page 1 THE ROLE OF ACTIVITIES OF DAILY LIVING IN THE MCI SYNDROME R. PERNECZKY, A. KURZ Department of Psychiatry and Psychotherapy, Technical University of Munich, Germany. Correspondence
More informationOverview of European Consumption Databases
FEDERAL INSTITUTE FOR RISK ASSESSMENT Overview of European Consumption Databases Katrin Büsch Workshop Food Consumption Data and Dietary Exposure in the European Union, 15-16 May 2008, Berlin Introduction
More informationManuscript Presentation: Writing up APIM Results
Manuscript Presentation: Writing up APIM Results Example Articles Distinguishable Dyads Chung, M. L., Moser, D. K., Lennie, T. A., & Rayens, M. (2009). The effects of depressive symptoms and anxiety on
More informationOverview of drug-induced deaths in Europe - What does the data tell us?
Overview of drug-induced deaths in Europe - What does the data tell us? João Matias, Isabelle Giraudon, Julián Vicente EMCDDA expert group on the key-indicator Drug-related deaths and mortality among drug
More informationthe high CVD risk smoker
Smoking Cessation: population and patients A comprehensive approach to the smoker the high CVD risk smoker Catriona Jennings Cardiovascular Specialist Research Nurse Imperial College London European Society
More informationEvaluations. Alzheimer s Disease A Public Health Response. Viewer Call-In. July 19, Guest Speakers. Thanks to our Sponsors:
Alzheimer s Disease A Public Health Response July 19, 2007 1 2 Guest Speakers Thanks to our Sponsors: Earl A. Zimmerman, M.D. Bender Endowed Chair of Neurology and Director of the Alzheimer s Center at
More informationSocietal, pharmacotherapeutic and policy aspects of dementia care in Malta
Societal, pharmacotherapeutic and policy aspects of dementia care in Malta Charles Scerri Department of Pathology, University of Malta 20 th Alzheimer Europe Conference Facing dementia together Luxembourg,
More informationThe Assessment in Advanced Dementia (PAINAD) Tool developer: Warden V., Hurley, A.C., Volicer, L. Country of origin: USA
Tool: The Assessment in Advanced Dementia (PAINAD) Tool developer: Warden V., Hurley, A.C., Volicer, L. Country of origin: USA Conceptualization Panel rating: 1 Purpose Conceptual basis Item Generation
More informationChapter 10: Patient-reported Health Instruments: Carer Impact
Chapter 10: Patient-reported Health Instruments: Carer Impact The impact of a disease on a patient is an increasingly important outcome measure in medicine and healthcare. Issues such as quality of life
More informationTOWARDS A DEMENTIA ACTION PLAN IN GREECE
TOWARDS A DEMENTIA ACTION PLAN IN GREECE Dr Paraskevi Sakka Neurologist Psychiatrist Athens Association of Alzheimer s Disease and Related Disorders 20 th Alzheimer Europe Conference Facing dementia together
More informationIrish Experts Launch Global Report and Call for Increased Focus on Metastatic Breast Cancer
Irish Experts Launch Global Report and Call for Increased Focus on Metastatic Breast Cancer Early detection does not help survival for metastatic breast cancer patients - average survival for women with
More informationRecommendations on Screening for Cognitive Impairment in Older Adults 2015
Recommendations on Screening for Cognitive Impairment in Older Adults 2015 Canadian Task Force on Preventive Health Care (CTFPHC) Putting Prevention into Practice Canadian Task Force on Preventive Health
More informationSOCIABLE - NEXT GENERATION COGNITIVE TRAINING USING MULTI-TOUCH SURFACE COMPUTERS
SOCIABLE - NEXT GENERATION COGNITIVE TRAINING USING MULTI-TOUCH SURFACE COMPUTERS Dr Paraskevi Sakka Neurologist - Psychiatrist Athens Association of Alzheimer s Disease and Related Disorders Neurodegenerative
More informationECDC and Spanish Ministry of Health workshop:
ECDC and Spanish Ministry of Health workshop: Improving the monitoring of HIV among migrant populations in Europe, Madrid, 3-4 October 2013 Teymur Noori EU Commission Thank Tank on HIV/AIDS Luxembourg,
More informationBrussels, Belgium. 8 December 2010
Address by Zsuzsanna Jakab, WHO Regional Director for Europe Delivering for Diabetes in Europe. Plenary Meeting of the European Parliament s EU Diabetes Working Group, held under the auspices of the Belgian
More informationSpeech perception in individuals with dementia of the Alzheimer s type (DAT) Mitchell S. Sommers Department of Psychology Washington University
Speech perception in individuals with dementia of the Alzheimer s type (DAT) Mitchell S. Sommers Department of Psychology Washington University Overview Goals of studying speech perception in individuals
More informationGerardo Machnicki 1, Ricardo F. Allegri 1,2 *, Carol Dillon 1, Cecilia M. Serrano 1,2 and Fernando E Taragano 2 SUMMARY INTRODUCTION
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY Int J Geriatr Psychiatry (2008) Published online in Wiley InterScience (www.interscience.wiley.com).2133 Cognitive, functional and behavioral factors associated
More informationThe COLLaboration on AGEing (COLLAGE)
The COLLaboration on AGEing (COLLAGE) Professor D. William Molloy University College Cork, Ireland. The Lessons from Europe Seminar 23-09-15 Overview Exemplars within COLLAGE: 1. What is COLLAGE? 2. The
More informationNO PUBLIC HEALTH STRATEGY IN ASD IN EUROPE CALL FOR TENDERS. Antoni Monserrat Directorate of Public Health
NO PUBLIC HEALTH STRATEGY IN ASD IN EUROPE CALL FOR TENDERS Antoni Monserrat Directorate of Public Health 1.Prevalence / Health and economic burden 2. Early detection, diagnosis early intervention and
More informationThe Global Impact of Dementia
The Global Impact of Dementia Martin Prince No conflicts of interest Centre for Global Mental Health Health Service and Population Research Department King s College London 1066drg@iop.kcl.ac.uk Agenda
More informationReal world Outcomes across the AD spectrum for better care: Multi-modal data Access Platform
Real world Outcomes across the AD spectrum for better care: Multi-modal data Access Platform Catherine Reed, Lilly on behalf of ROADMAP consortium 3 rd Nordic conference on Real World Data, 28-29 November
More informationECDC s role in the fight against HIV/AIDS in Europe
European Centre for Disease Prevention and Control ECDC s role in the fight against HIV/AIDS in Europe Marita van de Laar, PhD Program Coordinator HIV/AIDS, STI, hepatitis HIV in Europe, Stockholm, 2 November
More informationKingston Caregiver Stress Scale
1 Kingston Caregiver Stress Scale ADMINISTRATION AND INTERPRETATION MANUAL The Kingston Scales and Manuals can be freely downloaded from: www.kingstonscales.org Caregiver Stress or email: kscales@queensu.ca
More informationCommunity Based Occupational Therapy for people with dementia (COTiD) and their caregiver: evidence for applicability in Italy
Community Based Occupational Therapy for people with dementia (COTiD) and their caregiver: evidence for applicability in Italy Andrea Fabbo Cognitive Disorders and Dementia Unit, Local Health Autorithy
More informationCTFPHC Working Group Members:
Cognitive Impairment - Guideline Presentation Speaker deck OVERVIEW We will review the following: 1. Background on Cognitive Impairment 2. Methods of the CTFPHC 3. Recommendations and Key Findings 4. Implementation
More informationManabu Ikeda Department of Neuropsychiatry, Kumamoto University
Manabu Ikeda Department of Neuropsychiatry, Kumamoto University Medical service network with cultivating human resources for dementia in Japan The Kumamoto Model 2 Manabu Ikeda Department of Neuropsychiatry,
More informationMild versus moderate stages of Alzheimer's disease: three-year outcomes in a routine clinical setting of cholinesterase inhibitor therapy
Wattmo et al. Alzheimer's Research & Therapy (2016) 8:7 DOI 10.1186/s13195-016-0174-1 RESEARCH Open Access Mild versus moderate stages of Alzheimer's disease: three-year outcomes in a routine clinical
More informationPROJECT TRICALS AN INTERNATIONAL COLLABORATION TO FIND EFFECTIVE TREATMENTS FOR AMYOTROPHIC LATERAL SCLEROSIS
PROJECT TRICALS AN INTERNATIONAL COLLABORATION TO FIND EFFECTIVE TREATMENTS FOR AMYOTROPHIC LATERAL SCLEROSIS BACKGROUND Amyotrophic Lateral Sclerosis (ALS), also known as Motor Neurone Disease (MND) is
More informationThe Cigarette Market in Greece
The Cigarette Market in Greece Product Code: CG0145MR Published Date: April 2015 Report Price: US$ 975 (Single Copy) Synopsis Cigarettes in Greece report is a qualitative report providing extensive and
More informationprogramme. The DE-PLAN follow up.
What are the long term results and determinants of outcomes in primary health care diabetes prevention programme. The DE-PLAN follow up. Aleksandra Gilis-Januszewska, Noël C Barengo, Jaana Lindström, Ewa
More informationThe Pleasant Events Schedule-AD: Psychometric Properties and Relationship to Depression and Cognition in Alzheimer's Disease Patients 1
Copyright 1997 by The Cerontological Society of America The Cerontologist Vol.37, No. 1,40-45 The Pleasant Events Schedule-AD (PES-AD) has been described as a useful tool for identifying pleasant activities
More informationCombination therapy compared to monotherapy for moderate to severe Alzheimer's Disease. Summary
Combination therapy compared to monotherapy for moderate to severe Alzheimer's Disease Summary Mai 17 th 2017 Background Alzheimer s disease is a serious neurocognitive disorder which is characterized
More informationOutline. Facts and figures Action plans Early / correct diagnosis Conclusions
Outline Facts and figures Action plans Early / correct diagnosis Conclusions Dementia: the greatest chalenge. Time to act now Philip Scheltens Professor of Neurology VU University Medical Center Amsterdam
More informationIdentifying best practice in actions on tobacco smoking to reduce health inequalities
Identifying best practice in actions on tobacco smoking to reduce health inequalities An Matrix Knowledge Report to the Consumers, Health and Food Executive Agency, funded by the Health Programme of the
More informationEngagement in language assessment / Regions of Europe
Summary table: Engagement in language / Regions of This table lists the statistically significant differences in the engagement in activities by the respondents from different s of : If the word or appears
More informationScreening programmes for Hepatitis B/C in Europe
Programme STI, HIV/AIDS and viral hepatitis Screening programmes for Hepatitis B/C in Europe Mika Salminen, Ph.D. European Centre for Disease Prevention and Control Why might screening be needed for hepatitis
More informationONLINE DATA SUPPLEMENT - ASTHMA INTERVENTION PROGRAM PREVENTS READMISSIONS IN HIGH HEALTHCARE UTILIZERS
R2 (REVISED MANUSCRIPT BLUE 200208-877OC) ONLINE DATA SUPPLEMENT - ASTHMA INTERVENTION PROGRAM PREVENTS READMISSIONS IN HIGH HEALTHCARE UTILIZERS Mario Castro, M.D., M.P.H. Nina A. Zimmermann R.N. Sue
More informationKristine Sørensen on behalf of the HLS-EU Consortium Dept. of International Health, Maastricht University, the Nederlands
The European Health Literacy Survey Kristine Sørensen on behalf of the HLS-EU Consortium Dept. of International Health, Maastricht University, the Nederlands Health literacy: Improving Health, Health Systems,
More informationThe Brain Health Registry Caregiver and Study Partner Portal
The Brain Health Registry Caregiver and Study Partner Portal Rachel L. Nosheny, PhD. Michael W. Weiner, MD Ronald C. Petersen, MD, PhD UCSF Mayo Clinic Alzheimer s PPRN Goal and Specific Aims Overall goal:
More informationTEDDY. Teddy Network of Excellence. Annagrazia ALTAVILLA. Ph.D. Sciences Ethics LL.M. Health Law. diterranée
Teddy Network of Excellence Annagrazia ALTAVILLA TEDDY Task-force in Europe for Drug Development for the Young Ph.D. Sciences Ethics LL.M. Health Law Associated Senior Lecturer Université de la MéditerranM
More informationPARALLELISM AND THE LEGITIMACY GAP 1. Appendix A. Country Information
PARALLELISM AND THE LEGITIMACY GAP 1 Appendix A Country Information PARALLELISM AND THE LEGITIMACY GAP 2 Table A.1 Sample size by country 2006 2008 2010 Austria 2405 2255 0 Belgium 1798 1760 1704 Bulgaria
More informationCognitive Reserve and the Relationship Between Depressive Symptoms and Awareness of Deficits in Dementia
Cognitive Reserve and the Relationship Between Depressive Symptoms and Awareness of Deficits in Dementia Mary Beth Spitznagel, Ph.D. Geoffrey Tremont, Ph.D. Laura B. Brown, Ph.D. John Gunstad, Ph.D. Depression
More informationEConDA Economics of Chronic Diseases
EConDA Economics of Chronic Diseases www.econdaproject.eu Funding from the European Union in the framework of the Health Programme Abbygail Jaccard Deputy Director of Public Health Modelling UK Health
More informationDownloaded from irje.tums.ac.ir at 9:18 IRDT on Saturday September 15th 2018
.5159 :2 7 1390 : 88989123 4 3 2 1 1 : 2 3 4. :. :. 84 : Burden Iranian Version of Caregiver.. Neuropsychiatric Inventory ().. 85. 2/4 39/3 : ebrahemen@gmail.com : 89/10/4 : 89/8/26: :. : 40 (116 58).
More informationJacqueline Wesson 24 May 2013
Jacqueline Wesson 24 May 2013 Dementia is a major health care problem with prevalence to increase four-fold 1 People with dementia: twice the risk of falling & higher risk of injury than those without
More informationSurvey of G7 Nations on HIV Spending in Developing Countries
Chartpack The Kaiser Family Foundation Survey of G7 Nations on HIV Spending in Developing Countries July 2005 Methodology The Kaiser Family Foundation Survey of G7 Nations on HIV Spending in Developing
More informationJOSEFIEN VENDRIK, QUALITY MANAGER IRENE JONGENELEN, COÖRDINATOR CLINICAL SUPPLIES MANAGEMENT/ SENIOR CLINICAL STUDY MANAGER
Food for Thought JOSEFIEN VENDRIK, QUALITY MANAGER IRENE JONGENELEN, COÖRDINATOR CLINICAL SUPPLIES MANAGEMENT/ SENIOR CLINICAL STUDY MANAGER CLINOPS DAG, 12 APRIL 2018 HISTORY OF RESEARCH AND DEVELOPMENT
More informationINFORMAL CARE COST AND OUT-OF-POCKET PAYMENT TO SUPPORT PEOPLE WITH DEMENTIA: THEIR MICRO-LEVEL DETERMINANTS IN A LARGE
+ INFORMAL CARE COST AND OUT-OF-POCKET PAYMENT TO SUPPORT PEOPLE WITH DEMENTIA: THEIR MICRO-LEVEL DETERMINANTS IN A LARGE SAMPLE SURVEY IN JAPAN Takayo Nakabe 1, Noriko Sasaki 1, Hironori Uematsu 1, Susumu
More informationCAN TECHNOLOGY HELP PEOPLE WITH DEMENTIA AND THEIR CARERS?
CAN TECHNOLOGY HELP PEOPLE WITH DEMENTIA AND THEIR CARERS? Presented by Jurate Macijauskiene Geriatric Clinic, Kaunas University of Medicine, Lithuania The aim of this presentation to introduce combined
More informationTobacco Insights May
Tobacco Insights 2015 - May Product Code: TI0017MR Published Date: June 2015 Report Price: US$ 150 (Single Copy) Synopsis Tobacco Insights 2015 - May report is a qualitative report providing extensive
More informationTable Of Content. Page 1/7
Table Of Content Closing the Gap - Reducing Premature Mortality. Baseline for Monitoring Health Evolution Following Enlargement... 2 Summary... 3 Coordinator, Leader contact and partners... 5 Outputs...
More information. Neuropsychiatric Inventory (NPI) :
Downloaded Downloaded from http://journals.tums.ac.ir/ from irje.tums.ac.ir at 9:18 on IRDT Monday, Saturday February September 27, 2012 15th 2018.5159 :2 7 1390 : 88989123 4 3 2 1 1 : 2 3 4. :. :. 84
More information