- Email: [email protected]
Public knowledge about dementia in korea: A community-based cross-sectional survey
P576
Poster Presentations: P2
Table 1 Baseline Characteristics of Study Participants (N ¼ 1944) Recruitment Strategy
All Participants (n ¼1944)
Females (n ¼ 13S9)
Males (n ¼ 492)
P-value*
Advertisement Church Family Friend Health Fair Mass Milling Newspaper Referral Wellness Center
291 (14.97%) 151 (7.77%) 37(1.90%) 90 (4.63%) So 5 (42.95%) 90 (4.63%) 198(10.19%) 65(3.34%) 166 (834%)
205 (14.76%) 11S (8.50%) IS (130%) 70 (5.04%) 602 (4334%) 62 (4.46%) 150 (10.80%) 36 (2.59%) 12S (9.22%)
S3 (16.87%) 32 (6.50%) 19 (3.86%) 20 (4.07%) 199 (40.45%) 2S (5.69%) 45 (9.15%) 29 (5.89%) 37 (7.52%)
0264 0.161 0.0004 03S4 0265 0273 0301 0.0005 0253
Test of Proportion to obtain P-value, 73-5objects categary, 21 subjects exduded from rerutiment strategy (Previous Test¼1, Presious Study¼9, MMSE¼8; Don’t remember¼1)
ages 60 or older, who completed a Mini-Mental Status Exam (MMSE) as part of recruitment and screening for various clinical studies on Alzheimer’s disease. Participants signed a consent form. Majority of the participants who agreed to the MMSE test had somatic memory complaints. Using this data, we determined the most effective strategies for engaging AA in clinical research. We used a test of proportion to determine significant differences in recruitment sources among males and females. We computed percentages and counts to determine optimal recruitment strategies by gender. We created boxplots to describe age distribution and years of education by recruitment strategy and gender. Results: A total of 1944 AA participants were considered in the analysis. Overall, a greater percent of females compared to males (73.8% vs. 26.2%) participated in our recruitment activities. However, a significantly higher proportion of males than females were recruited from family source (3.86% vs. 1.30%, p ¼ .0004) and referral (5.89% vs. 2.59%, p ¼ 0.0005). Compared to other recruitment sources, a higher proportion of volunteers where encountered or recruited from the health fairs (42.95%) and through advertisements (14.97%). However, years of education and age did not appear to influence the likelihood of an encounter, screening and potential participation in research in our sample. Conclusions: Identifying a
target population is critical when crafting a recruitment strategy. Overall, health fairs appear to provide an environment for oneon-one and group sharing of clinical trials information to older AAs. Collectively, AAs aged 60 and above are more likely to respond to health fairs and targeted clinical trials advertisements. In particular, AA men may depend more on family referrals when considering participation in clinical research.
P2-217
PUBLIC KNOWLEDGE ABOUT DEMENTIA IN KOREA: A COMMUNITY-BASED CROSSSECTIONAL SURVEY
Sung mi-Ra, Yong-in Songdam College, Yong-in City, South Korea. Contact e-mail: [email protected] Background: The highest increase in the prevalence of dementia in the elderly population is expected in South Korea than in any other country in the world. However, there is no assessment of the community-based general populations’ understanding of dementia in South Korea, in spite of the increasing burden of dementia. Thus, this study assessed the public knowledge about dementia. Methods: A population-based, cross-sectional study of 926 subjects, and living in Gwangmyeong City, Korea. A 12-item questionnaire with true/false responses was used to assess the knowledge about dementia during the period between June and September 2014. The data obtained were analyzed using quantitative methods. Results: The mean score for the knowledge about dementia was 7.9862.5 points out of 12 points. The level of dementia knowledge was negatively associated with increasing age and positively with higher education level and People who have not connected to dementia information, p¼0.0007; Controls x AD, p¼0.0001;MCI x AD, p<0.0001. Conclusions: Financial capacity is essential for an individual to function independently in our society. MCI must be assessed more detailed, with functional assessment that is sensible to identify loss of financial capacity. Professionals have playing increasingly active roles in assisting patients with MCI need to focus the clinical practice to encourage patients and families to proactively engage in financial and legal advance planning. The identification of financial impairment can help MCI people and their families to the establishment of effective financial protections and can limit the economic and legal aspects of financial activities for these patients.
Poster Presentations: P2
4 Laboratory of Neurosciences, Institute of Psychiatry, Faculty of Medicine, University of S~ao Paulo, S~ao Paulo-SP, Brazil. Contact e-mail: [email protected]
Percentage of correct answers per question based on gender (%) SEX CATEGORY
QUESTIONS
1. Everyone develops dementia when he or she becomes old. Causes 2. Alzheimer’s disease is the most common cause of dementia. 3. Stroke may lead to dementia. 5. If a person remembers well what happened a long time ago, he or she does not have dementia. Symptoms 6. If a person develops dementia, he or she may experience changes in his or her personality. 7. Dementia can be diagnosed only when strange behavior appears. 3. Some types of dementia can be cured completely. Prevention 4. There is no way to and treatment prevent dementia. 9. Drugs are useful in the treatment of dementia. 10. Regular exercise reduces the risk of dementia. 11. If a person develops dementia, it is impossible for him or her to live together with the family. Caregiving 12 Because a dementia patient does not have the ability to judge, the patient does not need to be given any explanation during treatment.
Male Female T
Background: Individuals with mild cognitive impairment (MCI)
31.3
79.3
0.433
60.5
54.3
53.3
53.9
-0.035
64.2
62.9
0.273
35.1
33.0
-0.331
57.4
50.0
L441
37.7
30.0
1665
77.1
67.0
2079**
79.0
75.0
0.944
37.7
35.1
0.755
61.1
53.0
L334
65.3
72.3
-1333
1254
**p<.01
People with MCI need to organize their financial and legal affairs while they are able to make decisions. P2-218
P577
FINANCIAL CAPACITY IN NORMAL CONTROLS, MILD COGNITIVE IMPAIRMENT, AND DEMENTIA: ASSESSING FOR CLINICAL PRACTICE
Alexandra Martini de Oliveira1, Marcia Radanovic2, Patrıcia Cotting Homem de Melo3, Diego Luis Celestino3, Orestes Vicente Forlenza4, 1Laboratory of Neuroscience, Lim 27, Institute of Psychiatry, University of S~ ao Paulo, S~ao Paulo, Brazil; 2Laboratory of Neurosciences, Institute of Psychiatry, University of S~ao Paulo, S~ao Paulo, Brazil; 3Institute of Psychiatry, University of S~ao Paulo, S~ao Paulo, Brazil;
present functional deficits that are not present in healthy older adults, especially in complex abilities. Impairments in financial skills and judgment are often the first functional changes demonstrated by patients with incipient dementia. Financial capacity is essential for an individual to live independently in our society and comprises a broad range of conceptual and pragmatic abilities such as counting coins, to more complex skills, such as paying bills and managing a checkbook. Methods: Seventy four older adults (26 AD, 24 MCI, and 24 healthy controls) assisted at the Psychogeriatric Unit of the Institute of Psychiatry, University of S~ao Paulo, Brazil, were assessed for sociodemografic aspects, cognition and functional status with DAFSBR (Direct Assessment Functional Status test Brazilian Version). The DAFSBR is a standardized measure of performance in six domains of daily functioning:1. “time orientation”; 2. “communication skills”; 3. “dealing with finances”; 4. “shopping skills”; 5. “grooming skills”; 6. “eating skills”. Sociodemographic and clinical variables for the three groups were compared by means of ANOVAs, and two by two comparisons were done with posthoc Tukey tests. Results: Controls and MCI did not differ significantly in total DAFSBR scores (p¼0.6360); AD patients performed poorer then controls and MCI patients (p<0.0001). Significant differences were observed in the scores of the DAFSBR subdomain “dealing with finances” across all three groups: Controls x MCI, p¼0.0007; Controls x AD, p¼0.0001;MCI x AD, p<0.0001. Conclusions: Financial capacity is essential for an individual to function independently in our society. MCI must be assessed more detailed, with functional assessment that is sensible to identify loss of financial capacity. Professionals have playing increasingly active roles in assisting patients with MCI need to focus the clinical practice to encourage patients and families to proactively engage in financial and legal advance planning. The identification of financial impairment can help MCI people and their families to the establishment of effective financial protections and can limit the economic and legal aspects of financial activities for theses patients. People with MCI need to organize their financial and legal affairs while they are able to make decisions.
P2-219
PREVENTING LOSS OF INDEPENDENCE THROUGH EXERCISE IN PERSON WITH DEMENTIA IN THE VA (PLIE-VA): STUDY PROTOCOL
Deborah E. Barnes, Wolf Mehling, Kristine Yaffe, Gary Abrams, W. John Boscardin, Margaret Chesney, University of California San Francisco / San Francisco VA Medical Center, San Francisco, CA, USA. Contact e-mail: [email protected] Background: There is growing evidence that physical, mental and social activity are beneficial for people with dementia, but most programs only target a single domain. The Preventing Loss of Inde program is a novel, integrative pendence through Exercise (PLIE) exercise program that focuses on training procedural memory (unconscious learning of procedures) for basic daily movements (e.g., transitioning safely from sitting to standing) while also increasing in-the-moment, mindful body awareness and enhancing social connection. We are currently embarking on a randomized, controlled trial using a cross-over design (Figure) to test the
Poster Presentations: P2
Table 1 Baseline Characteristics of Study Participants (N ¼ 1944) Recruitment Strategy
All Participants (n ¼1944)
Females (n ¼ 13S9)
Males (n ¼ 492)
P-value*
Advertisement Church Family Friend Health Fair Mass Milling Newspaper Referral Wellness Center
291 (14.97%) 151 (7.77%) 37(1.90%) 90 (4.63%) So 5 (42.95%) 90 (4.63%) 198(10.19%) 65(3.34%) 166 (834%)
205 (14.76%) 11S (8.50%) IS (130%) 70 (5.04%) 602 (4334%) 62 (4.46%) 150 (10.80%) 36 (2.59%) 12S (9.22%)
S3 (16.87%) 32 (6.50%) 19 (3.86%) 20 (4.07%) 199 (40.45%) 2S (5.69%) 45 (9.15%) 29 (5.89%) 37 (7.52%)
0264 0.161 0.0004 03S4 0265 0273 0301 0.0005 0253
Test of Proportion to obtain P-value, 73-5objects categary, 21 subjects exduded from rerutiment strategy (Previous Test¼1, Presious Study¼9, MMSE¼8; Don’t remember¼1)
ages 60 or older, who completed a Mini-Mental Status Exam (MMSE) as part of recruitment and screening for various clinical studies on Alzheimer’s disease. Participants signed a consent form. Majority of the participants who agreed to the MMSE test had somatic memory complaints. Using this data, we determined the most effective strategies for engaging AA in clinical research. We used a test of proportion to determine significant differences in recruitment sources among males and females. We computed percentages and counts to determine optimal recruitment strategies by gender. We created boxplots to describe age distribution and years of education by recruitment strategy and gender. Results: A total of 1944 AA participants were considered in the analysis. Overall, a greater percent of females compared to males (73.8% vs. 26.2%) participated in our recruitment activities. However, a significantly higher proportion of males than females were recruited from family source (3.86% vs. 1.30%, p ¼ .0004) and referral (5.89% vs. 2.59%, p ¼ 0.0005). Compared to other recruitment sources, a higher proportion of volunteers where encountered or recruited from the health fairs (42.95%) and through advertisements (14.97%). However, years of education and age did not appear to influence the likelihood of an encounter, screening and potential participation in research in our sample. Conclusions: Identifying a
target population is critical when crafting a recruitment strategy. Overall, health fairs appear to provide an environment for oneon-one and group sharing of clinical trials information to older AAs. Collectively, AAs aged 60 and above are more likely to respond to health fairs and targeted clinical trials advertisements. In particular, AA men may depend more on family referrals when considering participation in clinical research.
P2-217
PUBLIC KNOWLEDGE ABOUT DEMENTIA IN KOREA: A COMMUNITY-BASED CROSSSECTIONAL SURVEY
Sung mi-Ra, Yong-in Songdam College, Yong-in City, South Korea. Contact e-mail: [email protected] Background: The highest increase in the prevalence of dementia in the elderly population is expected in South Korea than in any other country in the world. However, there is no assessment of the community-based general populations’ understanding of dementia in South Korea, in spite of the increasing burden of dementia. Thus, this study assessed the public knowledge about dementia. Methods: A population-based, cross-sectional study of 926 subjects, and living in Gwangmyeong City, Korea. A 12-item questionnaire with true/false responses was used to assess the knowledge about dementia during the period between June and September 2014. The data obtained were analyzed using quantitative methods. Results: The mean score for the knowledge about dementia was 7.9862.5 points out of 12 points. The level of dementia knowledge was negatively associated with increasing age and positively with higher education level and People who have not connected to dementia information, p¼0.0007; Controls x AD, p¼0.0001;MCI x AD, p<0.0001. Conclusions: Financial capacity is essential for an individual to function independently in our society. MCI must be assessed more detailed, with functional assessment that is sensible to identify loss of financial capacity. Professionals have playing increasingly active roles in assisting patients with MCI need to focus the clinical practice to encourage patients and families to proactively engage in financial and legal advance planning. The identification of financial impairment can help MCI people and their families to the establishment of effective financial protections and can limit the economic and legal aspects of financial activities for these patients.
Poster Presentations: P2
4 Laboratory of Neurosciences, Institute of Psychiatry, Faculty of Medicine, University of S~ao Paulo, S~ao Paulo-SP, Brazil. Contact e-mail: [email protected]
Percentage of correct answers per question based on gender (%) SEX CATEGORY
QUESTIONS
1. Everyone develops dementia when he or she becomes old. Causes 2. Alzheimer’s disease is the most common cause of dementia. 3. Stroke may lead to dementia. 5. If a person remembers well what happened a long time ago, he or she does not have dementia. Symptoms 6. If a person develops dementia, he or she may experience changes in his or her personality. 7. Dementia can be diagnosed only when strange behavior appears. 3. Some types of dementia can be cured completely. Prevention 4. There is no way to and treatment prevent dementia. 9. Drugs are useful in the treatment of dementia. 10. Regular exercise reduces the risk of dementia. 11. If a person develops dementia, it is impossible for him or her to live together with the family. Caregiving 12 Because a dementia patient does not have the ability to judge, the patient does not need to be given any explanation during treatment.
Male Female T
Background: Individuals with mild cognitive impairment (MCI)
31.3
79.3
0.433
60.5
54.3
53.3
53.9
-0.035
64.2
62.9
0.273
35.1
33.0
-0.331
57.4
50.0
L441
37.7
30.0
1665
77.1
67.0
2079**
79.0
75.0
0.944
37.7
35.1
0.755
61.1
53.0
L334
65.3
72.3
-1333
1254
**p<.01
People with MCI need to organize their financial and legal affairs while they are able to make decisions. P2-218
P577
FINANCIAL CAPACITY IN NORMAL CONTROLS, MILD COGNITIVE IMPAIRMENT, AND DEMENTIA: ASSESSING FOR CLINICAL PRACTICE
Alexandra Martini de Oliveira1, Marcia Radanovic2, Patrıcia Cotting Homem de Melo3, Diego Luis Celestino3, Orestes Vicente Forlenza4, 1Laboratory of Neuroscience, Lim 27, Institute of Psychiatry, University of S~ ao Paulo, S~ao Paulo, Brazil; 2Laboratory of Neurosciences, Institute of Psychiatry, University of S~ao Paulo, S~ao Paulo, Brazil; 3Institute of Psychiatry, University of S~ao Paulo, S~ao Paulo, Brazil;
present functional deficits that are not present in healthy older adults, especially in complex abilities. Impairments in financial skills and judgment are often the first functional changes demonstrated by patients with incipient dementia. Financial capacity is essential for an individual to live independently in our society and comprises a broad range of conceptual and pragmatic abilities such as counting coins, to more complex skills, such as paying bills and managing a checkbook. Methods: Seventy four older adults (26 AD, 24 MCI, and 24 healthy controls) assisted at the Psychogeriatric Unit of the Institute of Psychiatry, University of S~ao Paulo, Brazil, were assessed for sociodemografic aspects, cognition and functional status with DAFSBR (Direct Assessment Functional Status test Brazilian Version). The DAFSBR is a standardized measure of performance in six domains of daily functioning:1. “time orientation”; 2. “communication skills”; 3. “dealing with finances”; 4. “shopping skills”; 5. “grooming skills”; 6. “eating skills”. Sociodemographic and clinical variables for the three groups were compared by means of ANOVAs, and two by two comparisons were done with posthoc Tukey tests. Results: Controls and MCI did not differ significantly in total DAFSBR scores (p¼0.6360); AD patients performed poorer then controls and MCI patients (p<0.0001). Significant differences were observed in the scores of the DAFSBR subdomain “dealing with finances” across all three groups: Controls x MCI, p¼0.0007; Controls x AD, p¼0.0001;MCI x AD, p<0.0001. Conclusions: Financial capacity is essential for an individual to function independently in our society. MCI must be assessed more detailed, with functional assessment that is sensible to identify loss of financial capacity. Professionals have playing increasingly active roles in assisting patients with MCI need to focus the clinical practice to encourage patients and families to proactively engage in financial and legal advance planning. The identification of financial impairment can help MCI people and their families to the establishment of effective financial protections and can limit the economic and legal aspects of financial activities for theses patients. People with MCI need to organize their financial and legal affairs while they are able to make decisions.
P2-219
PREVENTING LOSS OF INDEPENDENCE THROUGH EXERCISE IN PERSON WITH DEMENTIA IN THE VA (PLIE-VA): STUDY PROTOCOL
Deborah E. Barnes, Wolf Mehling, Kristine Yaffe, Gary Abrams, W. John Boscardin, Margaret Chesney, University of California San Francisco / San Francisco VA Medical Center, San Francisco, CA, USA. Contact e-mail: [email protected] Background: There is growing evidence that physical, mental and social activity are beneficial for people with dementia, but most programs only target a single domain. The Preventing Loss of Inde program is a novel, integrative pendence through Exercise (PLIE) exercise program that focuses on training procedural memory (unconscious learning of procedures) for basic daily movements (e.g., transitioning safely from sitting to standing) while also increasing in-the-moment, mindful body awareness and enhancing social connection. We are currently embarking on a randomized, controlled trial using a cross-over design (Figure) to test the