- Email: [email protected]
THE ASSOCIATION BETWEEN FILIAL PIETY AND COGNITIVE IMPAIRMENT: FINDINGS FROM A COMMUNITY-DWELLING OLDER CHINESE POPULATION
P606
Poster Presentations: Sunday, July 24, 2016
these categories and reduced to objectively figure out similarities and differences. Results: The participants’ ratings of the effect of the program ranged from no benefit to an improvement of self-efficacy and coping strategies. Some participants found the intervention easy to access, others have had difficulty participating. The rating depended on the actual health status of both the carer and the care recipient and on the anticipated effect of a psychotherapeutical intervention in general. Some participants had initially expected only information and advice for their daily life or someone to talk with. Consequently, they were not open towards active participation, self-reflection and developing strategies to relief the burden of care. More detailed results will be presented at the conference. Conclusions: Our results show a high variability in the valuation of the intervention. Interestingly, participants favour more homogeneity within the psychotherapy group to increase the efficacy of the intervention, whereas from a psychotherapeutical perspective a certain degree of heterogeneity is potentially helpful to advance group processes. Based on the participants’ responses, adaptations of the program should consider a stronger emphasis on the relief of caregiver burden and strengthening coping skills rather than on the care recipient. P1-447
PSYCHOTHERAPY INTERVENTION FOR FAMILY CAREGIVERS: DOES EARLY INTERVENTION MATTER?
Ingo Kilimann1,2, Franziska Thiel2, Tanja Braungardt2, Ulrike Finke2, Nadja Landschoof2, Wolfgang Schneider2, Stefan J. Teipel1,2, 1German Center for Neurodegenerative Diseases (DZNE), Rostock, Germany; 2 Department of Psychosomatics, University Medical Center Rostock, Rostock, Germany. Contact e-mail: [email protected] Background: Caregivers of persons with dementia (PWD) are at risk for stress and depressive symptoms. Psychotherapeutic treatment has shown to be effective, but time and effort needed to participate in such programs hinders the broad utilization by care givers. To facilitate the usage of such treatment and to allow the implementation in regular health care services, we developed a manualized short-term family caregiver group intervention. Methods: We conducted a phase IIa study with 19 participants randomly split into an intervention and a waiting group (controls). The controls received the same intervention three month after the intervention group. Primary outcomes were self-efficacy and dysfunctional thoughts. Questionnaires were applied before (T0), directly (T1) and 3 month after the end of the intervention (T2). In addition, all participants were interviewed at T1 using a semi-structured manual. Results: Dysfunctional thoughts and subjective burden were reduced at T1 in the intervention group compared to the controls, but none of these effects were significant. Effects sizes will be presented at the conference. The intervention group showed a good adherence with 8 from 9 participants completing the program, whereas the control group had a very high drop-out rate with only 6 out of 10 participants starting the intervention at the end of the 3-month waiting period. Further two participants from the waiting group left during the course of intervention due to time conflicts and need of individualized psychotherapy. Conclusions: The program helped to reduce dysfunctional thoughts and subjective burden; however, effects did not reach significance, which may be due to the small sample size and the high drop-out rate in the study. The high drop-out rate in the waiting list underscores the need of immediate action for people with high burden from dementia care.
P1-448
SLEEP QUALITY IN CAREGIVERS OF COMMUNITY-DWELLING PATIENTS WITH MEMORY LOSS
Judith A. Erlen, Martin Houze, Jennifer Lingler, Maggie Walker, University of Pittsburgh, Pittsburgh, PA, USA. Contact e-mail: [email protected] Background: Sleep disruptions can lead to daytime sleepiness and
fatigue resulting in potential medication management errors when providing care to persons with memory loss. Given the complexity of factors influencing sleep quality, this study characterized caregiver sleep quality and examined the relationship of contextual factors such as hassles/uplifts, depressive symptoms, social support to sleep quality in caregivers of community-dwelling persons with memory loss. Methods: We used baseline data from 91 caregivers participating in a study testing the efficacy of a medication management problem solving intervention. The 91 caregivers included 64 (70%) women, 79 (87%) who were white, with an average age of 66.97 years and an average of 14.91 years of education. The 91 patients included 54 (59.3%) women with an average age of 80.31 years, an average of 13.20 years of education, and an average MMSE score of 17.51. Measures included the Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory-II, Interpersonal Support Evaluation List, Combined Hassles and Uplifts Scale, and Spielberger State-Trait Anxiety Scale. We used descriptive and correlational analyses. Results: The global PSQI score was 7.725 (SD¼4.087). Mean scores of selected PSQI subscales were: mean perceived sleep quality was 1.048, SD ¼ .693; mean sleep efficiency was 1.031, SD¼.991; and mean daytime disturbance was 1.256, SD¼ .523. Caregiver mean hours slept was 6.736 (SD ¼1.61; range ¼1-10). Using Spearman rho overall sleep quality was positively associated with the s elf-esteem subscale (r¼.242; p¼.030); depressive symptoms (r¼.439; p¼.000), trait anxiety (r¼.459; p¼.000), and daily hassles (r¼.232; p¼.039). Overall sleep quality was negatively associated with overall social support (r¼-.238; p¼.033), the tangible support subscale (r¼-.300; p¼.007) and daily uplifts (r¼-.307; p¼.006). Conclusions: Although caregivers slept nearly 7 hours, their overall sleep quality was rated as poor. Caregivers with higher levels of depressive symptoms and who experienced more hassles had poorer sleep quality; whereas, caregivers with more social support and who experienced more uplifts had better sleep quality. Sleep disruptions can lead to daytime sleepiness and fatigue. Such daytime symptoms can, in turn, cause impairments in daily functioning. For family caregivers this may result in potential medication management errors when providing care to persons with memory loss.
P1-449
THE ASSOCIATION BETWEEN FILIAL PIETY AND COGNITIVE IMPAIRMENT: FINDINGS FROM A COMMUNITY-DWELLING OLDER CHINESE POPULATION
Melissa Simon1, Xinqi Dong2, 1Northwestern University, Chicago, IL, USA; 2Rush University, Chicago, IL, USA. Contact e-mail: xinqi_dong@ rush.edu Background: Evidence suggest that prevalence of dementia in Chi-
nese older adults will increase significantly over the next 30 years. However, very few studies have explored the cultural determinants of cognitive impairment among minority older adults. This study aimed to examine the association between filial piety expectation and receipt and cognitive impairment among U.S. Chinese older
Poster Presentations: Sunday, July 24, 2016
adults. Methods: Guided by the community-based participatory research approach, 3,159 community-dwelling Chinese older adults in the greater Chicago area were interviewed in person from 2011-2013. Independent variables are expectations and receipts of filial piety from older adult’s perspective. Dependent variables were cognitive impairment as measured by MMSE, East Boston Memory Test, East Boston Delayed Recall, Digit Backwards and Symbol Digit Modality Test. Summary measured were constructed for global cognitive function. Logistic regression analyses were performed. Results: Of the 3,159 participants, 58.9% were female and the mean age was 72.8 years. After adjusting for age, sex, education, income, medical conditions, and depressive symptoms, every 1 point lower in filial piety receipt was associated with increased risk for impairment global cognitive function (OR 1.07, 95% CI 1.03-1.11). Lowest tertiles of filial piety receipt was associated with greater risk for impairment in global cognitive function (OR 1.95, 95% CI 1.12-3.38). However, no statistically significant associations were found between filial piety expectations and global cognitive function. Conclusions: This study suggests filial piety receipt to be an important risk factor for cognitive function impairment among U.S. Chinese older adults. Future longitudinal studies should be carried out to understand the temporal association between filial piety and cognitive function.
P607
ities of daily living of dementia patients and support burden in Catholics. Moreover, organizational religiosity and non-organizational religiosity, which was a subcomponent of religiosity showed moderating effect. Intrinsic religiosity, which was a subcomponent of religiosity showed moderating effect on the relationship between activities of daily living of dementia patients and depressive symptom of caregivers in Buddhists. Whereas there was no significant moderating effect in Protestants and Atheists. Conclusions: These findings suggest that religiosity reduce support burden and depressive symptom among caregivers of Demnetia patients as a potential protective factor.
P1-451
MILD COGNITIVE IMPAIRMENT: WHAT DOES THE GENERAL PUBLIC KNOW ABOUT IT?
Rehab Alhasani1, Nazanin Karegar1, Emily Redmond1, Mary Guo1, Guila Wasserlauf1, Daphne Goldberg1, Jade Kwok2, Nathalie Bier3, Patricia Belchior1,4, 1School of Physical and Occupational Therapy/McGill University, Montreal, QC, Canada; 2Centre Hospitalier de l’Universite de Montreal - Hospital Notre-Dame, Montreal, QC, Canada; 3Centre de Recherche de l’Institut Universitaire de Geriatrie de Montreal (CRIUGM), Montreal, QC, Canada; 4Centre de Recherche de L’Institut Universitaire de Geriatrie de Montreal, Montreal, QC, Canada. Contact e-mail: rehab. [email protected] Background: Mild Cognitive Impairment (MCI) is one of the most
P1-450
THE RELATIONSHIP BETWEEN ACTIVITIES OF DAILY LIVING AND SUPPORT BURDEN, DEPRESSIVE SYMPTOMS IN CAREGIVERS OF DEMENTIA: THE MODERATING EFFECT OF RELIGIOSITY— CLINICAL RESEARCH CENTER FOR DEMENTIA OF SOUTH KOREA (CREDOS) STUDY
Do Hoon Kim, Hallym Univerisity, Chuncheon, South Korea. Contact e-mail: [email protected] Background: The aim of this study was to investigate moderating effects of religiosity in the relationship between activities of daily living of dementia patients and support burdens, depressive symptom of caregivers. Methods: Participants were comprised in the Clinical Research Center for Dementia of South Korea study and designed a cross-sectional study. Out of a total 476 caregiver participants, we selected 466 except 10 with minority religion because of too small to analyses each religious group. The activities of daily living of dementia patients was measured using Seoul-Activities of Daily Living(S-ADL). The support burden and depressive symtom of caregivers was measured using Burden interview(BI), Beck Depression Inventory(BDI) in respectively. Duke Religion Index (DUREL) was measured using to measured religiosity of caregivers. Results: The activities of daily living of dementia patients was significantly correlated with support burden and depressive symptom of caregivers. The total score of religiosity had moderating effect on the relationship between activities of daily living of dementia patients and support burden and depressive symptom of caregiver. In other words, the higher religiosity, the lower those of caregiver between activities of daily living of dementia patients and support burden and depressive symptom of caregivers. Secondary analyses were conducted by religion group. The total score of religiosity had moderating effect on the relationship between activ-
recognized risk factors for dementia. It is estimated that half-amillion Canadians aged 65-and-older have MCI,1 but only a small percentage pursue a clinical diagnosis as in its early stages it can actually go unnoticed because the symptoms are very mild.2 Early identification of MCI is important because interventions can be put in place. However, to date, not study has investigated public awareness of MCI. Thus, the goal of this study was to investigate current public’s knowledge of MCI. Methods: A survey was developed and required 5 minutes to be completed. Participants were recruited from the greater Montreal area. Inclusion criteria included individuals 20 years and older; available to communicate in English or French and no considerable hearing impairment. Participants were broken down by age groups: Young group (20-39 years of age), middles aged (40-59 years of age) and older (60 years of age and older). Results: Two hundred and seventy two participants answered the survey. Approximately, half of the participants were 39 years old or younger (52%), Sixty six participants were between 40-59 years (24%) of age, and sixty four were 60 years and older (24%). Most of the participants were not familiar with the MCI terminology (73% in the young group, 65% in the middle aged group and 51% in the older group) but when given a definition of MCI about half of the participants from the young and middle aged groups (47% and 50%, respectively) reported knowing about this condition but did not associate it with the term MCI. In the older age group, only 30% did not associate it with the term. Additionally, more than half of the participants have heard it from family of friends (61% younger group, 67% middle aged group and 72% older group). Conclusions: While it was apparent that the term MCI was not widely known, it was mainly in regard to terminology. In this presentation we will further discuss the knowledge of the condition, knowledge of services available for this population and implications for clinical practices.
Poster Presentations: Sunday, July 24, 2016
these categories and reduced to objectively figure out similarities and differences. Results: The participants’ ratings of the effect of the program ranged from no benefit to an improvement of self-efficacy and coping strategies. Some participants found the intervention easy to access, others have had difficulty participating. The rating depended on the actual health status of both the carer and the care recipient and on the anticipated effect of a psychotherapeutical intervention in general. Some participants had initially expected only information and advice for their daily life or someone to talk with. Consequently, they were not open towards active participation, self-reflection and developing strategies to relief the burden of care. More detailed results will be presented at the conference. Conclusions: Our results show a high variability in the valuation of the intervention. Interestingly, participants favour more homogeneity within the psychotherapy group to increase the efficacy of the intervention, whereas from a psychotherapeutical perspective a certain degree of heterogeneity is potentially helpful to advance group processes. Based on the participants’ responses, adaptations of the program should consider a stronger emphasis on the relief of caregiver burden and strengthening coping skills rather than on the care recipient. P1-447
PSYCHOTHERAPY INTERVENTION FOR FAMILY CAREGIVERS: DOES EARLY INTERVENTION MATTER?
Ingo Kilimann1,2, Franziska Thiel2, Tanja Braungardt2, Ulrike Finke2, Nadja Landschoof2, Wolfgang Schneider2, Stefan J. Teipel1,2, 1German Center for Neurodegenerative Diseases (DZNE), Rostock, Germany; 2 Department of Psychosomatics, University Medical Center Rostock, Rostock, Germany. Contact e-mail: [email protected] Background: Caregivers of persons with dementia (PWD) are at risk for stress and depressive symptoms. Psychotherapeutic treatment has shown to be effective, but time and effort needed to participate in such programs hinders the broad utilization by care givers. To facilitate the usage of such treatment and to allow the implementation in regular health care services, we developed a manualized short-term family caregiver group intervention. Methods: We conducted a phase IIa study with 19 participants randomly split into an intervention and a waiting group (controls). The controls received the same intervention three month after the intervention group. Primary outcomes were self-efficacy and dysfunctional thoughts. Questionnaires were applied before (T0), directly (T1) and 3 month after the end of the intervention (T2). In addition, all participants were interviewed at T1 using a semi-structured manual. Results: Dysfunctional thoughts and subjective burden were reduced at T1 in the intervention group compared to the controls, but none of these effects were significant. Effects sizes will be presented at the conference. The intervention group showed a good adherence with 8 from 9 participants completing the program, whereas the control group had a very high drop-out rate with only 6 out of 10 participants starting the intervention at the end of the 3-month waiting period. Further two participants from the waiting group left during the course of intervention due to time conflicts and need of individualized psychotherapy. Conclusions: The program helped to reduce dysfunctional thoughts and subjective burden; however, effects did not reach significance, which may be due to the small sample size and the high drop-out rate in the study. The high drop-out rate in the waiting list underscores the need of immediate action for people with high burden from dementia care.
P1-448
SLEEP QUALITY IN CAREGIVERS OF COMMUNITY-DWELLING PATIENTS WITH MEMORY LOSS
Judith A. Erlen, Martin Houze, Jennifer Lingler, Maggie Walker, University of Pittsburgh, Pittsburgh, PA, USA. Contact e-mail: [email protected] Background: Sleep disruptions can lead to daytime sleepiness and
fatigue resulting in potential medication management errors when providing care to persons with memory loss. Given the complexity of factors influencing sleep quality, this study characterized caregiver sleep quality and examined the relationship of contextual factors such as hassles/uplifts, depressive symptoms, social support to sleep quality in caregivers of community-dwelling persons with memory loss. Methods: We used baseline data from 91 caregivers participating in a study testing the efficacy of a medication management problem solving intervention. The 91 caregivers included 64 (70%) women, 79 (87%) who were white, with an average age of 66.97 years and an average of 14.91 years of education. The 91 patients included 54 (59.3%) women with an average age of 80.31 years, an average of 13.20 years of education, and an average MMSE score of 17.51. Measures included the Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory-II, Interpersonal Support Evaluation List, Combined Hassles and Uplifts Scale, and Spielberger State-Trait Anxiety Scale. We used descriptive and correlational analyses. Results: The global PSQI score was 7.725 (SD¼4.087). Mean scores of selected PSQI subscales were: mean perceived sleep quality was 1.048, SD ¼ .693; mean sleep efficiency was 1.031, SD¼.991; and mean daytime disturbance was 1.256, SD¼ .523. Caregiver mean hours slept was 6.736 (SD ¼1.61; range ¼1-10). Using Spearman rho overall sleep quality was positively associated with the s elf-esteem subscale (r¼.242; p¼.030); depressive symptoms (r¼.439; p¼.000), trait anxiety (r¼.459; p¼.000), and daily hassles (r¼.232; p¼.039). Overall sleep quality was negatively associated with overall social support (r¼-.238; p¼.033), the tangible support subscale (r¼-.300; p¼.007) and daily uplifts (r¼-.307; p¼.006). Conclusions: Although caregivers slept nearly 7 hours, their overall sleep quality was rated as poor. Caregivers with higher levels of depressive symptoms and who experienced more hassles had poorer sleep quality; whereas, caregivers with more social support and who experienced more uplifts had better sleep quality. Sleep disruptions can lead to daytime sleepiness and fatigue. Such daytime symptoms can, in turn, cause impairments in daily functioning. For family caregivers this may result in potential medication management errors when providing care to persons with memory loss.
P1-449
THE ASSOCIATION BETWEEN FILIAL PIETY AND COGNITIVE IMPAIRMENT: FINDINGS FROM A COMMUNITY-DWELLING OLDER CHINESE POPULATION
Melissa Simon1, Xinqi Dong2, 1Northwestern University, Chicago, IL, USA; 2Rush University, Chicago, IL, USA. Contact e-mail: xinqi_dong@ rush.edu Background: Evidence suggest that prevalence of dementia in Chi-
nese older adults will increase significantly over the next 30 years. However, very few studies have explored the cultural determinants of cognitive impairment among minority older adults. This study aimed to examine the association between filial piety expectation and receipt and cognitive impairment among U.S. Chinese older
Poster Presentations: Sunday, July 24, 2016
adults. Methods: Guided by the community-based participatory research approach, 3,159 community-dwelling Chinese older adults in the greater Chicago area were interviewed in person from 2011-2013. Independent variables are expectations and receipts of filial piety from older adult’s perspective. Dependent variables were cognitive impairment as measured by MMSE, East Boston Memory Test, East Boston Delayed Recall, Digit Backwards and Symbol Digit Modality Test. Summary measured were constructed for global cognitive function. Logistic regression analyses were performed. Results: Of the 3,159 participants, 58.9% were female and the mean age was 72.8 years. After adjusting for age, sex, education, income, medical conditions, and depressive symptoms, every 1 point lower in filial piety receipt was associated with increased risk for impairment global cognitive function (OR 1.07, 95% CI 1.03-1.11). Lowest tertiles of filial piety receipt was associated with greater risk for impairment in global cognitive function (OR 1.95, 95% CI 1.12-3.38). However, no statistically significant associations were found between filial piety expectations and global cognitive function. Conclusions: This study suggests filial piety receipt to be an important risk factor for cognitive function impairment among U.S. Chinese older adults. Future longitudinal studies should be carried out to understand the temporal association between filial piety and cognitive function.
P607
ities of daily living of dementia patients and support burden in Catholics. Moreover, organizational religiosity and non-organizational religiosity, which was a subcomponent of religiosity showed moderating effect. Intrinsic religiosity, which was a subcomponent of religiosity showed moderating effect on the relationship between activities of daily living of dementia patients and depressive symptom of caregivers in Buddhists. Whereas there was no significant moderating effect in Protestants and Atheists. Conclusions: These findings suggest that religiosity reduce support burden and depressive symptom among caregivers of Demnetia patients as a potential protective factor.
P1-451
MILD COGNITIVE IMPAIRMENT: WHAT DOES THE GENERAL PUBLIC KNOW ABOUT IT?
Rehab Alhasani1, Nazanin Karegar1, Emily Redmond1, Mary Guo1, Guila Wasserlauf1, Daphne Goldberg1, Jade Kwok2, Nathalie Bier3, Patricia Belchior1,4, 1School of Physical and Occupational Therapy/McGill University, Montreal, QC, Canada; 2Centre Hospitalier de l’Universite de Montreal - Hospital Notre-Dame, Montreal, QC, Canada; 3Centre de Recherche de l’Institut Universitaire de Geriatrie de Montreal (CRIUGM), Montreal, QC, Canada; 4Centre de Recherche de L’Institut Universitaire de Geriatrie de Montreal, Montreal, QC, Canada. Contact e-mail: rehab. [email protected] Background: Mild Cognitive Impairment (MCI) is one of the most
P1-450
THE RELATIONSHIP BETWEEN ACTIVITIES OF DAILY LIVING AND SUPPORT BURDEN, DEPRESSIVE SYMPTOMS IN CAREGIVERS OF DEMENTIA: THE MODERATING EFFECT OF RELIGIOSITY— CLINICAL RESEARCH CENTER FOR DEMENTIA OF SOUTH KOREA (CREDOS) STUDY
Do Hoon Kim, Hallym Univerisity, Chuncheon, South Korea. Contact e-mail: [email protected] Background: The aim of this study was to investigate moderating effects of religiosity in the relationship between activities of daily living of dementia patients and support burdens, depressive symptom of caregivers. Methods: Participants were comprised in the Clinical Research Center for Dementia of South Korea study and designed a cross-sectional study. Out of a total 476 caregiver participants, we selected 466 except 10 with minority religion because of too small to analyses each religious group. The activities of daily living of dementia patients was measured using Seoul-Activities of Daily Living(S-ADL). The support burden and depressive symtom of caregivers was measured using Burden interview(BI), Beck Depression Inventory(BDI) in respectively. Duke Religion Index (DUREL) was measured using to measured religiosity of caregivers. Results: The activities of daily living of dementia patients was significantly correlated with support burden and depressive symptom of caregivers. The total score of religiosity had moderating effect on the relationship between activities of daily living of dementia patients and support burden and depressive symptom of caregiver. In other words, the higher religiosity, the lower those of caregiver between activities of daily living of dementia patients and support burden and depressive symptom of caregivers. Secondary analyses were conducted by religion group. The total score of religiosity had moderating effect on the relationship between activ-
recognized risk factors for dementia. It is estimated that half-amillion Canadians aged 65-and-older have MCI,1 but only a small percentage pursue a clinical diagnosis as in its early stages it can actually go unnoticed because the symptoms are very mild.2 Early identification of MCI is important because interventions can be put in place. However, to date, not study has investigated public awareness of MCI. Thus, the goal of this study was to investigate current public’s knowledge of MCI. Methods: A survey was developed and required 5 minutes to be completed. Participants were recruited from the greater Montreal area. Inclusion criteria included individuals 20 years and older; available to communicate in English or French and no considerable hearing impairment. Participants were broken down by age groups: Young group (20-39 years of age), middles aged (40-59 years of age) and older (60 years of age and older). Results: Two hundred and seventy two participants answered the survey. Approximately, half of the participants were 39 years old or younger (52%), Sixty six participants were between 40-59 years (24%) of age, and sixty four were 60 years and older (24%). Most of the participants were not familiar with the MCI terminology (73% in the young group, 65% in the middle aged group and 51% in the older group) but when given a definition of MCI about half of the participants from the young and middle aged groups (47% and 50%, respectively) reported knowing about this condition but did not associate it with the term MCI. In the older age group, only 30% did not associate it with the term. Additionally, more than half of the participants have heard it from family of friends (61% younger group, 67% middle aged group and 72% older group). Conclusions: While it was apparent that the term MCI was not widely known, it was mainly in regard to terminology. In this presentation we will further discuss the knowledge of the condition, knowledge of services available for this population and implications for clinical practices.