- Email: [email protected]
THE ROLE OF A KNOWLEDGE BROKER IN PROMOTING THE USE OF DEMENTIA CARE EVIDENCE IN CANADIAN RURAL HOME CARE CENTRES
Poster Presentations: Monday, July 17, 2017
with age, gender, BMI, location, time of day of wandering, use of vehicle or missing person alerts. State by state comparisons showed excellent correlation with 2016 estimates (r¼0.91). Six states (DE,HI,IA,ND,NH,WY) had no reports; PA and TX appeared to underreport compared with Alzheimer’s Association 2016 estimates of Dementia prevalence. Conclusions: Publicly Available Online data sources can provide information on a variety of important topics including CW outcomes. Providing a subject’s picture may help in finding survivors. Bias in documenting outcomes and variability by state suggests prevalence and mortality are likely underestimated. Better data mining methods may provide a broader picture of Critical wandering and allow comparisons with other countries. These results may inform policy decisions regarding use of tracking technology in people with dementia.
P2-496
GENDER DIFFERENCES IN FUNCTIONAL ACTIVITY LIMITATIONS AMONG ELDERS WITH COGNITIVE IMPAIRMENT IN RURAL AREAS OF BRAZIL
Allan Gustavo Brigola, Danilo Henrique Trevisan Carvalho, Tiago Silva Alexandre, Sofia Cristina Iost Pavarini, Federal University of S~ ao Carlos, S~ ao Carlos, Brazil. Contact e-mail: [email protected] Background: Functional limitation is strongly associated with
cognitive impairment (1), however, the prevalence and its associations in gender differences in Brazilian elderly in rural context are little known. Methods: Cross-sectional survey with 48 Brazilian rural elders (25 men and 23 women) with cognitive impairment [screened by Mini-Mental State Examination using Brazilian points-recommended by schooling level (2)]. Functional limitation was assessed by Katz scale of basic activities of daily living (BADLs: bathing, dressing, toileting, transferring, continence and feeding) and Lawton scale of instrumental activities of daily living (IADLs: using telephone, travelling, shopping, preparing meals, caring of the home, medication responsibility and handling money). Logistic regression was performed to examine the prevalence and the relationship between functional limitation and gender among cognitive impairment. Results: Men age ranged 61-86 and women age ranged 60-88. Higher prevalence of functional limitations in BADLs was on continence 25.0% (95% CI 12-38). About IADLs, higher functional limitations were on shopping 62.5% (95% CI 48-77), caring of the home 56.1% (95% CI 42-71), preparing meals 52.1% (95% CI 37-67) and handling money 52.1% (95% CI 37-67). Being men were associated with limitations in preparing meals and caring of the home [Odds ratio (OR) 14.4; 95% CI 3.558.0] and (OR 4.0; 95% CI 1.19-13.4), respectively. Being women were linked to limitation in continence (OR 0.21; 95% CI 0.040.92). Conclusions: Men were more linked with two functional limitations in IADL and women with one in BADL. In Brazil context activities in home are performed more by women than men and elderly cognitively intact may perform those activities if they need. Perhaps impaired women were not linked with those limitations because they had this practice on lifetime and still can perform these activities more independently compared to men. References: 1. Zheng J, Liu J, An R. Functional limitation and cognitive impairment among 80+ year old Chinese. Australas J Ageing. Australia; 2016; 35(4): 266–72. 2. Brucki SMD, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH. Suggestions for utilization of the minimental state examination in Brazil. Arq Neuro-Psiquiatr. Brazil; 2003; 61(3B):777–81.
P2-497
P831
THE ROLE OF A KNOWLEDGE BROKER IN PROMOTING THE USE OF DEMENTIA CARE EVIDENCE IN CANADIAN RURAL HOME CARE CENTRES
Dorothy A. Forbes1, Shelley Peacock2, Catherine M. Blake3, Robin Coatsworth-Puspoky1, Raelene Marceau1, Melanie Bayly2, Kaitlyn Hillier4, Rozina Rajan1, Bijaya Pokharel1, Laurel Strain1, Pamela Hawranik4, Debra G. Morgan2, Anthea Innes5, 1University of Alberta, Edmonton, AB, Canada; 2University of Saskatchewan, Saskatoon, SK, Canada; 3University of Western Ontario, London, ON, Canada; 4 Athabasca University, Athabasca, AB, Canada; 5University of Stirling, Stirling, United Kingdom. Contact e-mail: [email protected] Background: Access to and use of best available dementia care ev-
idence is challenging in northern rural Canada. Our research questions were: 1) what is the nature of the development and implementation of integrated knowledge translation (iKT) strategies in two northern Alberta home care centres; and 2) how does a knowledge broker (KB) influence the development and implementation of these strategies? Methods: A case study approach included a convenience sample (n¼36) of managers, nurses, allied health workers, health care aides (HCAs), family caregivers, and persons living with dementia (PLWD). The role of the KB was to facilitate knowledge exchange by building relationships, facilitating access to best available evidence, identifying best practices, and supporting the transformation of the home care culture. Interviews (n¼98) were conducted at baseline, six months and up to four months following the termination of the KB. Transcripts were thematically analyzed. By comparing and contrasting the coded data, sub-themes and themes, interrelationships, and patterns were revealed. Results: At one centre, the participant driven iKT strategies included an education package with dementia information and local dementia services, a dementia care toolkit of websites for home care providers, and a presentation to senior management to discuss how best to deal with the local dementia crisis. At the other centre, the HCAs examined the U-First online modules and used the wheel with PLWD and their family caregivers while providing respite and daily care. Conclusions: A template of the information packages is being developed by North Zone administration to promote adaptation in local contexts. The HCAs have found the U-First modules helpful and practical for staff and feel they would be useful as part of the orientation for all new staff. Further, the U-First training has been requested by local long-term care facilities, and the KB has been requested to participate in local and interagency groups. Participants overwhelmingly recommended the integration of a KB as a staff member. This research has contributed to our understanding of the role of the KB, and the knowledge and skills required to do knowledge brokering.
P2-498
HOW TO EFFECTIVELY RECRUIT OLDER STUDY PARTICIPANTS LIVING ALONE WITH COGNITIVE IMPAIRMENT: LESSONS FROM THE FIELD
Elena Portacolone1, Robert Rubinstein2, Kenneth Covinsky1, Jodi Halpern3, Julene Johnson4, 1University of California San Francisco, San Francisco, CA, USA; 2University of Maryland, Baltimore County, Baltimore, MD, USA; 3University of California Berkeley, Berkeley, CA, USA; 4University of California, San Francisco, San Francisco, CA, USA. Contact e-mail: [email protected]
with age, gender, BMI, location, time of day of wandering, use of vehicle or missing person alerts. State by state comparisons showed excellent correlation with 2016 estimates (r¼0.91). Six states (DE,HI,IA,ND,NH,WY) had no reports; PA and TX appeared to underreport compared with Alzheimer’s Association 2016 estimates of Dementia prevalence. Conclusions: Publicly Available Online data sources can provide information on a variety of important topics including CW outcomes. Providing a subject’s picture may help in finding survivors. Bias in documenting outcomes and variability by state suggests prevalence and mortality are likely underestimated. Better data mining methods may provide a broader picture of Critical wandering and allow comparisons with other countries. These results may inform policy decisions regarding use of tracking technology in people with dementia.
P2-496
GENDER DIFFERENCES IN FUNCTIONAL ACTIVITY LIMITATIONS AMONG ELDERS WITH COGNITIVE IMPAIRMENT IN RURAL AREAS OF BRAZIL
Allan Gustavo Brigola, Danilo Henrique Trevisan Carvalho, Tiago Silva Alexandre, Sofia Cristina Iost Pavarini, Federal University of S~ ao Carlos, S~ ao Carlos, Brazil. Contact e-mail: [email protected] Background: Functional limitation is strongly associated with
cognitive impairment (1), however, the prevalence and its associations in gender differences in Brazilian elderly in rural context are little known. Methods: Cross-sectional survey with 48 Brazilian rural elders (25 men and 23 women) with cognitive impairment [screened by Mini-Mental State Examination using Brazilian points-recommended by schooling level (2)]. Functional limitation was assessed by Katz scale of basic activities of daily living (BADLs: bathing, dressing, toileting, transferring, continence and feeding) and Lawton scale of instrumental activities of daily living (IADLs: using telephone, travelling, shopping, preparing meals, caring of the home, medication responsibility and handling money). Logistic regression was performed to examine the prevalence and the relationship between functional limitation and gender among cognitive impairment. Results: Men age ranged 61-86 and women age ranged 60-88. Higher prevalence of functional limitations in BADLs was on continence 25.0% (95% CI 12-38). About IADLs, higher functional limitations were on shopping 62.5% (95% CI 48-77), caring of the home 56.1% (95% CI 42-71), preparing meals 52.1% (95% CI 37-67) and handling money 52.1% (95% CI 37-67). Being men were associated with limitations in preparing meals and caring of the home [Odds ratio (OR) 14.4; 95% CI 3.558.0] and (OR 4.0; 95% CI 1.19-13.4), respectively. Being women were linked to limitation in continence (OR 0.21; 95% CI 0.040.92). Conclusions: Men were more linked with two functional limitations in IADL and women with one in BADL. In Brazil context activities in home are performed more by women than men and elderly cognitively intact may perform those activities if they need. Perhaps impaired women were not linked with those limitations because they had this practice on lifetime and still can perform these activities more independently compared to men. References: 1. Zheng J, Liu J, An R. Functional limitation and cognitive impairment among 80+ year old Chinese. Australas J Ageing. Australia; 2016; 35(4): 266–72. 2. Brucki SMD, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH. Suggestions for utilization of the minimental state examination in Brazil. Arq Neuro-Psiquiatr. Brazil; 2003; 61(3B):777–81.
P2-497
P831
THE ROLE OF A KNOWLEDGE BROKER IN PROMOTING THE USE OF DEMENTIA CARE EVIDENCE IN CANADIAN RURAL HOME CARE CENTRES
Dorothy A. Forbes1, Shelley Peacock2, Catherine M. Blake3, Robin Coatsworth-Puspoky1, Raelene Marceau1, Melanie Bayly2, Kaitlyn Hillier4, Rozina Rajan1, Bijaya Pokharel1, Laurel Strain1, Pamela Hawranik4, Debra G. Morgan2, Anthea Innes5, 1University of Alberta, Edmonton, AB, Canada; 2University of Saskatchewan, Saskatoon, SK, Canada; 3University of Western Ontario, London, ON, Canada; 4 Athabasca University, Athabasca, AB, Canada; 5University of Stirling, Stirling, United Kingdom. Contact e-mail: [email protected] Background: Access to and use of best available dementia care ev-
idence is challenging in northern rural Canada. Our research questions were: 1) what is the nature of the development and implementation of integrated knowledge translation (iKT) strategies in two northern Alberta home care centres; and 2) how does a knowledge broker (KB) influence the development and implementation of these strategies? Methods: A case study approach included a convenience sample (n¼36) of managers, nurses, allied health workers, health care aides (HCAs), family caregivers, and persons living with dementia (PLWD). The role of the KB was to facilitate knowledge exchange by building relationships, facilitating access to best available evidence, identifying best practices, and supporting the transformation of the home care culture. Interviews (n¼98) were conducted at baseline, six months and up to four months following the termination of the KB. Transcripts were thematically analyzed. By comparing and contrasting the coded data, sub-themes and themes, interrelationships, and patterns were revealed. Results: At one centre, the participant driven iKT strategies included an education package with dementia information and local dementia services, a dementia care toolkit of websites for home care providers, and a presentation to senior management to discuss how best to deal with the local dementia crisis. At the other centre, the HCAs examined the U-First online modules and used the wheel with PLWD and their family caregivers while providing respite and daily care. Conclusions: A template of the information packages is being developed by North Zone administration to promote adaptation in local contexts. The HCAs have found the U-First modules helpful and practical for staff and feel they would be useful as part of the orientation for all new staff. Further, the U-First training has been requested by local long-term care facilities, and the KB has been requested to participate in local and interagency groups. Participants overwhelmingly recommended the integration of a KB as a staff member. This research has contributed to our understanding of the role of the KB, and the knowledge and skills required to do knowledge brokering.
P2-498
HOW TO EFFECTIVELY RECRUIT OLDER STUDY PARTICIPANTS LIVING ALONE WITH COGNITIVE IMPAIRMENT: LESSONS FROM THE FIELD
Elena Portacolone1, Robert Rubinstein2, Kenneth Covinsky1, Jodi Halpern3, Julene Johnson4, 1University of California San Francisco, San Francisco, CA, USA; 2University of Maryland, Baltimore County, Baltimore, MD, USA; 3University of California Berkeley, Berkeley, CA, USA; 4University of California, San Francisco, San Francisco, CA, USA. Contact e-mail: [email protected]