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  • 1.
    Conradsson, Mia
    et al.
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Littbrand, Håkan
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Lindelöf, Nina
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Gustafson, Yngve
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Rosendahl, Erik
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Effects of a high-intensity functional exercise programme on depressive symptoms and psychological well-being among older people living in residential care facilities: a cluster-randomized controlled trial2010In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 14, no 5, p. 565-576Article in journal (Refereed)
    Abstract [en]

    Objectives: To evaluate the effects of a high-intensity functional exercise programme on depressive symptoms and psychological well-being among older people dependent in activities of daily living (ADL) and living in residential care facilities. Method: Cluster-randomized controlled study. Participants were 191 older people, aged 65-100, dependent in ADL and with Mini Mental State Examination scores between 10 and 30. One-hundred (52%) of the participants had a diagnosed dementia disorder. A high-intensity functional weight-bearing exercise programme and a control activity were performed in groups. Sessions were held five times over each two week period for three months, a total of 29 times. The outcome measures, Geriatric Depression Scale (GDS-15) and Philadelphia Geriatric Center Morale Scale (PGCMS) were blindly assessed at baseline, three and six months. Results: At baseline, mean ± SD (range) for GDS was 4.4±3.2 (0-14), and for PGCMS 11.0±3.5 (2-17). There were no significant differences in GDS or PGCMS between the exercise and the control group at the three and six month follow-ups in the total sample. Among people with dementia, there was a between-group difference at three months in PGCMS scores in favour of the exercise group. Conclusion: A high-intensity functional exercise programme seems generally not to influence depressive symptoms or psychological well-being among older people dependent in ADL and living in residential care facilities. An individualized and multifactorial intervention may be needed in this group. However, an exercise programme as a single intervention may have a short-term effect on well-being among people with dementia

  • 2.
    Meiland, F.J.M.
    et al.
    VU University Medical Center.
    Bouman, A.I.E.
    VU University Medical Center.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Bentvelzen, S.
    VU University Medical Center.
    Davies, R.J.
    University of Ulster.
    Mulvenna, M.D.
    University of Ulster.
    Nugent, C.D.
    University of Ulster.
    Moelaert, F.
    Novay, Enschede.
    Hettinga, M.E.
    Christelijke Hogeschool Windesheim, Zwolle.
    Bengtsson, J.E.
    Cogknow Ltd., Gateway Center, Hamrun.
    Dröes, R-M
    VU University Medical Center.
    Usability of a new electronic assistive device for community-dwelling persons with mild dementia2012In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 16, no 5, p. 584-591Article in journal (Refereed)
    Abstract [en]

    Objective: To evaluate a newly developed integrated digital prosthetic, the COGKNOW Day Navigator (CDN), to support persons with mild dementia in their daily lives, with memory, social contacts, daily activities and safety. Methods: A user participatory method was applied in the development process, which consisted of three iterative 1-year cycles with field tests in Amsterdam, Belfast and Luleå. In the successive cycles 16, 14 and 12 persons with dementia and their carers participated. Data on usability were collected by means of interviews, observations, questionnaires, logging and diaries. The CDN prototype consists of a touch screen, a mobile device, sensors and actuators. Results: The evaluation showed that persons with dementia and carers valued the CDN overall as user-friendly and useful. Conclusions regarding the effectiveness of the system in daily life were limited due to insufficient duration of the testing period caused by delays in development and some instability of the final prototype. Conclusion: With the suggested adaptations, the CDN is expected to be a useful tool for supporting communitydwelling persons with mild dementia and their carers.

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