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Occupational Therapist-Led Mindfulness-Based Stress Reduction for Older Adults Living with Subjective Cognitive Decline or Mild Cognitive Impairment in Primary Care: A Feasibility Randomized Controlled Trial.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Occupational Therapist-Led Mindfulness-Based Stress Reduction for Older Adults Living with Subjective Cognitive Decline or Mild Cognitive Impairment in Primary Care: A Feasibility Randomized Controlled Trial./
作者:	Tran, Todd D.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
面頁冊數:	298 p.
附註:	Source: Dissertations Abstracts International, Volume: 85-03, Section: B.
Contained By:	Dissertations Abstracts International85-03B.
標題:	Therapists. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30565943
ISBN:	9798380319935

Occupational Therapist-Led Mindfulness-Based Stress Reduction for Older Adults Living with Subjective Cognitive Decline or Mild Cognitive Impairment in Primary Care: A Feasibility Randomized Controlled Trial.
Tran, Todd D.

Occupational Therapist-Led Mindfulness-Based Stress Reduction for Older Adults Living with Subjective Cognitive Decline or Mild Cognitive Impairment in Primary Care: A Feasibility Randomized Controlled Trial. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 298 p.

Source: Dissertations Abstracts International, Volume: 85-03, Section: B.

Thesis (Ph.D.)--Queen's University (Canada), 2023.

This item must not be sold to any third party vendors.

Introduction:Community-dwelling older adults living with subjective cognitive decline (SCD) or mild cognitive impairment (MCI) may experience decreased efficiency in their overall functional performance. This decreased cognitive efficiency may result in anxiety, low mood, perceived stress, and decreased emotional well-being and quality-of-life. These psychological symptoms may further exacerbate cognitive decline.Exploring non-pharmacological interventions such as mindfulness within primary care is vital in enabling individuals to develop strategies to manage cognitive impairment or psychological symptoms. Mindfulness-Based Stress Reduction (MBSR) is a 9-week program that is beneficial in alleviating psychological symptoms; however, its impact on perceived satisfaction on overall functional performance with this population has not been evaluated. The primary objective of this study is to explore the feasibility of conducting an RCT of an occupational therapist-led MBSR program within primary care.Methods:Convergent mixed-methods, randomized control feasibility trial with 30 plus participants from an inter professional primary care team in Toronto, Ontario. Participants are randomized into the 9-week MBSR group or wait-list control will be compared at baseline, postintervention and four-weeks follow-up. The primary aim is to determine the feasibility of the intervention with this population and setting. The secondary aim is to examine perceived satisfaction with functional performance as measured by the Canadian Occupational Performance Measure (COPM). Secondary clinical outcomes include psychological symptoms.Analysis:Investigators will analyze the quantitative and qualitative data strands separately. Descriptive statistics, focus group and interviews will then be merged and further analyzed to best understand the feasibility and preliminary clinical outcomes from the study.Ethics and dissemination:The study is approved by Women's College Hospital (2017-0056-E), and Queen's University, Kingston, Ontario (6026418). This study is registered at Clinicaltrials.gov (NCT03867474). The study will follow Standard Protocol Items: Recommendations for Interventional Trials. The results will be published in peer-reviewed academic journals and disseminated to patient organizations and media.Strength and Limitations of this Study• The study will provide valuable data on feasibility and clinical outcomes to determine whether occupational therapist-led MBSR is appropriate for a larger clinical trial• The first study to use the COPM to evaluate perceived satisfaction on functional performance with community-dwelling older individuals living with SCD or MCI within an inter professional primary care context• The only study to explore the qualitative perspective of both participants and health care providers in terms of barriers, enablers and facilitators of implementing and delivering the MBSR program within a primary care setting• The study is innovative in exploring the acceptability of a tablet computer as a method of intervention delivery and data collection with this population• The lack of an attention control comparison group and the small sample size is a study limitation.

ISBN: 9798380319935Subjects--Topical Terms:

3564388
Therapists.

Occupational Therapist-Led Mindfulness-Based Stress Reduction for Older Adults Living with Subjective Cognitive Decline or Mild Cognitive Impairment in Primary Care: A Feasibility Randomized Controlled Trial.
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