WANDERING AND ITS SEQUELAE--COGNITION AND AGITATION

徘徊及其后遗症——认知与躁动

• 批准号: 6167883
• 负责人: Donna L. Algase
• 金额: $ 21.68万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-04-10 至 2002-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6167883
• 关键词: behavioral /social science research tag; clinical research; cognition disorders; compulsive behavior; exploratory behavior; human subject; monitoring device; neuropsychological tests; socioenvironment

As an extension of current work, the goals of this study are to further improve the measurement strategy for wandering behavior and to extend the study of wandering in the context of rhythm theory. Level and type of cognitive impairment and agitation, viewed an endogenous pacers, are examined for their impact on wandering. Falls and elopements, outcomes of disrupted wandering rhythm, are also examined. Four biomechanical devices assessing activity are evaluated for their ability to substitute for direct observation in estimating wandering behavior. Using measures indicating level of cognitive impairment (Mini-Mental State Exam; Mattis Dementia Rating Scale; Reisberg Global Deterioration Scale; Test for Severe Impairment) and other instruments assessing the relative severity of right vs left hemispheric damage (Bloomer Block Assessment Protocol; Benton Visual Retention Test; Block Design and Object Assembly sub-tests of the Wechsler Adult Intelligence Scale-Revised), cognitive impairment is examined for its influence on variations in the rhythm, patterns, and sequelae of wandering behavior. Using a form of the Cohen-Mansfield Agitation Inventory, agitation status and type (verbal, physical, and physically nonagressive) are examined for influence on the same dependent variables. A descriptive survey design is used to obtain biomechanical measures of activity and to observe, time, and code wandering variables (rhythm, pattern sequelae) twice over two randomly assigned 4-hour time blocks (16 hours total) for each subject. The targeted population will be 268 cognitively impaired nursing home residents from 14 nursing homes.. Each subject will be categorized as to level of cognitive impairment (mild, moderate, severe), dominant impairment type (right vs left hemisphere), severity of agitation status (none through severe), and type of agitation (verbal, physical, physically nonagressive, or mixed), if agitated. Pearson correlates are planned to evaluate biomechanical devices against direct observation of wandering and between each other. Estimates of clinical acceptability will be refined through factors analyses and reliability assessed using Cronback's alpha. Clinical acceptability of devices will be evaluated using ANOVAs. As determined to be appropriate, analysis of variance techniques, logistical regressions and canonical correlation will be used to examine effects of cognition and agitation on wandering rhythm, pattern and sequelae.

作为当前工作的延伸，本研究的目标是进一步 改进徘徊行为的测量策略并扩展 节奏理论背景下的徘徊研究。级别和类型 认知障碍和躁动被视为内源性起搏器， 研究了它们对徘徊的影响。跌倒和私奔，结果 还检查了打乱的徘徊节奏。四生物力学 评估活动的设备的替代能力被评估 用于直接观察来估计徘徊行为。使用措施 表明认知障碍的程度（简易精神状态检查；Mattis 痴呆症评定量表；赖斯伯格全球恶化量表；测试 严重损害）和其他评估相对严重程度的工具 右半球与左半球损伤的比较（Bloomer Block 评估方案； 本顿视觉保留测试；块设计和对象组装子测试 韦克斯勒成人智力量表修订版），认知障碍 检查其对节奏、模式和变化的影响 流浪行为的后遗症。使用科恩-曼斯菲尔德的形式 躁动量表、躁动状态和类型（言语、身体和情绪） 身体上不具有攻击性），检查对同一依赖者的影响 变量。描述性调查设计用于获得生物力学 活动测量和观察、时间和代码漂移变量 （节奏、模式后遗症）在两个随机分配的 4 小时时间内两次 每个科目的时间段（总共 16 小时）。目标人群将 是来自 14 名护理人员的 268 名认知障碍疗养院居民 每个科目都将根据认知水平进行分类 损伤（轻度、中度、重度）、显性损伤类型（右 vs 左半球），躁动状态的严重程度（无到严重），以及 激动的类型（言语、身体、非攻击性身体或混合）， 如果激动。计划使用 Pearson 相关系数来评估生物力学 防止直接观察徘徊和彼此之间的装置。 临床可接受性的估计将通过因素进行细化 使用 Cronback 的 alpha 进行分析和可靠性评估。临床 将使用方差分析来评估设备的可接受性。经确定 为了适当，方差分析技术，后勤 回归和典型相关将用于检查 对徘徊节奏、模式和后遗症的认知和躁动。

项目成果

Comparison of U.S., Canadian, and Australian participants' performance on the Algase Wandering Scale-Version 2 (AWS-V2).

美国、加拿大和澳大利亚参与者在藻类游走量表第 2 版 (AWS-V2) 上的表现比较。

• DOI: 10.1891/rtnp.17.3.241.53180
• 发表时间: 2003
• 期刊: Research and theory for nursing practice
• 影响因子: 0.6
• 作者: Song,Jun-Ah;Algase,DonnaL;Beattie,ElizabethRA;Milke,DorisL;Duffield,Christine;Cowan,Bronwyn
• 通讯作者: Cowan,Bronwyn

The Algase Wandering Scale: initial psychometrics of a new caregiver reporting tool.

• DOI: 10.1177/153331750101600301
• 发表时间: 2001-05-01
• 期刊: American journal of Alzheimer's disease and other dementias
• 作者: Algase, D L;Beattie, E R;Yao, L
• 通讯作者: Yao, L

Initial psychometric evaluation of the Wayfinding Effectiveness Scale.

寻路有效性量表的初步心理测量评估。

• DOI: 10.1177/0193945907303076
• 发表时间: 2007
• 期刊: Western journal of nursing research
• 影响因子: 1.8
• 作者: Algase,Donna;Son,Gwi-Ryung;Beel-Bates,Cynthia;Song,Junah;LanYao;Beattie,Elizabeth;Leitsch,Sara
• 通讯作者: Leitsch,Sara

Biomechanical activity devices to index wandering behavior in dementia.

• DOI: 10.1177/153331750301800202
• 发表时间: 2003-03-01
• 期刊: American journal of Alzheimer's disease and other dementias
• 作者: Algase, Donna L;Beattie, Elizabeth R A;Beel-Bates, Cynthia A
• 通讯作者: Beel-Bates, Cynthia A

Validation of the Algase Wandering Scale (Version 2) in a cross cultural sample.

在跨文化样本中验证藻类游走量表（版本 2）。

• DOI: 10.1080/13607860410001649644
• 发表时间: 2004
• 期刊: Aging & mental health.
• 作者: Algase,DL;Beattie,ERA;Song,J-A;Milke,D;Duffield,C;Cowan,B
• 通讯作者: Cowan,B