COGNITIVE APPROACH TO MAINTAINING SELF CARE INVOLVEMENT

描述：HRCA要求提供五年的支持以开发 帮助老年人提供自我帮助的认知方法 更长的时间段。记忆和执行功能的问题是 与衰老有关的两个最常见的认知障碍。这 即使在没有证据表明患有精神错乱的健康老年人中也是如此 生病了。研究表明，这种缺陷与大脑功能受损有关。 在日常生活的工具性和个人活动中的自我表现 (ADL)，最终是对护理的需求。本研究将选取一个样本 在基线上没有或只有一个问题领域的老年人，以及 建模表明，人们变得更有可能变得更 在12个月期间，这些功能区的功能受损。总目标 该项目的目的是评估集中记忆训练的效果 关于减缓这些生活在危险中的老年人的下降速度的计划 在老年人和聚集住房地点。 为了改变在一些模型中观察到的功能退化的速度， 研究人员将进行一项随机对照试验来研究 在日常任务中的功能和由于接触到 集中记忆训练方案。影响将在6点和12点进行研究 几个月，比较实验样本和对照样本的结果。每个人 比较小组将由420名符合条件的居民组成 在三个州大约有30个老年人住宅点。具体目标 的研究旨在确定该计划对选定的 即刻功能表现指标，IADL自我表现指标， 个人ADL，神经心理状态，使用假体的依从性 存储设备和服务利用(即，急诊室就诊， 住院、收容)。归根结底，目标是减缓 日常任务的功能表现恶化的速度，以及 提供可在易受攻击的环境中轻松复制的低成本模式 更大规模的人口数量。

DESCRIPTION: Five years of support are requested by the HRCA to develop cognitive approaches to help older persons provide their own self help for longer periods of time. Problems with memory and executive functioning are two of the most common cognitive difficulties associated with aging. This is true even among healthy elders that show no evidence of dementing illness. Studies have shown that such deficits correlate with impairment in self-performance in instrumental and personal activities of daily living (ADL), and, ultimately, the need for care. This study will select a sample of elders who have none or only one problem area at baseline, and who modeling suggests are at a significantly higher risk of becoming more impaired in these functional areas over a 12-month period. The overall goal of the project is to evaluate the effect of a focused memory training program on slowing the rates of decline in these "at risk" elders who live in elderly and congregate housing sites. To alter the rates of functional deterioration observed in some models, the investigators will conduct a randomized, controlled trial to study functionality in everyday tasks and cognition consequent to exposure to a program of focused memory training. Impact will be studied at six and 12 months, comparing outcomes for experimental and control samples. Each comparison group will consist of 420 eligible residents identified in approximately 30 elderly housing sites in three states. The specific aims of the study are designed to determine the program's impact on selected indicators of immediate functional performance, self performance in IADLs, personal ADLs, neuropsychological status, adherence to use of a prosthetic memory device, and service utilization (i.e., emergency room visits, hospitalization, institutionalization). Ultimately, the goal is to slow the rate of deterioration in functional performance of everyday tasks, and to provide a low cost model that can be easily replicated in vulnerable populations on a larger scale.