Browsing by Subject "Community-based"

Now showing 1 - 3 of 3
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    Cognitive testing in older primary care patients: A cluster-randomized trial
    (Elsevier, 2015-09) Fowler, Nicole R.; Morrow, Lisa; Chiappetta, Laurel; Snitz, Beth; Huber, Kimberly; Rodriguez, Eric; Saxton, Judith; Department of Medicine, IU School of Medicine
    INTRODUCTION: This study investigated whether neuropsychological testing in primary care (PC) offices altered physician-initiated interventions related to cognitive impairment (CI) or slowed the rate of CI progression. METHODS: This 24-month, cluster-randomized study included 11 community-based PC practices randomized to either treatment as usual (5 practices) or cognitive report (CR; 6 practices) arms. From 2005 to 2008, 533 patients aged ≥65 years and without a diagnosis of CI were recruited; 423 were retested 24 months after baseline. RESULTS: CR physicians were significantly more likely to order cognitive-related interventions (P = .02), document discussions about cognition (P = .003), and order blood tests to rule out reversible CI (P = .002). At follow-up, significantly more CR patients had a medication for cognition listed in their chart (P = .02). There was no difference in the rate of cognitive decline between the groups. DISCUSSION: Providing cognitive information to physicians resulted in higher rates of physician-initiated interventions for patients with CI.
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    A Community-Based Occupational Therapy Program for Parkinson's
    (2023-05-02) Stiens, Maria; Hull, Kristin; Department of Occupational Therapy, School of Health and Human Sciences; Williams, Kim
    Parkinson’s disease is a progressive neurological condition that causes symptoms that interrupt safety, performance, and participation in everyday life activities. The literature supports occupational therapy’s role in maximizing quality of life and preventing occupational decline in people with Parkinson’s disease. Despite the effectiveness of occupational therapy treatment with this population, occupational therapy services are under-utilized among those with Parkinson’s disease. This doctoral capstone experience and project sought to increase access to occupational therapy services to individuals with Parkinson’s within the state of Indiana through free occupation-based groups hosted by a local Parkinson’s organization. Through needs assessments and client-centered surveys, the occupational needs and interests of site stakeholders were determined. Fourteen in-person training sessions were created and delivered to two Parkinson group locations within the greater Indianapolis area. There was a total of approximately thirty participants primarily consisting of community-dwelling individuals with Parkinson’s. Post-survey results indicated a positive trend, demonstrating an overall decrease in participants’ perceived difficulty with surveyed tasks. This study supports the continued need for occupation-based education and training for individuals with Parkinson’s.
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    Reducing veterans’ risk for suicidal behaviors: a qualitative study to inform development of the RECLAIM health promotion program
    (BMC, 2020-08-01) Shue, Sarah; Brosmer, Jayme; Matthias, Marianne S.; Psychology, School of Science
    Background In an effort to reduce the high rate of suicide among post-9/11 veterans, a collaborative team within the Department of Veterans Affairs (VA) has developed a holistic community-based health promotion program designed to facilitate social and self-connectedness. The purpose of this study was to elicit veteran and stakeholder feedback to prepare the program for piloting and implementation. Methods Focus groups and interviews were conducted with post-9/11 veterans and veteran stakeholders (e.g., VA clinicians) to elicit feedback regarding the health promotion program. Focus groups and interviews were audio-recorded and transcribed. Qualitative thematic analysis identified key themes emerging from the focus groups and interviews. Results Seven focus groups (3 Veteran groups, 4 stakeholder groups) and 3 interviews (2 Veterans, 1 stakeholder) were conducted with 41 participants (14 veterans, 27 stakeholders). Overall, participants had a positive perception of the program. Thematic analysis revealed shared perspectives that provided insight into 1) enhancing program recruitment and retention, 2) the perceived ability of a health promotion program to provide more holistic, veteran-centered care, and 3) using health promotion programs to help veterans establish structure in their daily lives. Conclusions Findings indicated an overall acceptance of the program, and participants’ perspectives on how to reduce barriers and enhance facilitators can inform the development of a larger-scale health promotion program that can be tested through future research. While discussion questions were specifically focused on the program in this study, findings can be considered more broadly for the design and implementation of related programs to effectively improve the health and wellness of post-9/11 veterans.