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Item Change in Depression, Confidence, and Physical Function Among Older Adults With Mild Cognitive Impairment(Wolters Kluwer, 2019-09-01) Ellis, Jennifer L.; Altenburger, Peter; Lu, Yvonne; Physical Therapy, School of Health and Rehabilitation SciencesBackground and Purpose Nearly a quarter of those in the US over age 71 experience mild cognitive impairment (MCI). Persons with MCI (PwMCI) battle depression and progressive disengagement from daily activities, which contribute to participation restriction and activity limitation. Daily engagement in meaningful activity (DEMA) is a tailored intervention designed to benefit PwMCI and their caregivers through preserved engagement and supported adjustment to cognitive changes. This secondary analysis was guided by the International Classification of Functioning, Disability and Health (ICF) model. Aims were to (i) explore the extent to which change in self-rated activity performance and physical function can predict change in depressive symptoms, (ii) evaluate for difference in confidence and depressive symptoms at ICF levels of activity and participation, and (iii) quantify the impact of daily engagement at the ICF level of participation on physical function. Methods A secondary analysis was conducted using data from the parent study, which was a two-group randomized trial involving PwMCI and their informal caregivers participating in the Indiana Alzheimer Disease Center DEMA program. Quantitative analysis (dyads: DEMA N = 20, Information Support N = 20) examined outcomes at posttest and follow-up. Analysis employed linear regression to model the relationship between explanatory and dependent variables and independent t-test to examine for difference in confidence, depression, and physical function. Results and Discussion At posttest, change in self-rated performance predicted change in depressive symptoms. Those in the DEMA group who engaged in activity at the ICF level of participation demonstrated a significant increase in confidence and physical function. Although not significant, the control group posttest results showed a mean decrease in confidence. Conclusions Results demonstrate a positive impact of DEMA on depressive symptoms, confidence, and physical function. Change in occupational performance predicted change in depressive symptoms. Confidence significantly improved among those who engaged at the ICF participation level. A larger, randomized controlled longitudinal trial is needed to better assess the impact of DEMA on physical function, activity, participation restriction and quality of life.Item Implementation of an evidence-based seizure algorithm in intellectual disability nursing: A pilot study(2016) Auberry, Kathy; Cullen, DeborahBased on the results of the Surrogate Decision-Making Self Efficacy Scale (Lopez, 2009), this study sought to determine if nurses working in the field of intellectual disability experience increased confidence when they implemented the “American Association of Neuroscience Nurses Seizure Algorithm” during telephone triage. The results of the study indicated using the AANN Seizure Algorithm increased self-confidence for many of the nurses in guiding care decisions during telephone triage. The treatment effect was statistically significant -3.169, p, .01 for a small sample of study participants. This increase in confidence is clinically essential for two reasons. Many individuals with intellectual disability and epilepsy reside within community based settings. Intellectual disability nurses provide seizure guidance to this population living in community based settings via telephone triage. Nurses improved confidence is clinically essential and has implications for practice. Evidenced-based training tools provide a valuable mechanism by guiding nurses via best practices. Nurses may need to be formally trained for seizure management due to high epilepsy rates in this population.Item Traditional Versus Immersive Video-Based Referee Training Methods and How They Affect Situational Confidence Levels in Intramural College Basketball Officials(2022-09) Feller, Kevin Arthur; Krohn, Brian; Pierce, David; Sherman, GeoffreThe number of sports officials around the United States and world has been slowly declining. The average age of sports officials keeps rising year over year, meaning younger officials are leaving their jobs at a high rate. The goal of this study was to compare training methods, traditional and immersive video-based, specifically RefReps training, to see how this training method affects officials’ confidence level at performing their duty as college intramural basketball officials. The study included college level intramural basketball officials from different universities in the United States (N = 34). A pre-test survey asking about confidence level was administered to each participating official prior to training for the upcoming intramural season. A control group (N = 13) used the university’s traditional training as their only form of training, while the test group (N = 21) trained using RefReps immersive video-based training. A post-test survey was given with the same confidence level questions for the participants to answer. The results showed that the RefReps group showed a greater increase in confidence in their ability to possess the most extensive knowledge of the rules compared to anyone else at the game and an increase in confidence in their ability to determine if a foul or violation had been committed.