The purpose of this study is to explore the attitudes that contribute psychological insulin resistance (PIR) in insulin-naive patients with type 2 diabetes and identify predictors PIR.A prospective using self-report surveys incorporating demographic health variables was conducted determine prevalence PIR among a sample 100 adult, at an outpatient center university-affiliated teaching hospital.Thirty-three percent were unwilling take insulin. most commonly expressed negative concern regarding...

A conceptual model and objective scale for measuring resistiveness to care in individuals with advanced dementia of the Alzheimer type (DAT) were empirically generated from perspective nursing staff caregivers through observation residents DAT. The (RTC-DAT) was judged have content validity reduced 13 items. Quantifiable scoring procedures methods rating videotapes conducting clinical observations developed. RTC-DAT tested 68 subjects at three sites. RTC has a range 0–156. Initial testing...

ABSTRACT The primary purpose of this pilot study was to test the feasibility an intervention designed reduce care‐resistant behaviors (CRBs) in persons with moderate‐to‐severe dementia during oral hygiene activities. intervention, Managing Oral Hygiene Using Threat Reduction (MOUTh), combined best practices CRB reduction techniques. health operationalized as total score obtained from Health Assessment Tool (OHAT). measured using a refinement Resistiveness Care Scale. Seven nursing home...

Aims and objectives To investigate the experiences of ischaemic stroke survivors during transitional period from hospital through first 4 weeks after discharge home. Background Ischaemic describe transition to home as an important time in their recovery various physical cognitive concerns early within period. Adequate care interventions should be informed by such experiences. Design This is a qualitative descriptive study. Method study used semistructured telephone interviews inductive...

Nursing home residents with dementia are often dependent on others for mouth care, yet will react care-resistant behavior when receiving assistance. The oral health of these elders deteriorates in the absence daily hygiene, predisposing them to harmful systemic problems such as pneumonia, hyperglycemia, cardiac disease, and cerebral vascular accidents. purpose this study is determine whether behaviors can be reduced, improved, through application an intervention based neurobiological...

Previous research from the Cash and Counseling Demonstration Evaluation (CCDE) in Arkansas, New Jersey, Florida suggests that giving consumers control over their personal care greatly increases satisfaction improves outlook on life. Still, some argue consumer-directed may not be appropriate for with intellectual disabilities or mental health diagnoses. This study examined how Counseling-a new option allowing to manage an individualized budget equivalent what agencies would have spent...

Previous research from the Cash and Counseling Demonstration Evaluation (CCDE) programs in New Jersey, Arkansas, Florida suggests that consumers' control over personal care greatly improves their satisfaction with arrangements outlook on life. Still, some argue consumer-directed may not be appropriate for consumers a diagnosis of mental illness. This study examined effectiveness CCDE program those illness.This nonelderly Medicaid beneficiaries Jersey illness compared contrasted experiences...

The pressing need for interventions to improve outcomes vulnerable caregivers of individuals with Alzheimer's disease (AD) is hindered by inadequate knowledge variables affecting intervention delivery, receipt, and enactment.To analyze implementation issues encountered within the Bathing Persons Disease at Home (BATH) study.The BATH study, a home-based, randomized, controlled trial behavioral symptoms caregiver self-efficacy, consisted 130 visits 42 care recipients-caregiver dyads. Data...

The purpose of this study was to understand the value and impact Veteran-Directed Home Community Based Services program (VD-HCBS) on Veterans’ lives in their own voices. Focus groups individual interviews by telephone were conducted elicit participant perspectives what most meaningful, difference VD-HCBS made lives. Transcripts analyzed using content analysis. sample included 21 Veterans, with a mean age 66±14, enrolled an average 20.8 months. All at risk institutional placement based level...

Recently, national attention has focused on the needs of family caregivers providing complex chronic care, noting necessity to better understand scope challenges they encounter. Although a robust body literature exists about caregiving, little is known specifically experiences and perspectives who support participant directed (PD) participants, particularly across caregiving trajectory. Therefore, aim this qualitative descriptive study was describe what individuals with developmental...

Unmet need for long-term services and supports has been linked to a variety of harmful health outcomes. One suggested strategy ameliorating unmet is give participants control budget let them construct individualized plans. The evaluation the Cash Counseling controlled experiment (CCDE) documented marked reduction in when compared traditional agency-based solutions, but it also showed significant needs remained. This paper reanalyzes 76 case studies from CCDE to, first time gain an...

Our aim was to explore previously unknown long-term outcomes of self-directed personal care services for young adults with intellectual disabilities and limitations in activities daily living.The present authors utilized participatory action research qualitative content analysis interviewing 11 unpaid familial programme representatives disabilities, ages 23-34, who were eligible income-based Medicaid enrolled five or more years a Cash Counseling-based self-direction the United States.Young...

The Veteran-Directed Home and Community Based Services Program (VD-HCBS) operates using a participant-direction approach, allowing Veterans to self-direct services. Only small body of literature has explored the impact these programs on caregivers. This study aimed explore experiences caregivers in VD-HCBS. Telephone focus groups interviews were conducted with (n = 23; 52.2% spouses; 8.7% male). Conventional content analysis revealed five categories: Coming home staying home; Taking pressure...

Representatives enact their role as decision-making partners across the intersection of participant direction (PD) and dementia care. Self-rated preparedness for key dimensions endorsed by a panel experts in PD was assessed telephone survey 30 representatives persons with program. The sample (daughters 60%; Black 50%; rural 70%) diverse length time additional responsibilities. They represented participants moderate to advanced ≥ two chronic illnesses. Overall scores were pretty well very...