Article
Multidisciplinary Sciences
K. Lukaschek, C. Beltz, S. Rospleszcz, H. Schillok, P. Falkai, J. Margraf, J. Gensichen
Summary: This study analyzed the association between PACIC scores and characteristics of primary care patients with depression and their general practitioners (GPs). The results showed that patient characteristics such as sex and age were not associated with PACIC scores, but the age of GPs was negatively associated with PACIC scores. The study concludes that PACIC is independent of patient and GP characteristics and can be used to assess patient perspectives on depression services in primary care.
SCIENTIFIC REPORTS
(2023)
Review
Clinical Neurology
Neal Weisbrod
Summary: Primary palliative care is essential for patients with serious illnesses like dementia. It involves effective communication, counseling, and referral when appropriate. The COVID-19 pandemic adds extra challenges, and clinicians must prioritize patient autonomy while ensuring informed decision making. Pain management and caregiver support are also important aspects of comprehensive care. Palliative care specialists can provide additional assistance in complex cases or when initial management strategies are insufficient.
Article
Multidisciplinary Sciences
Rozalina McCoy, Danielle G. Firkus, John Matulis, Maya Kessler, Kristin Mara, Joseph Herges
Summary: The study evaluates the impact of pharmacist involvement in an enhanced primary care model for diabetes patients. Results show that pharmacist engagement improved diabetes management, supporting the inclusion of pharmacists in multidisciplinary efforts to improve diabetes care.
Article
Medicine, General & Internal
Paul Stolee, Jacobi Elliott, Anik M. C. Giguere, Sara Mallinson, Kenneth Rockwood, Joanie Sims Gould, Ross Baker, Veronique Boscart, Catherine Burns, Kerry Byrne, Judith Carson, Richard J. Cook, Andrew P. Costa, Justine Giosa, Kelly Grindrod, Mohammad Hajizadeh, Heather M. Hanson, Stephanie Hastings, George Heckman, Jayna Holroyd-Leduc, Wanrudee Isaranuwatchai, Ayse Kuspinar, Samantha Meyer, Josephine McMurray, Phyllis Puchyr, Peter Puchyr, Olga Theou, Holly Witteman
Summary: This study aims to implement enhanced primary healthcare approaches for older patients in Canada, including risk screening, patient engagement, shared decision making, and care coordination. Through a multi-phase mixed methods study involving questionnaires, interviews, and tailored interventions, the care model will be evaluated to optimize care for older adults based on patient and provider experience, quality of life, qualitative interviews, and economic evaluation.
Article
Medicine, General & Internal
Alissa Bernstein Sideman, Melissa Ma, Alma Hernandez de Jesus, Cecilia Alagappan, Na'amah Razon, Daniel Dohan, Anna Chodos, Tala Al-Rousan, Loren I. Alving, Freddi Segal-Gidan, Howie Rosen, Katherine P. Rankin, Katherine L. Possin, Soo Borson
Summary: This qualitative study explored the perspectives of primary care practitioners (PCPs) on their role in dementia care. The study found alignment between PCP perspectives and the core values of primary care in diagnosing and providing care for individuals with dementia, but identified a mismatch between these values and the health systems infrastructure for dementia care in their practice environment.
Article
Geriatrics & Gerontology
Sonia Lech, Julie L. O'Sullivan, Johanna Drewelies, Wolfram Herrmann, Robert P. Spang, Jan-Niklas Voigt-Antons, Johanna Nordheim, Paul Gellert
Summary: The study found that adherence to the German Dementia Guideline in primary care was generally high, but there were significant differences in specific recommendations. The findings highlight the importance of guidelines for care provision and the need for better tailoring and development of dementia guidelines for GPs in primary care setting.
Article
Health Care Sciences & Services
Jessica L. Colburn, Daniel L. Scerpella, Margo Chapin, Kathryn A. Walker, Sydney M. Dy, Martha Abshire Saylor, Neha Sharma, Sri Rebala, Ryan E. Anderson, Maura McGuire, Naaz Hussain, Christine Rawlinson, Valerie Cotter, Kimberly Cockey, David L. Roth, Karyn Lee Carlson Nicholson, Erin Rand Giovannetti, Marcella B. Sancho, Diane Echavarria, Cynthia M. Boyd, Jennifer L. Wolff, Kelly M. Smith
Summary: This article describes the implementation and outcomes of ACP in primary care, emphasizing the importance of organizational and clinic-level partnerships, adaptation to different health systems, and lessons learned.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Article
Clinical Neurology
Jonas L. Isaksen, Jonas Ghouse, Morten W. Skov, Morten S. Olesen, Anders G. Holst, Adrian Pietersen, Jonas B. Nielsen, Anja Maier, Claus Graff, Thomas A. Gerds, Ruth Frikke-Schmidt, Jorgen K. Kanters
Summary: By examining a large population, this study found that several common ECG markers are associated with Alzheimer's disease and can improve risk prediction.
JOURNAL OF THE NEUROLOGICAL SCIENCES
(2023)
Article
Geriatrics & Gerontology
Danielle Goldfarb, Angela M. Allen, Lori E. Nisson, Diana B. Petitti, Donald Saner, Carrie Langford, William J. Burke, Eric M. Reiman, Alireza Atri, Pierre N. Tariot
Summary: This article describes the design, development, and baseline characteristics of a home-based, interdisciplinary, dyadic pilot dementia care program. The program provides personalized dementia education and support to persons with dementia and caregiver dyads through Health Coaches supported by an interdisciplinary team. The results demonstrate the feasibility and high satisfaction among primary care providers and caregivers.
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
(2022)
Article
Environmental Sciences
Pablo Martinez, Viviana Guajardo, Victor E. Gomez, Sebastian Brandt, Wilsa Szabo, Gonzalo Soto-Brandt, Maryam Farhang, Paulina Baeza, Solange Campos, Pablo Herrera, Graciela Rojas
Summary: This study evaluated the feasibility of a technology-assisted collaborative care program for managing depression in people with DM/HBP. The TCC program was found to be potentially efficacious in treating depression, with many participants showing positive response to depression treatment after 12 weeks.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Neurosciences
Franka Muehlichen, Bernhard Michalowsky, Anika Raedke, Moritz Platen, Wiebke Mohr, Jochen Rene Thyrian, Wolfgang Hoffmann
Summary: The study described tasks of a collaborative model of dementia care, analyzed the association between task subgroups and patients' and caregivers' characteristics, and the impact of tasks on health-related quality of life. Results showed that patients' characteristics and HRQoL significantly determine the intensity of collaborative care interventions.
JOURNAL OF ALZHEIMERS DISEASE
(2022)
Article
Clinical Neurology
Amy K. Liu, Katherine L. Possin, Kristen M. Cook, Shalini Lynch, Sarah Dulaney, Jennifer J. Merrilees, Tamara Braley, Rachel E. Kiekhofer, Stephen J. Bonasera, Isabel E. Allen, Winston Chiong, Amy M. Clark, Julie Feuer, Joan Ewalt, Elan L. Guterman, Rosalie Gearhart, Bruce L. Miller, Kirby P. Lee
Summary: This study evaluated the effect of the Care Ecosystem (CE) collaborative dementia care program on medication use among community-dwelling persons living with dementia (PLWD). The results showed that the CE program significantly reduced the use of potentially inappropriate medications (PIMs), as well as the total number of medications and specific medication classes.
ALZHEIMERS & DEMENTIA
(2023)
Article
Geriatrics & Gerontology
Yu-Hsuan Hung, Wen-Fu Wang, Ming-Che Chang, Kai-Ming Jhang
Summary: This study aimed to explore the association between adherence of collaborative care model and short-term deterioration of BPSD after controlling patient and caregiver factors. The study found that patient sex and clinical dementia rating scores were protective factors for deterioration of BPSD, while spouse caregivers and withdrawal from the care model were risk factors.
Article
Psychology, Multidisciplinary
Laura H. H. Malinin, Meara Faw, Deana Davalos
Summary: Participation in psychosocial enrichment activities, such as music and arts programming, can delay or reduce functional decline in individuals with dementia. This community case study describes a performing-arts program that engaged people with dementia and their informal care partner in existing performing-arts programs, providing social hours and season tickets. The program evaluation suggests strategies and benefits of designing performing-arts programs as psychosocial interventions in other communities.
FRONTIERS IN PSYCHOLOGY
(2023)
Article
Geriatrics & Gerontology
Andrew J. Potter, Brad Wright, Jill Akiyama, Grace G. Stehlin, Amal N. Trivedi, Fredric D. Wolinsky
Summary: This study found that Medicare-Medicaid dual-eligibles with Alzheimer's disease and related dementias primarily received primary care in nursing facilities or physician offices. However, there has been a shift in recent years towards receiving care in Federally Qualified Health Centers and other settings.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Geriatrics & Gerontology
Fred B. Ketchum, Jessica Monsees, Alice J. Kim, Tim Schmachtenberg, Amy Kind, Manish Shah, Wolfgang Hoffmann, Jochen Rene Thyrian, Andrea Gilmore-Bykovskyi
Summary: The objective of this study is to identify barriers and facilitators to the use of formal dementia services among underserved and minority groups in the United States and Germany. Through qualitative interviews with caregivers, it was found that limited knowledge, challenges in interacting with healthcare systems, and the alignment of formal services with cultural or ethnic/racial identity were important factors influencing the utilization of dementia care services.
AGING & MENTAL HEALTH
(2023)
Article
Environmental Sciences
Katja Seidel, Tina Quasdorf, Julia Haberstroh, Jochen Rene Thyrian
Summary: Dementia is a major cause of disability and dependency in older people worldwide, requiring innovative care models. This study aims to investigate the influencing factors and critical pathways for implementing DCM standards in the existing primary care structures in the German region. The study found that insufficient involvement of relevant stakeholders and comprehensive consideration of patient needs through dementia care managers are the main barriers and facilitators for DCM implementation.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Gerontology
Jessica Monsees, Tim Schmachtenberg, Jochen Rene Thyrian
Summary: Nearly 12 million elderly people of migrant origin live in Europe, and around 500,000 of them are estimated to have dementia. Due to cultural differences, people of migrant origin with dementia face additional challenges, highlighting the need for intercultural care. This study provides a comprehensive summary of current topics in intercultural care through a systematic literature analysis.
DEMENTIA-INTERNATIONAL JOURNAL OF SOCIAL RESEARCH AND PRACTICE
(2022)
Review
Geriatrics & Gerontology
Clarissa Giebel, Katarzyna M. Lion, Klara Lorenz-Dant, Aida Suarez-Gonzalez, Catherine Talbot, Emily Wharton, Jacqueline Cannon, Hilary Tetlow, Jochen Rene Thyrian
Summary: This systematic review examines the impact of the COVID-19 pandemic on people with dementia living in the community or in residential care. The findings indicate that the pandemic has had negative effects on the cognition, physical functioning, and behavior of people with dementia, as well as limited access to care and poorer mental and social health.
AGING & MENTAL HEALTH
(2023)
Review
Geriatrics & Gerontology
Clarissa Giebel, Catherine V. Talbot, Emily Wharton, Klara Lorenz-Dant, Aida Suarez-Gonzalez, Jacqueline Cannon, Hilary Tetlow, Katarzyna M. Lion, Jochen Rene Thyrian
Summary: This study aimed to comprehensively evaluate the early impacts of the COVID-19 pandemic on unpaid dementia carers worldwide. The findings indicated that the pandemic had negative effects on the caregiving tasks, burden, and well-being of unpaid dementia carers. Policy initiatives should focus on providing better mental health support and formal care services for unpaid carers and their relatives with dementia, and further research is needed to explore the long-term implications of carer needs in light of care home restrictions and care delivery.
AGING & MENTAL HEALTH
(2023)
Editorial Material
Geriatrics & Gerontology
Jochen Rene Thyrian
ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE
(2022)
Article
Geriatrics & Gerontology
Jan Dreyer, Johannes Michael Bergmann, Kerstin Koehler, Iris Hochgraeber, Christiane Pinkert, Martina Roes, Jochen Rene Thyrian, Henrik Wiegelmann, Bernhard Holle
Summary: This study analyzed 320 care arrangements for persons with dementia and identified the underlying structures and types of these arrangements. The results contribute to a better understanding of informal dementia home care and can guide the development of tailored support for persons with dementia and their families.
Article
Medicine, General & Internal
Flora Wendel, Alexander Bauer, Iris Blotenberg, Christian Brettschneider, Maresa Buchholz, David Czock, Juliane Doehring, Catharina Escales, Thomas Frese, Wolfgang Hoffmann, Hanna Kaduszkiewicz, Hans-Helmut Koenig, Margrit Loebner, Melanie Luppa, Rosemarie Schwenker, Jochen Rene Thyrian, Marina Weissenborn, Birgitt Wiese, Isabel Zollinger, Steffi G. Riedel-Heller, Jochen Gensichen
Summary: This study describes the associations between social network, social participation, and depressive symptoms in older individuals at risk for dementia in Germany. The findings suggest that depressive symptoms are associated with smaller social networks and less social participation. Sufficient non-family contacts and weekly social activities play an important role in maintaining mental health among elderly primary care patients.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Public, Environmental & Occupational Health
Bernhard Michalowsky, Adel Afi, Bernhard Holle, Jochen Rene Thyrian, Wolfgang Hoffmann
Summary: The study aims to describe the characteristics, financing structures, and challenges of regional dementia care networks and the usage of regional financial network support according to SGB XI. The results show that regional dementia networks are highly diverse in structure, and certain factors significantly affect the number of partners and funding sources. The implementation of the amendment may increase the utilization of regional network funding.
Article
Neurosciences
Roaa Zayed Atef, Bernhard Michalowsky, Anika Raedke, Moritz Platen, Wiebke Mohr, Franka Muehlichen, Jochen Rene Thyrian, Wolfgang Hoffmann
Summary: Hearing loss is common in people with dementia and can lead to social isolation and depression. This study suggests that the use of hearing aids may be associated with improvements in cognitive function, depression, and health-related quality of life in dementia patients.
JOURNAL OF ALZHEIMERS DISEASE
(2023)
Article
Clinical Neurology
Emrah Duezel, Jochen Rene Thyrian
Summary: It is important to combine treatment and preventive measures for Alzheimer's disease to maintain cognitive functions as long as possible. However, there are challenges in developing and researching treatment concepts. The use of mobile everyday-life digital technologies can help address these challenges by coordinating prevention efforts and focusing on cognitive health and safety. Relevant digital technologies include mobile apps for recording cognitive functions, coaching lifestyle changes, reducing treatment risks, and improving health competence. These medical products are at different stages of development.
Article
Clinical Neurology
Jochen Rene Thyrian
Summary: Background: Aging healthily and prevention of diseases are national health targets, and there is compelling evidence on modifiable risk factors suitable for preventive measures. Objective: This article defines terms, presents the roots of prevention in laws, strategies, and guidelines, and outlines the risk factors for dementia and effective preventive measures. Material and methods: The available evidence on risk factors, health behavior, and preventive measures is analyzed, and a multimodal intervention and the impact of motivation on behavior change are discussed.
Article
Public, Environmental & Occupational Health
Felix G. Wittmann, Andrea Zuelke, Alexander Pabst, Melanie Luppa, Jochen Rene Thyrian, Anika Kaestner, Wolfgang Hoffmann, Hanna Kaduszkiewicz, Juliane Doehring, Catharina Escales, Jochen Gensichen, Isabel Zoellinger, Robert Philipp Kosilek, Birgitt Wiese, Anke Oey, Hans-Helmut Koenig, Christian Brettschneider, Thomas Frese, Steffi G. G. Riedel-Heller
Summary: This study analyzed the impact of perceived restriction due to government measures on depressive symptoms in older adults at increased risk for dementia in Germany. The results showed that feeling restricted due to COVID-19 measures was associated with higher levels of depressive symptoms, and this association was mediated by perceived stress.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Multidisciplinary Sciences
Maria Isabel Cardona, Jessica Monsees, Tim Schmachtenberg, Anna Gruenewald, Jochen Rene Thyrian
Summary: Despite the health benefits of physical activity for people with dementia, their engagement remains low. Previous research has not used implementation science frameworks to explore the barriers and facilitators of physical activity initiatives in this population. Therefore, a more comprehensive understanding of these mediating factors is needed.
Article
Medicine, General & Internal
Isabel Zoellinger, Alexander Bauer, Iris Blotenberg, Christian Brettschneider, Maresa Buchholz, David Czock, Juliane Doehring, Catharina Escales, Thomas Fankhaenel, Thomas Frese, Wolfgang Hoffmann, Hanna Kaduszkiewicz, Hans-Helmut Koenig, Melanie Luppa, Anke Oey, Alexander Pabst, Linda Sanftenberg, Jochen Rene Thyrian, Julian Weiss, Flora Wendel, Birgitt Wiese, Steffi G. Riedel-Heller, Jochen Gensichen, Piotr Galecki
Summary: In order to develop effective dementia prevention strategies, it is important to understand the risk factors, associated factors, and early signs of dementia. This study found that depressive symptoms, sleeping problems, and higher education levels are significantly associated with subjective cognitive decline (SCD), which is an early form of dementia.
JOURNAL OF CLINICAL MEDICINE
(2023)
