Javier Yanguas

Efectos del Modelo de Atención Centrado en la Persona en la calidad de vida de personas con deterioro cognitivo de centros gerontológicos

INTRODUCTION The Model of Person Centered Care has attracted increasing interest for use in gerontology centers. Therefore, the contributions about its impact are scarce in our context. The objective of this paper is to establish the impact that the interventions associated with the Model of Person Centered Care in the «Etxean Ondo» Project have on the quality of life of residents with cognitive impairment. MATERIAL AND METHODS One hundred and ninetten residents with cognitive impairment were selected: 59 in the control group and 60 in the experimental group. Subjects in each group were sorted by cognitive impairment: mild or severe. Changes were implemented in the physical and organizational environments for the promotion of autonomy and wellbeing. Quality of life was assessed before and 6 months after intervention using the Fumat Scales (mild cognitive impairment) and Qualid (severe cognitive impairment). The t-Student test was used for comparison of means. RESULTS In intergroup comparisons, significant differences in the Fumat Scale for the control group with mild cognitive impairment were initially identified. These differences were not recorded in the post assessment. The experimental group with severe cognitive impairment was significantly improved in the Qualid Scale post assessment. In intragroup comparisons, significant improvements were evident in the quality of life of experimental subjects, both with severe cognitive impairment (Qualid) and mild (Fumat). CONCLUSIONS The findings support the effectiveness of the interventions and identify methodological and conceptual issues that have been considered to analyze the Model of Person Centered Care efects.

Evaluación cognitiva global en personas vascoparlantes con demencia en estadios avanzados. Validación al euskera de la escala Severe Mini Mental State Examination (SMMSE-eus)

INTRODUCTION Adaptation and validation to the Basque language of tests to assess advanced cognitive impairment is a not covered need for Basque-speaking people. The present work shows the validation of the Basque version of the Severe Mini Mental State Examination (SMMSE). MATERIAL AND METHODS A total of 109 people with advanced dementia (MEC<15) took part in the validation study, and were classified as GDS 5-7 on the Geriatric Depression Scale (GDS). All participants were Spanish-Basque bilingual. RESULTS It was shown that SMMSE-eus has a high internal consistency (alpha=0.92), a good test-retest reliability (r=0.88; P<.01), and a high inter-rater reliability (CCI=0.99; P<.00) for the overall score, as well as for each item. CONCLUSIONS Both the high internal consistency and inter-rater reliability, and to a lesser extent, test-retest reliability, made the SMMSE-eus a valid test for the brief assessment of cognitive status in people with advanced dementia in Basque-speaking people. For this reason, the SMMSE-eus is a usable and reliable alternative for assessing Basque-speaking people in their mother-tongue, or preferred language.

SOCIOECOMIC, EMOTIONAL AND PHYSICAL PREDICTORS OF COGNITIVE PERFORMANCE IN A SAMPLE OF MIDDLE-AGED AND OLDER ADULTS

ticipants were re-examined after seven years using the BAGI. Results suggest a significant deterioration of AM performance within the seven year interval for early adulthood (F1⁄415.55, p<.001). No difference was found for elementary school and recent past. Moreover, the younger cohort recalled more episodic details for early adulthood compared to the older cohort (F1⁄44.99, p1⁄4.0280). No interaction of cohort and time emerged for any phase of life, suggesting that AM did not decline differentially for each cohort. Conclusions: Our findings confirm that AM declines not only in the development of MCI/AD, but deteriorates in healthy aging as well. These differences were present for episodes from the distant past (early adulthood), but not with respect to episodes from the more recent past.

User Needs and Requirements for the Mobility Assistance and Activity Monitoring Scenario within the RAPP Project

The aim of RAPP project is to provide a software platform in order to support the creation and delivery of robotic applications (RApps) targeting people at risk of exclusion, especially older people.This paper describes the user requirements of one of the three pilots defined in RAPP: mobility assistance and activity monitoring scenario. Target users are elderly people who have been operated of hip fracture and are hospitalized at Bermingham Hospital (Matia Foundation) for rehabilitation and walking functionality recovery; the formal caregivers assisting them such as physiotherapits, physicians and nurses; and the family members.Within the RAPP project ANG-med smart rollator will be developed by Inria to assist the users during the recovery process. Functionalities, scenarios and interfaces are defined according to the user requirements collected. Of particular interest is the treatment of the ethical aspects of the project to safeguard the autonomy and dignity of the research participants.

The use of bilingualism and occupational complexity measures as proxies for cognitive reserve: Results from a community-dwelling elderly population in the North of Spain

24,83-38,20 points, respectively. About 20% e 46% of the early and moderate individuals, respectively, were under the BBS cutoff. On the AWS, 13,33% and 33,3% of the early and moderate AD were under the cutoff score. From all the individuals, about 16%, 2 from early and 8 from the moderate AD group, were under AWS and BBS cutoff scores.Conclusions:Gait apraxia and balance disorders might be presented in AD individuals, and seems to be more frequent in the moderate stage. Gait apraxia can be misinterpreted as simply balance disorders. Gait apraxia assessment, such as balance, requires high subjectivity dosages. Gait apraxia diagnosis would be easier if the sensibility index of the AWS could be improved. Despite this is just a conjecture, it seems that frontal involvement has great relation to gait apraxia presence and severity.