Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-18T18:41:03.919Z Has data issue: false hasContentIssue false
  • English
  • Français

Predictors of the importance of everyday preferences for older adults with cognitive impairment

Published online by Cambridge University Press:  18 January 2021

James M. Wilkins ,
Joseph J. Locascio ,
Jeanette M. Gunther ,
Liang Yap ,
Teresa Gomez-Isla ,
Bradley T. Hyman ,
Deborah Blacker ,
Brent P. Forester  and
Olivia I. Okereke
James M. Wilkins*
Affiliation:
Division of Geriatric Psychiatry, McLean Hospital, Belmont, MA, USA Harvard Medical School, Boston, MA, USA
Joseph J. Locascio
Affiliation:
Harvard Medical School, Boston, MA, USA Massachusetts Alzheimer’s Disease Research Center, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
Jeanette M. Gunther
Affiliation:
Harvard Medical School, Boston, MA, USA Massachusetts Alzheimer’s Disease Research Center, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
Liang Yap
Affiliation:
Harvard Medical School, Boston, MA, USA Massachusetts Alzheimer’s Disease Research Center, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
Teresa Gomez-Isla
Affiliation:
Harvard Medical School, Boston, MA, USA Massachusetts Alzheimer’s Disease Research Center, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
Bradley T. Hyman
Affiliation:
Harvard Medical School, Boston, MA, USA Massachusetts Alzheimer’s Disease Research Center, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
Deborah Blacker
Affiliation:
Harvard Medical School, Boston, MA, USA Massachusetts Alzheimer’s Disease Research Center, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
Brent P. Forester
Affiliation:
Division of Geriatric Psychiatry, McLean Hospital, Belmont, MA, USA Harvard Medical School, Boston, MA, USA
Olivia I. Okereke
Affiliation:
Harvard Medical School, Boston, MA, USA Massachusetts Alzheimer’s Disease Research Center, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
*
Correspondence should be addressed to: James M. Wilkins, Division of Geriatric Psychiatry, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA. Phone: +1 617 855 3982; Fax: +1 617 855 3246. Email: jwilkins1@partners.org.
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

Among older people with cognitive impairment and mild dementia, relatively little is known about the factors that predict preferences for everyday living activities and experiences and that influence the relative importance of those activities and experiences.

Design:

Cross-sectional study.

Setting:

Participants were recruited from the Massachusetts Alzheimer’s Disease Research Center (MADRC) Clinical Core longitudinal cohort.

Participants:

The sample included 62 community-dwelling older adults with cognitive impairment (Clinical Dementia Rating global score ≥ 0.5).

Measurements:

We used the Preferences for Everyday Living Inventory (PELI) to assess preferences for activities and lifestyle experiences among persons with cognitive impairment. Within-subjects analysis of variance was used to test for significant differences in the mean ratings of importance for four domains of the PELI (“autonomous choice,” “social engagement,” “personal growth,” and “keeping a routine”). Multiple regression models were used to relate predictors, including neuropsychiatric symptoms, to importance ratings for each domain.

Results:

Significant differences were noted in the mean importance ratings of the preferences domains: “social engagement” preferences were rated as most important, followed by “autonomous choice,” “personal growth,” and “keeping a routine.” For the “social engagement” preferences domain, female sex was significantly associated with higher importance of “social engagement,” while depressive symptoms (Geriatric Depression Scale-15 scores) were significantly associated with lower importance.

Conclusions:

This study adds novel insight into the everyday preferences of community-dwelling older adults with cognitive impairment and highlights the impact of a number of factors, particularly level of depression, on how important various everyday experiences are perceived.

Keywords

community dwellingneuropsychiatric symptomseveryday experiences
Type
Original Research Article
Information
International Psychogeriatrics , Volume 34 , Special Issue 3: Issue Theme: Positive Psychiatry Factors and Health , March 2022 , pp. 287 - 294
Copyright
© International Psychogeriatric Association 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

2020 Alzheimer’s disease facts and figures (2020). Alzheimer’s & Dementia, 16, 391–460. https://doi.org/10.1002/alz.12068 CrossRefGoogle Scholar
Besser, L. et al. (2018). Version 3 of the National Alzheimer’s coordinating center’s uniform data set. Alzheimer Disease and Associated Disorders, 32, 351–358. https://doi.org/10.1097/WAD.0000000000000279 CrossRefGoogle ScholarPubMed
Carpenter, B. D., Kissel, E. C. and Lee, M. M. (2007). Preferences and life evaluations of older adults with and without dementia: reliability, stability, and proxy knowledge. Psychology and Aging, 22, 650–655. https://doi.org/10.1037/0882-7974.22.3.650 CrossRefGoogle ScholarPubMed
Chester, H. et al. (2018). People with dementia and carer preferences for home support services in early-stage dementia. Aging & Mental Health, 22, 270–279. https://doi.org/10.1080/13607863.2016.1247424 CrossRefGoogle ScholarPubMed
van den Dungen, P. et al. (2014). Preferences regarding disclosure of a diagnosis of dementia: a systematic review. International Psychogeriatrics, 26, 1603–1618. https://doi.org/10.1017/S1041610214000969 CrossRefGoogle ScholarPubMed
Fæø, S. E., Bruvik, F. K., Tranvåg, O. and Husebo, B. S. (2020). Home-dwelling persons with dementia’s perception on care support: qualitative study. Nursing Ethics, 27, 991–1002. https://doi.org/10.1177/0969733019893098 CrossRefGoogle ScholarPubMed
Garrido, S., Stevens, C. J., Chang, E., Dunne, L. and Perz, J. (2018). Music and dementia: individual differences in response to personalized playlists. Journal of Alzheimer’s Disease, 64, 933–941. https://doi.org/10.3233/JAD-180084 CrossRefGoogle ScholarPubMed
Garvelink, M. M., Groen-van de Ven, L., Smits, C., Franken, R., Dassen-Vernooij, M. and Légaré, F. (2019). Shared decision making about housing transitions for persons with dementia: a four-case care network perspective. The Gerontologist, 59, 822–834. https://doi.org/10.1093/geront/gny073 Google ScholarPubMed
Geshell, L., Kwak, J. and Radhakrishnan, K. (2019). Perspectives and experiences of persons with dementia with advance care planning: an integrative literature review. Journal of Geriatric Psychiatry and Neurology, 32, 231–245. https://doi.org/10.1177/0891988719853040 CrossRefGoogle Scholar
Van Haitsma, K. et al. (2013). The preferences for everyday living inventory: scale development and description of psychosocial preferences responses in community-dwelling elders. The Gerontologist, 53, 582–595. https://doi.org/10.1093/geront/gns102 CrossRefGoogle ScholarPubMed
Hajek, A. et al. (2017). The impact of social engagement on health-related quality of life and depressive symptoms in old age – evidence from a multicenter prospective cohort study in Germany. Health and Quality of Life Outcomes, 15, 140. https://doi.org/10.1186/s12955-017-0715-8 CrossRefGoogle ScholarPubMed
Hanssen, I. and Kuven, B. M. (2016). Moments of joy and delight: the meaning of traditional food in dementia care. Journal of Clinical Nursing, 25, 866–874. https://doi.org/10.1111/jocn.13163 CrossRefGoogle ScholarPubMed
Harrison Dening, K., King, M., Jones, L., Vickerstaff, V. and Sampson, E. L. (2016). Advance care planning in dementia: do family carers know the treatment preferences of people with early dementia. PloS One, 11, e0159056. https://doi.org/10.1371/journal.pone.0159056 CrossRefGoogle ScholarPubMed
Kaufer, D. I. et al. (2000). Validation of the NPI-Q, a brief clinical form of the Neuropsychiatric Inventory. The Journal of Neuropsychiatry and Clinical Neurosciences, 12, 233–239. https://doi.org/10.1176/jnp.12.2.233 CrossRefGoogle ScholarPubMed
Milte, R., Shulver, W., Killington, M., Bradley, C., Miller, M. and Crotty, M. (2017). Struggling to maintain individuality – describing the experience of food in nursing homes for people with dementia. Archives of Gerontology and Geriatrics, 72, 52–58. https://doi.org/10.1016/j.archger.2017.05.002 CrossRefGoogle ScholarPubMed
Morris, J. C. (1993). The Clinical Dementia Rating (CDR): current version and scoring rules. Neurology, 43, 2412–2414. https://doi.org/10.1212/WNL.43.11.2412-a CrossRefGoogle ScholarPubMed
Nasreddine, Z. S. et al. (2005). The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53, 695–699. https://doi.org/10.1111/j.1532-5415.2005.53221.x CrossRefGoogle ScholarPubMed
Pettigrew, C. et al. (2019). Attitudes toward advance care planning among persons with dementia and their caregivers. International Psychogeriatrics, 32, 585–599. https://doi.org/10.1017/S1041610219000784 CrossRefGoogle ScholarPubMed
Syme, M. L., Johnson, P. E. and Fager, M. (2020). Person-centered sexual expression: determining preferences of future nursing home residents. The Gerontologist, 60, 725–734. https://doi.org/10.1093/geront/gnz016 Google ScholarPubMed
Thomas, K. S., Baier, R., Kosar, C., Ogarek, J., Trepman, A. and Mor, V. (2017). Individualized music program is associated with improved outcomes for U.S. nursing home residents with dementia. The American Journal of Geriatric Psychiatry, 25, 931–938. https://doi.org/10.1016/j.jagp.2017.04.008 CrossRefGoogle ScholarPubMed
Vilar, R., Liu, J. H. and Gouveia, V. V. (2020). Age and gender differences in human values: a 20-nation study. Psychology and Aging, 35, 345–356. https://doi.org/10.1037/pag0000448 CrossRefGoogle ScholarPubMed
Weintraub, S. et al. (2009). The Alzheimer’s Disease Centers’ Uniform Data Set (UDS): the neuropsychologic test battery. Alzheimer Disease and Associated Disorders, 23, 91–101. https://doi.org/10.1097/WAD.0b013e318191c7dd CrossRefGoogle ScholarPubMed
Wilkins, J. M. (2015). More than capacity: alternatives for sexual decision making for individuals with dementia. The Gerontologist, 55, 716–23. https://doi.org/10.1093/geront/gnv098 CrossRefGoogle ScholarPubMed
Wilkins, J. M. et al. (2020). Differences in assessment of everyday preferences between people with cognitive impairment and their care partners: the role of neuropsychiatric symptoms. The American Journal of Geriatric Psychiatry, 28, 1070–1078. https://doi.org/10.1016/j.jagp.2020.01.189 CrossRefGoogle ScholarPubMed
Yesavage, J. A. and Sheikh, J. I. (1986). Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clinical Gerontologist, 5, 165–173. https://doi.org/10.1300/J018v05n01_09 CrossRefGoogle Scholar
Supplementary material: File

Wilkins et al. supplementary material

Table S1 and Figure S1

Download Wilkins et al. supplementary material(File)
File 31.4 KB