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1.
bioRxiv ; 2024 Mar 19.
Artigo em Inglês | MEDLINE | ID: mdl-38903068

RESUMO

Primary angle closure glaucoma (PACG) affects more than 20 million people worldwide, with an increased prevalence in south-east Asia. In a prior haplotype-based GWAS, we identified a novel CNTNAP5 genic region, significantly associated with PACG. In the current study, we have extended our perception of CNTNAP5 involvement in glaucomatous neurodegeneration in a zebrafish model, through investigating phenotypic consequences pertinent to retinal degeneration upon knockdown of cntnap5 by translation-blocking morpholinos. While cntnap5 knockdown was successfully validated using an antibody, immunofluorescence followed by western blot analyses in cntnap5-morphant (MO) zebrafish revealed increased expression of acetylated tubulin indicative of perturbed cytoarchitecture of retinal layers. Moreover, significant loss of Nissl substance is observed in the neuro-retinal layers of cntnap5-MO zebrafish eye, indicating neurodegeneration. Additionally, in spontaneous movement behavioural analysis, cntnap5-MO zebrafish have a significantly lower average distance traversed in light phase compared to mismatch-controls, whereas no significant difference was observed in the dark phase, corroborating with vision loss in the cntnap5-MO zebrafish. This study provides the first direct functional evidence of a putative role of CNTNAP5 in visual neurodegeneration.

2.
Stem Cell Reports ; 19(4): 456-468, 2024 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-38552634

RESUMO

The risk of iatrogenic disease is often underestimated as a concern in contemporary medical procedures, encompassing tissue and organ transplantation, stem cell therapies, blood transfusions, and the administration of blood-derived products. In this context, despite the prevailing belief that Alzheimer's disease (AD) manifests primarily in familial and sporadic forms, our investigation reveals an unexpected transplantable variant of AD in a preclinical context, potentially indicating iatrogenic transmission in AD patients. Through adoptive transplantation of donor bone marrow stem cells carrying a mutant human amyloid precursor protein (APP) transgene into either APP-deficient knockout or normal recipient animals, we observed rapid development of AD pathological hallmarks. These pathological features were significantly accelerated and emerged within 6-9 months post transplantation and included compromised blood-brain barrier integrity, heightened cerebral vascular neoangiogenesis, elevated brain-associated ß-amyloid levels, and cognitive impairment. Furthermore, our findings underscore the contribution of ß-amyloid burden originating outside of the central nervous system to AD pathogenesis within the brain. We conclude that stem cell transplantation from donors harboring a pathogenic mutant allele can effectively transfer central nervous system diseases to healthy recipients, mirroring the pathogenesis observed in the donor. Consequently, our observations advocate for genomic sequencing of donor specimens prior to tissue, organ, or stem cell transplantation therapies, as well as blood transfusions and blood-derived product administration, to mitigate the risk of iatrogenic diseases.


Assuntos
Doença de Alzheimer , Animais , Humanos , Camundongos , Doença de Alzheimer/genética , Doença de Alzheimer/terapia , Peptídeos beta-Amiloides/metabolismo , Precursor de Proteína beta-Amiloide/metabolismo , Transplante de Células-Tronco/efeitos adversos , Doença Iatrogênica , Camundongos Transgênicos , Modelos Animais de Doenças
3.
Methods Mol Biol ; 2753: 409-419, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38285356

RESUMO

Traditionally, morphological, conventional, and toxicological approaches have been used to demonstrate neurotoxicity; however, there has been a growing interest in animal behavioral methods for assessing neurotoxicity, both at the scientific and regulatory levels. Zebrafish (Danio rerio) is a small tropical freshwater fish currently recognized as a suitable model organism for investigating developmental neurotoxicity. There are many animal-tracking software programms used for behavioral analysis in biomedical research. Some of these software programms require a fee, which may exceed the laboratory budget and require detailed technical equipment. As a solution, freely available programs can be used. However, animal tracking may not be possible due to the glare from the aquatic environment of fish, and the small size of zebrafish embryos makes animal tracking difficult. In our laboratory, we developed a semi-automatic system to overcome these difficulties by using three different software available for free. This chapter explains the system for zebrafish embryos and adult zebrafish.


Assuntos
Pesquisa Biomédica , Síndromes Neurotóxicas , Perciformes , Animais , Peixe-Zebra , Água Doce , Laboratórios
4.
Front Psychiatry ; 14: 1242748, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37822797

RESUMO

Understanding how behaviour therapists incorporate diagnostic assessments into their intervention planning can help to streamline assessment procedures and facilitate communication. The objectives are to identify what information from the diagnostic assessment is received by behaviour therapists and which assessment elements are most important and relevant for treatment planning. Behaviour therapists, identified through Ontario registries, were surveyed about their use of diagnostic information in treatment planning. Seventy-one behaviour therapists completed the survey (response rate = 35.5%). The diagnostic information most frequently received by respondents included brief (69%) and detailed (49.2%) physician/psychologist report, speech/language assessment report (52.1%) and individualised education plan (50.7%). Most respondents indicated that information from the physician/psychologist report is often out-dated (74.6% Agree/Strongly Agree). There was variable agreement that the information in the diagnostic package influences the type and quantity of treatment. These findings demonstrate that while diagnostic assessments received by behaviour therapists are important to their planning, other independently obtained sources of information, such as client interviews, are relatively more important to this process. The diagnostic assessment is one tool to inform treatment planning; however, up-to-date information about the child's needs is likely to be more informative.

5.
Neurotoxicology ; 99: 14-23, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37683694

RESUMO

Parkinson's disease (PD) is the second most common neurodegenerative disease caused by the degeneration of dopaminergic neurons and the accumulation of Lewy bodies. Pain is one of the most common non-motor symptoms in PD, but the molecular mechanism of pain in PD is not fully understood, which prevents early diagnosis of PD. We aimed to determine the changes in opioidergic pathways when external pain is inflicted by inducing pain intraperitoneally in zebrafish, for which we generated a rotenone-induced PD model. After behavioural analyses in control(C), acetic acid (AA), rotenone (ROT), and rotenone+ acetic acid (ROT+AA) groups, catecholamine levels in brain tissue were determined by LC-MS/MS, expression of opioid peptides and their receptors by RT-PCR, expression of tyrosine hydroxylase by immunohistochemical method, and analyses of oxidant-antioxidant parameters by spectrophotometric methods. In the ROT group, distance travelled, average speed, and brain dopamine levels decreased, while LPO (lipid peroxidation) and NO (nitric oxide) increased as indicators of oxidative damage, and the SOD activity decreased. The mRNA expression of lrrk, pink1, and park7 genes associated with PD increased, while the mRNA expression of park2 decreased. This indicates that rotenone exposure is a suitable means to induce PD in zebrafish. The fact that body curvature was higher in the AA group than in the ROT and ROT+AA groups, as well as the decreased expression of penka, pdyn, and ion channels associated with the perception of peripheral pain in the ROT+AA group, suggest that mechanisms associated with pain are impaired in the rotenone-induced PD model in zebrafish.


Assuntos
Doenças Neurodegenerativas , Fármacos Neuroprotetores , Doença de Parkinson , Animais , Peixe-Zebra , Rotenona/toxicidade , Ácido Acético/farmacologia , Cromatografia Líquida , Espectrometria de Massas em Tandem , Estresse Oxidativo , RNA Mensageiro , Modelos Animais de Doenças , Fármacos Neuroprotetores/farmacologia
6.
Sensors (Basel) ; 23(15)2023 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-37571571

RESUMO

This paper presents novel preliminary research that investigates the relationship between the flow of a group of jazz musicians, quantified through multi-person pose synchronization, and their collective emotions. We have developed a real-time software to calculate the physical synchronicity of team members by tracking the difference in arm, leg, and head movements using Lightweight OpenPose. We employ facial expression recognition to evaluate the musicians' collective emotions. Through correlation and regression analysis, we establish that higher levels of synchronized body and head movements correspond to lower levels of disgust, anger, sadness, and higher levels of joy among the musicians. Furthermore, we utilize 1-D CNNs to predict the collective emotions of the musicians. The model leverages 17 body synchrony keypoint vectors as features, resulting in a training accuracy of 61.47% and a test accuracy of 66.17%.


Assuntos
Asco , Reconhecimento Facial , Humanos , Emoções , Expressão Facial , Movimentos da Cabeça
7.
Scand J Prim Health Care ; 41(3): 257-266, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37409784

RESUMO

OBJECTIVE: The aim of this study was to explore patients' experiences and management of pain in connection with a migraine attack in episodic migraine. DESIGN, SETTING AND SUBJECTS: This qualitative study used a semi-structured interview format based on functional behavioural analysis as commonly used in cognitive behavioural therapy. We interviewed eight participants and analysed their responses using systematic text condensation. RESULTS: Participants' descriptions of their experiences and management of pain from episodic migraine were sorted into three description First physical sensations, Automatic reactions and Acts according to the interpretation. CONCLUSION: From a biopsychosocial perspective, a migraine attack is much more complex than just an experience of pain. The purely biological pain prompts a number of automatic reactions leading to strategies for pain management.


Functional behavioural analysis can increase our understanding of experiences during a migraine attack from a biopsychosocial pain perspective.Several pain mechanisms appear to be relevant during the experience of a migraine attack than are described in the diagnostic criteria for migraine.Pain management consists of a chain of behaviours, approaches to the migraine attack and medication and the consequences of pain management.Knowledge and understanding of patients' experiences of pain and pain management during a migraine attack is an important tool in the biopsychosocial model.


Assuntos
Transtornos de Enxaqueca , Modelos Biopsicossociais , Humanos , Transtornos de Enxaqueca/terapia , Transtornos de Enxaqueca/psicologia , Dor , Cognição , Exame Físico
8.
J Autism Dev Disord ; 2023 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-37171764

RESUMO

Many autistic children require support to meet their learning needs. Given the heterogeneity within the autism spectrum it is plausible that different types of support might be better suited to different children. However, knowledge on what interventions work best for which children is limited. We examined the outcomes of autistic preschool-aged children receiving one of two community early intervention approaches. Our main objective was to understand which baseline child characteristics might be associated with the degree of individual response to intervention-whether prognostically (i.e., irrespective of intervention received) or predictively (i.e., specifically in the context of one or other EI approach). Participants comprised two matched groups of preschool-aged autistic children receiving either Group-based Early Start Denver Model (G-ESDM; n = 42) delivered in a 1:3-4 staff:child ratio or an Early Intensive Behavioural Intervention (EIBI; n = 40) delivered in combination of 1:1 and 1:2 staff:child ratio. Over an approximate one-year follow-up period, children in both groups made significant gains in Developmental Quotient (DQ) scores, and trend-level gains in adaptive behaviour composite scores. Higher attention to a playful adult measured via an eye-tracking task was prognostically indicative of better verbal DQ and adaptive behaviour outcomes for the cohort overall. Moderation analyses indicated a single predictive effect-of pre-program sustained attention for subsequent NVDQ outcomes specific to those children receiving G-ESDM. These findings suggest that fine-grained measures of learning skills offer promise towards the selection and tailoring of intervention approaches to meet individual children's learning needs.

9.
Accid Anal Prev ; 186: 107036, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36996603

RESUMO

Traffic accidents occur frequently in urban underground road diverging and merging areas due to the limited vision and complex traffic. Well-designed traffic visual guidance is one of the effective measures to alleviate the traffic safety problems in the diverging and merging areas of urban underground roads. In this study, four different integrated traffic guidance schemes (including signs, marking lines and sidewall guidance) were proposed and their effects on drivers' behaviour were investigated through driving simulator experiments and questionnaire survey. To investigate the influence of different schemes, eight variables about driving behaviour and guidance efficiency were assessed for analysis. Finally, a fuzzy comprehensive evaluation model based on analytic hierarchy process (FCE + AHP) was constructed to evaluate the effect of guidance schemes. Vehicle running state, driver operation behaviour and guidance efficiency were mainly considered. The guidance evaluation results obtained by the model were consistent with the conclusions of the driver subjective questionnaire. The results show that reasonable setting of white dotted lines and colour guidance can help drivers find exits quickly and improve driving stability. However, excessive combination of traffic guidance leads to information overload and produces the opposite effect. This study can provide a generic framework for the design and evaluation of traffic guidance facilities of urban underground roads.


Assuntos
Acidentes de Trânsito , Condução de Veículo , Humanos , Acidentes de Trânsito/prevenção & controle , Inquéritos e Questionários
10.
Int J Dev Disabil ; 69(1): 29-44, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36743321

RESUMO

Positive Behaviour Support is an applied behaviour analytic system of support that is utilised in schools and in residential care settings for children and adults with disabilities who engage in challenging behaviour. Implementation fidelity depends on appropriate staff training and organisational behaviour management. A systematic literature review is reported that evaluated the evidence in relation to change in staff and service user behaviour and the impact of organisational behaviour management systems on effectiveness, generalization, and maintenance of these outcomes. Nine relevant articles were identified and analysed according to (1) the demographics of staff and residents and methods of staff training; (2) organisational behaviour management systems; (3) staff and service-user behavioural outcome measures; and (4) the methodological quality of the study. A combination of antecedent and consequence-based training strategies was used in the studies. Eight studies reported on the organisational behaviour management systems that were used, with five reporting on the responsibility of trainees to transfer their training to their untrained teams (pyramidal training). Although the studies reported on staff behaviour change following the training, only one of the studies reported significant increases of service user quality of life as a result of staff training and only two studies provided adequate methodological strength.

11.
Int J Dev Disabil ; 69(1): 5-12, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36743322

RESUMO

Positive behaviour support and schoolwide positive behavioural interventions and supports (PBIS) emerged in response to the misuse of behavioural theory and ableism in educational systems. Yet even with these advances, inequitable outcomes based on ability and race persist. The purpose of this article is to describe an equity-centred schoolwide PBIS approach that harnesses behavioural theory and the PBIS framework to focus specifically on systems change to lead to equitable outcomes. There is emerging evidence of promise for increasing racial equity in student outcomes, and implications and suggestions are provided to increase equity by disability status. In providing practitioners with clear steps to reduce ableism and racism in educational systems, this line of research stands to benefit all students and families.

12.
J Theor Biol ; 562: 111420, 2023 04 07.
Artigo em Inglês | MEDLINE | ID: mdl-36736855

RESUMO

In this work we address the problem of tumour growth control by properly exploiting a low-dimensional model that grounds on the Chemical Reaction Network (CRN) formalism. Originally conceived to work both in deterministic and stochastic frameworks, it is shown that, except for the case of very low number of tumour cells, the deterministic approach is appropriate to characterize the system behaviour, especially for control planning purposes. Two alternative control approaches are here investigated. One trivially assumes a constant infusion of external drug administration, the other is designed according to a state-feedback control scheme, with complete or partial knowledge of the state. Pros and cons of both control laws are investigated, showing that the tumour size at the beginning of the therapy plays a role of paramount importance for fixed infusion therapies, whilst only state-feedback laws can eradicate arbitrarily large tumours.


Assuntos
Modelos Biológicos , Neoplasias , Humanos , Simulação por Computador , Processos Estocásticos
13.
Behav Processes ; 206: 104831, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36693576

RESUMO

In the resource-defence mating system, where males compete for limited resources to acquire females, male traits associated with fighting ability are selected, leading to the evolution of sexual dimorphism. However, the evolution of sexual dimorphism is also driven by other mechanisms, such as female selection. Therefore, to elucidate the evolutionary mechanisms of male traits, it is necessary to clarify their contribution to fitness through male-male competition. In this regard, it is surprising that numerous studies on sexually dimorphic species have assumed the resource-defence mating system without directly examining the relationship between resource-defending behaviour and mating success. In a sexually dimorphic fruit fly, Drosophila prolongata, the presence of the resource-defence mating system has been suggested, but technical difficulties had prevented spatial quantification of the resource-defending behaviour. In this study, by using an automated behaviour analysis tool previously developed, we located the occurrence of male-male competition and courtship to investigate their relationship in D. prolongata, considering the position of food resources. We found that the male-male competition led to the exclusive occupation of resources, increasing the courtship opportunities of the resource holders. These results illustrate the importance of resource-defending for reproductive success in D. prolongata.


Assuntos
Drosophila , Comportamento Sexual Animal , Animais , Feminino , Masculino , Reprodução , Caracteres Sexuais , Corte
14.
ISA Trans ; 136: 468-482, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36513543

RESUMO

The wheelset bearing is an indispensable part of the high-speed train, and monitoring its service performance is a concern of many researchers. Effective extraction of those impulse signals induced by the defects on the bearing elements is the key to fault detection and behaviour analysis. However, the presence of considerable noise and irrelevant components brings difficulties to extracting the wheelset bearing fault impulse signals from the measured vibration signals. This paper proposes an improved explicit shift-invariant dictionary learning (IE-SIDL) method to address this issue. Based on the shift-invariant characteristics of the wheelset bearing fault impulse signal in the time-domain, the circulant matrix is used to construct a shift-invariant dictionary and explicitly characterize the fault impulses at any time. To improve the efficiency of dictionary learning, a method of three flips is introduced to realize fast dictionary construction, and the frequency-domain reconstruction property of the circulant matrix is employed to quickly update the dictionary. Besides, an indicator-guided subspace pursuit (SP) method based on the sparsity of envelope spectrum (SES) is adopted for the sparse coding to improve sparse solution accuracy and adaptation. The effectiveness of the IE-SIDL method is proved through the simulated and experimental signals. The results demonstrate that the improved dictionary learning method has an excellent capacity in extracting fault impulse signal of the wheelset bearings, and the good time- and frequency-domain characteristics of the processed signals facilitate fault detection and behaviour analysis.

15.
J Dev Phys Disabil ; 35(3): 417-447, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-35919665

RESUMO

There is a growing body of evidence supporting the use of telehealth to provide parent training in behaviour analytic interventions and researchers have begun to focus on international demonstrations of this model. The current study assessed the efficacy of a training package focused on naturalistic teaching strategies designed to upskill parents of children with autism spectrum disorder and provide them with ready to use strategies to increase social communication behaviours across verbal operants. Two parent-child dyads were trained to increase mand, tact and intraverbals during play. Parents displayed increases in fidelity for each strategy and viewed the training favourably. Both children showed gains across verbal operants, as captured by a multiple baseline across behaviours design. Supplementary Information: The online version contains supplementary material available at 10.1007/s10882-022-09859-4.

16.
Sensors (Basel) ; 22(24)2022 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-36560385

RESUMO

(1) Background: The research area of video surveillance anomaly detection aims to automatically detect the moment when a video surveillance camera captures something that does not fit the normal pattern. This is a difficult task, but it is important to automate, improve, and lower the cost of the detection of crimes and other accidents. The UCF-Crime dataset is currently the most realistic crime dataset, and it contains hundreds of videos distributed in several categories; it includes a robbery category, which contains videos of people stealing material goods using violence, but this category only includes a few videos. (2) Methods: This work focuses only on the robbery category, presenting a new weakly labelled dataset that contains 486 new real-world robbery surveillance videos acquired from public sources. (3) Results: We have modified and applied three state-of-the-art video surveillance anomaly detection methods to create a benchmark for future studies. We showed that in the best scenario, taking into account only the anomaly videos in our dataset, the best method achieved an AUC of 66.35%. When all anomaly and normal videos were taken into account, the best method achieved an AUC of 88.75%. (4) Conclusion: This result shows that there is a huge research opportunity to create new methods and approaches that can improve robbery detection in video surveillance.


Assuntos
Crime , Roubo , Humanos , Benchmarking , Gravação de Videoteipe
17.
Front Neurosci ; 16: 984618, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36312036

RESUMO

Background: Challenging behaviour (CB) comprises various forms of aggressive and problematic behaviours frequently occurring in children with intellectual and developmental disability (IDD) or autism spectrum disorder (ASD). CB often arises from impaired communication or problem solving skills. It is often met with coercive measure due to a lack of alternative strategies on the part of the caregiver, while it also impacts on the caregivers due to the exposure to physical harm and high levels of stress. Within the ProVIA project we developed a smartphone-based tool for caregivers of children with IDD and/or ASD to prevent and modify CB. The ProVIA app systematically helps caregivers to identify specific causes of CB and provides individualised practical guidance to prevent CB and consecutive coercive measures, thus aiming to improve the health and well-being of the children and caregivers. Methods: In this uncontrolled open trial we will enrol N = 25 caregivers of children aged 3-11 years with a diagnosis of IDD and/or ASD. Participants will use the ProVIA-Kids app for 8 weeks. During the intervention phase, participants will conduct behaviour analyses after each instance of CB. The app will summarise the identified putative causes for the CB in each situation, and provide recommendations regarding the handling and prevention of CB. Furthermore, the app will aggregate data from all available behaviour analyses and identify the most relevant (i.e., most frequently reported) risk factors. Measurement points are at baseline (T0), after the intervention (T1) and 12 weeks after the end of the intervention (follow-up; T2). The primary outcome is the absolute change in parental stress (EBI total scale) between T0 and T1. Further aspects of interest are changes in CB severity and frequency, caregiver mood, satisfaction with the parenting role (EFB-K total scale) and experienced parenting competence (FKE total scale). Pre-post comparisons will be analysed with paired sample t-tests. Discussion: ProVIA is pioneering structured behaviour analysis via smartphone, assessing predefined causes of CB and providing feedback and recommendations. If this approach proves successful, the ProVIA-Kids app will be a valuable tool for caregivers to prevent CB and improve their own as well as the children's quality of life. Trial registration: The study is registered at https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_IDDRKS00029039 (registered May 31, 2022).

18.
J Dev Phys Disabil ; 34(6): 1089-1120, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35370389

RESUMO

Interventions based upon applied behaviour analysis (ABA) have been shown to be best practice for children with autism spectrum disorder. However, in many parts of the world there is a shortage of appropriately trained behaviour analysts. Telehealth is a potential solution to increasing access to ABA. Our study assessed the use of telehealth to provide parent training in naturalistic teaching strategies designed to increase child communication skills. Five parent child dyads took part in the training, utilising didactic training and synchronous coaching. Parents could be trained to a high level of fidelity and viewed the training favourably. Children showed variable gains in communication and improved positive affect. The project was cost effective in comparison with traditional training models.

19.
Front Vet Sci ; 9: 832239, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35372536

RESUMO

Animal welfare is an inextricable part of livestock production and sustainability. Assessing welfare, beyond physical indicators of health, is challenging and often relies on qualitative techniques. Behaviour is a key component of welfare to consider and Qualitative Behaviour Assessment (QBA) aims to achieve this by systematically scoring behaviour across specific terms. In recent years, numerous studies have conducted QBA by using video footage, however, the method was not originally developed using video and video QBA (V-QBA) requires validation. Forty live QBAs were conducted, by two assessors, on housed beef cattle to help fill this validation gap. Video was recorded over the assessment period and a second video assessment was conducted. Live and video scores for each term were compared for both correlation and significant difference. Principle component analysis (PCA) was then conducted and correlations and differences between QBA and V-QBA for the first two components were calculated. Of the 20 terms, three were removed due to an overwhelming majority of scores of zero. Of the remaining 17 terms, 12 correlated significantly, and a significant pairwise difference was found for one ("Bored"). QBA and V-QBA results correlated across both PC1 (defined as "arousal") and PC2 (defined as "mood"). Whilst there was no significant difference between the techniques for PC1, there was for PC2, with V-QBA generally yielding lower scores than QBA. Furthermore, based on PC1 and PC2, corresponding QBA and V-QBA scores were significantly closer than would be expected at random. Results found broad agreement between QBA and V-QBA at both univariate and multivariate levels. However, the lack of absolute agreement and muted V-QBA results for PC2 mean that caution should be taken when implementing V-QBA and that it should ideally be treated independently from live QBA until further evidence is published. Future research should focus on a greater variety of animals, environments, and assessors to address further validation of the method.

20.
BMC Geriatr ; 22(1): 261, 2022 03 29.
Artigo em Inglês | MEDLINE | ID: mdl-35351026

RESUMO

BACKGROUND: Persons with dementia living in nursing homes need assistance with moving and transfers; however, caregivers assisting persons with dementia in their daily person transfers report strain-related and complicated transfer-related behavioural problems. The reciprocity of complex dyadic transfer-related behaviours is affected by environmental factors, the health status of the person with dementia and the caregiver's skills and knowledge. The aim of this study was to explore tailored interventions guided by a functional behaviour analysis for problematic person transfer situations in two dementia care dyads. METHODS: This study was a quasi-experimental single-case study with an A-B design. Tailored interventions were developed in a five-step model for functional behavioural analysis. The study was conducted in a dementia special care unit at a nursing home, and the inclusion criteria were caregivers' experiences of physical strain and/or resistiveness to care, which led to complex transfer-related behaviour. Two care dyads were included. Transfer situations were video-recorded and evaluated with the Dyadic Interaction in Dementia Transfer Assessment Scale, Pain Assessment in Advanced Dementia Scale, and Resistiveness to Care Scale for Dementia of the Alzheimer's Type. The caregiver experience was evaluated with study-specific items addressing caregiver self-efficacy, catastrophizing thoughts, perceived control, and perceived physical strain. Scorings were graphically displayed. The graphs were inspected visually to identify changes in trend, level, latency, and variability. Nonoverlap of all pairs (NAP), including 90% confidence intervals (CIs), was calculated to complement the visual inspection. RESULTS: Verbal and nonverbal discomfort decreased in care dyad 1, which mirrored the caregiver changes in adapting their actions to the needs of the person with dementia. High variability was seen in both the intervention and the baseline phases in care dyad 2. In both care dyads, caregiver transfer-related behaviour improved. CONCLUSIONS: The results indicate that the transfer-related behaviours of the care dyad might be improved through a behaviour-directed intervention tailored to meet the care dyad´s needs. The small number of cases and observations limits the generalizability, and the results should be interpreted in consideration of the piloting approach of the study.


Assuntos
Demência , Terapia Comportamental , Cuidadores , Humanos , Relações Interpessoais , Casas de Saúde
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