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An evidence-based exercise and behavior management program for dementia care
- Authors:
- LOGSDON Rebecca G., TERI Linda
- Journal article citation:
- Generations, 34(1), Spring 2010, pp.80-83. Published online.
- Publisher:
- American Society on Aging
Individuals with dementia have often been excluded from exercise programs. Reducing Disability in Alzheimer’s Disease (RDAD) was developed and evaluated with community home health providers to train family caregivers to implement an exercise and behavioural problem-solving program for their care recipients with dementia. Reducing Disability in Alzheimer’s disease consists of 12 hour-long sessions, conducted in the home of the caregiver and care recipient. Each session includes a combination of exercise (with the patient and caregiver together) and caregiver training about dealing with the emotional and behavioural consequences of AD (with the caregiver privately).This article briefly reviews the research evidence supporting the efficacy of RDAD, and focuses on the practical application of the program to increase physical activity and enhance behavioural and affective outcomes in community-based agencies and settings.
Social work and aging: the challenges for evidence-based practice
- Authors:
- MCCALLION Philip, FERRETTI Lisa A.
- Journal article citation:
- Generations, 34(1), Spring 2010, pp.66-71. Published online.
- Publisher:
- American Society on Aging
There has been growing interest among social workers in evidence that would support practices that address the emotional, psychological, and social aspects of aging, illness, and care giving. To move an evidence-based intervention from research to day-to-day social work practice is difficult. There have been achievements in using evidence-based, aging-focused social work practice. Three areas are highlighted: psychosocial; case/care management; and multi-modal interventions. Social work services addressing aging and care giving needs would benefit from greater access to evidence-based practices. While some of those evidence-based practices are already available, there are efforts to build such evidence, and there is a readiness to consider how practices shown to be effective in some situations may be applied to other problems and other populations. However, evidence-based practice in social work has tended to be narrowly focused on psychosocial issues when its interests are much broader and the changes needed in the lives of clients often involve environmental, public policy, and health system concerns. Engagement in the 'sciences' of local implementation and translation is needed to supplement more traditional research efforts.
What’s all this about evidence-based practice? The roots, the controversies, and why it matters
- Authors:
- RAHMAN Annie, APPLEBAUM Robert
- Journal article citation:
- Generations, 34(1), Spring 2010, pp.6-10. Published online.
- Publisher:
- American Society on Aging
The evolution of, advantages of and challenges to evidence-based practice are discussed. For the aging network, one of the biggest barriers to translating evidence-based research into practice stems from the important differences between the services the aging network provides and those delivered by the health sciences. In order for evidence-based practice to become a widely used approach, it must become a truly joint effort of both researchers and practitioners.
Implementing evidence based practices in geriatric mental health
- Authors:
- BARTELS Stephen J., HALEY William E., DUMS Aricca R.
- Journal article citation:
- Generations, 26(1), Spring 2002, pp.90-98.
- Publisher:
- American Society on Aging
At a time when information on new treatment is rapidly growing, clinicians are challenged to identify the interventions that are best supported by the research literature. This challenge is particularly daunting in the field of mental health because the number of well designed treatment studies is relatively small and treatments designed for younger people must be applied to a geriatric population which may respond in a different way.