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P4–202: Using Kitwood's personhood model in the context of caring for people with dementia: Illustrative vignettes of best practices
Author(s) -
LeNavenec Carole L.
Publication year - 2006
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2006.05.1942
Subject(s) - personhood , dementia , context (archaeology) , checklist , psychology , population , psychological intervention , family caregivers , quality of life (healthcare) , gerontology , nursing , medicine , psychiatry , political science , paleontology , disease , environmental health , pathology , law , cognitive psychology , biology
anxiety and test-specific distress, and self-reported concern about developing AD; 2) recall of risk information; and 3) health behaviors to reduce disease risk (e.g., diet, exercise changes). We examined differences in these domains by age group (below 60 years vs. 60 years and above), controlling for gender, ethnicity, and APOE status ( 4 vs. 4-). Results: At six weeks following disclosure of risk information, the younger group scored marginally higher on measures of anxiety (mean BAI score 3.9 vs. 2.9, p .07), and test-specific distress (mean IES score 5.3 vs. 3.6, p .07) and was more likely to endorse concern about developing AD (74% vs. 51%, p .0001). The younger group was more likely to correctly recall their APOE genotype (69% vs. 51%, p .002) and lifetime risk estimate (74% vs. 50%, p .0001). No group differences were found regarding health behavior changes. Conclusions: Findings suggest important age group differences in response to genetic risk assessment for AD. Despite being at more imminent risk for AD, following risk disclosure, older participants were less concerned about developing the disease, less likely to recall their personalized risk information, and no more likely to be engaged in health behaviors to reduce disease risk.