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P2‐647: THE AMAZING GRACE CHORUS, A CULTURALLY TAILORED CHORUS FOR AFRICAN AMERICANS WITH DEMENTIA: ADDRESSING STIGMA AND FACILITATING COMMUNITY ENGAGEMENT FOR QUALITY OF LIFE
Author(s) -
Green-Harris Gina,
Houston Stephanie,
Norris Nia,
Coley Sheryl L.,
Edwards Dorothy Farrar
Publication year - 2018
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.2018.06.1343
Subject(s) - chorus , feeling , dementia , psychology , quality of life (healthcare) , outreach , gerontology , stigma (botany) , medicine , social psychology , psychiatry , psychotherapist , political science , art , literature , disease , pathology , law
modelled the relationship between MMSE and EQ-5D utility/VAS scores and EQ-5D domains (no problems vs any problems), respectively, with MMSE as independent variable. Missing MMSE scores were imputed from Hasegawa scores, using multiple imputation. Regressions adjusted for age, sex, BMI, comorbid conditions, concomitant medications, behavioural symptoms and retirement status. Results:Analysis was conducted on 145 patients. Decreasing MMSE was significantly associated with decreasing EQ-5D utility (p1⁄40.002), self-care (p1⁄40.003) and usual activities (p1⁄40.047), as measured by EQ-5D domains. MMSE was not associated with EQ5D VAS (p1⁄40.100), or EQ-5D domains of mobility (p1⁄40.079), pain/discomfort (p1⁄40.191), and anxiety/depression (p1⁄40.863). Models indicated a mostly linear association between MMSE and EQ-5D utility (e.g. approximately -0.02 per unit decrease for MMSE 20-10), but the likelihood of a patient having problems with self-care or usual activities rose most sharply in the approximate MMSE ranges 20-10 and 30-15, respectively. Conclusions: There is a strong association between MMSE severity and a patient’s quality of life, measured by EQ5D. Examination of specific EQ5D domains indicated that in order to have most impact to maintain self-care and usual activities an intervention would have to come early.