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P4‐180: THE RATIONALE AND PROTOCOL FOR THE SYSTEMATIC MULTIDOMAIN ALZHEIMER'S RISK REDUCTION TRIAL (SMARRT)
Author(s) -
Yaffe Kristine,
Rosenberg Dori E.,
Ludman Evette,
Barnes Deborah E.,
Dublin Sascha,
Kaup Allison R.,
Vittinghoff Eric,
Larson Eric B.
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.2018.06.2585
Subject(s) - medicine , dementia , intervention (counseling) , psychological intervention , disease , protocol (science) , randomized controlled trial , cognitive decline , clinical trial , health care , psychiatry , alternative medicine , pathology , economics , economic growth
to intellectual activity was restored, but reduced its productivity. For the study of social support we evaluated relationship of patients with the relatives and friends. They were estimated as well in only 24.8% of the patients, in 24.6% of cases there were conflicts, tensions, in 34.8% unstable and 15.8% neutral relationship. Psychosocial problems in families of patients can be considered, along with issues of working adaptation, as complicating the disease and reducing the quality of life of patients. Conclusions:As part of physical functioning, deterioration of life of the individual caused by problems of physical pain or physical discomfort, fatigue and lack of energy and strength, as well as the inability to sufficiently relax. The difficulties in the psychological field, adversely affecting the well-being of life, arose due to the lack of positive or negative emotions excess, problems with thinking, memory and attention, as well as due to lower self-esteem. The results obtained in the study relating to the functioning of patients, along with clinical characteristics may be one of the most important components of evaluation of the quality of mental health care, used in the planning of activities of mental health services, to carry out more targeted medical and social assistance.