Objective We investigated the feasibility and efficacy of cognitive training for older adults in rura settings and with low education levels, who have mild cognitive impairment （MCl）. Methods Forty-five older adults...Objective We investigated the feasibility and efficacy of cognitive training for older adults in rura settings and with low education levels, who have mild cognitive impairment （MCl）. Methods Forty-five older adults （ages 〉65 years） with MCI were assigned to treatment or control groups, at a 2：1 ratio. Cognitive training occurred in the treatment group for 2 months. The cognitive abilities of the participants were assessed at pre-training, metaphase, and post-training time points, using the Mini-Mental State Examination （MMSE）, Montreal Cognitive Assessment （MoCA）, Loewenstein Occupational Therapy Cognitive Assessment （LOTCA）, and Hamilton Depression Scale （HAM-D）. Results Following training, cognitive abilities improved in the treatment group, based on the total scores of all 4 measures, as well as specifically on the MoCA and LOTCA. There were differences in the main effects of group and time point on some subscales, but these differences had little, if any, effect on the overall analyses. Conclusion The present study demonstrated that cognitive training has beneficial effects on attention, language, orientation, visual perception, organization of visual movement, and logical questioning in patients with MCI. Furthermore, the observed effects are long-term changes.展开更多
This study provides information on the development and factor scaling, validity, and reliability of a newly developed community service utilization measure (Older Adult Service Usage Assessment-OASUA). Analyzes indica...This study provides information on the development and factor scaling, validity, and reliability of a newly developed community service utilization measure (Older Adult Service Usage Assessment-OASUA). Analyzes indicate the OASUA can be used to assess current perceived community service use and satisfaction, as well as providing an indication for future service use and potential service needs with older persons. Additional data collection sites should be identified and a broader sample obtained so as to confirm the psychometric properties of the instrument in conjunction with further development of the OASUA.展开更多
目的:分析城乡居民医保整合对农村中老年人心理健康的影响及作用机制,为政策制定提供参考。方法:使用中国健康与养老追踪调查(China Health and Retirement Longitudinal Study, CHARLS)2011年、2013年、2015年和2018年四期面板数据,运...目的:分析城乡居民医保整合对农村中老年人心理健康的影响及作用机制,为政策制定提供参考。方法:使用中国健康与养老追踪调查(China Health and Retirement Longitudinal Study, CHARLS)2011年、2013年、2015年和2018年四期面板数据,运用多期双重差分法评估城乡居民医保整合对农村中老年人心理健康的影响,同时分析性别、慢性病和地区异质性,并进一步检验功能受限和劳动参与的中介效应。结果:城乡居民医保整合可以改善农村中老年人心理健康(P<0.01),对男性、西部地区农村中老年人有更显著的作用,但是在是否患有慢性病方面没有存在差异。城乡居民医保整合可能通过功能受限、劳动参与对农村中老年人的心理健康产生影响。结论:城乡居民医保政策可能对农村中老年人的心理健康产生影响,政府应关注城乡居民医保政策在心理健康方面的效益,在政策制定中充分考虑不同特征农村中老年人的差异,提高统筹层次,强化区域间协同。展开更多
基金supported by the Department of Health,Heilongjiang Province,China
文摘Objective We investigated the feasibility and efficacy of cognitive training for older adults in rura settings and with low education levels, who have mild cognitive impairment （MCl）. Methods Forty-five older adults （ages 〉65 years） with MCI were assigned to treatment or control groups, at a 2：1 ratio. Cognitive training occurred in the treatment group for 2 months. The cognitive abilities of the participants were assessed at pre-training, metaphase, and post-training time points, using the Mini-Mental State Examination （MMSE）, Montreal Cognitive Assessment （MoCA）, Loewenstein Occupational Therapy Cognitive Assessment （LOTCA）, and Hamilton Depression Scale （HAM-D）. Results Following training, cognitive abilities improved in the treatment group, based on the total scores of all 4 measures, as well as specifically on the MoCA and LOTCA. There were differences in the main effects of group and time point on some subscales, but these differences had little, if any, effect on the overall analyses. Conclusion The present study demonstrated that cognitive training has beneficial effects on attention, language, orientation, visual perception, organization of visual movement, and logical questioning in patients with MCI. Furthermore, the observed effects are long-term changes.
文摘This study provides information on the development and factor scaling, validity, and reliability of a newly developed community service utilization measure (Older Adult Service Usage Assessment-OASUA). Analyzes indicate the OASUA can be used to assess current perceived community service use and satisfaction, as well as providing an indication for future service use and potential service needs with older persons. Additional data collection sites should be identified and a broader sample obtained so as to confirm the psychometric properties of the instrument in conjunction with further development of the OASUA.
文摘目的:分析城乡居民医保整合对农村中老年人心理健康的影响及作用机制,为政策制定提供参考。方法:使用中国健康与养老追踪调查(China Health and Retirement Longitudinal Study, CHARLS)2011年、2013年、2015年和2018年四期面板数据,运用多期双重差分法评估城乡居民医保整合对农村中老年人心理健康的影响,同时分析性别、慢性病和地区异质性,并进一步检验功能受限和劳动参与的中介效应。结果:城乡居民医保整合可以改善农村中老年人心理健康(P<0.01),对男性、西部地区农村中老年人有更显著的作用,但是在是否患有慢性病方面没有存在差异。城乡居民医保整合可能通过功能受限、劳动参与对农村中老年人的心理健康产生影响。结论:城乡居民医保政策可能对农村中老年人的心理健康产生影响,政府应关注城乡居民医保政策在心理健康方面的效益,在政策制定中充分考虑不同特征农村中老年人的差异,提高统筹层次,强化区域间协同。
