المؤلفون: Gosling, Julie, Craven, Michael P., Dening, Tom, Coleston-Shields, Dons, Aberturas, Adriana G., Martin, Sandra G., Muñoz, Marcos, Ruiz, Guillermo B., Bueno, Yolanda, Almeida, Rosa, Català, Andreu, Diaz, Marta, Karahanoglu, Armağan, Ludden, Geke D. S., Smith, Tina, Niederer, Kristina, Lüneburg, Lisa-Marie, Tournier, Isabelle, Abrilahij, Afsaneh

مصطلحات موضوعية: Demenz, MinD Conference, Demenz, Auswertung, Co-Design, Achtsamkeit, Dementia, MinD Conference, dementia, evaluation, co-design, mindfulness, info:eu-repo/classification/ddc/620, ddc:620

الوصف: A pragmatic model, AIR (Activities; Internal world; Relationships), is presented for co-design of technologies and products to support well-being of people living with dementia. This model, co-developed with people with lived experience, is aimed at including psychosocial aspects in the prototype development process. The model is then related to a form of mindful evaluation framework that can be employed during the prototype testing of co-designed solutions. The components of this evaluation framework and associated instruments are described.

العلاقة: urn:nbn:de:bsz:14-qucosa2-353220; qucosa:35322

الإتاحة: https://tud.qucosa.de/id/qucosa%3A36599Test
https://tud.qucosa.de/api/qucosa%3A36599/attachment/ATT-0Test/

المؤلفون: Broome, Emma Elizabeth, Coleston-Shields, Donna Maria, Dening, Tom, Moniz-Cook, Esme, Poland, Fiona, Stanyon, Miriam, Orrell, Martin

المصدر: JMIR Research Protocols, Vol 9, Iss 10, p e18971 (2020)

مصطلحات موضوعية: Medicine, Computer applications to medicine. Medical informatics, R858-859.7

الوصف: BackgroundSpecialist community teams often support people with dementia who experience crisis. These teams may vary in composition and models of practice, which presents challenges when evaluating their effectiveness. A best practice model for dementia crisis services could be used by teams to improve the quality and effectiveness of the care they deliver. ObjectiveThe aim of this study is to examine the feasibility of conducting a large-scale randomized controlled trial comparing the AQUEDUCT (Achieving Quality and Effectiveness in Dementia Using Crisis Teams) Resource Kit intervention to treatment as usual. MethodsThis is a multisite feasibility study in preparation for a future randomized controlled trial. Up to 54 people with dementia (and their carers) and 40 practitioners will be recruited from 4 geographically widespread teams managing crisis in dementia. Quantitative outcomes will be recorded at baseline and at discharge. This study will also involve a nested health economic substudy and qualitative research to examine participant experiences of the intervention and acceptability of research procedures. ResultsEthical approval for this study was granted in July 2019. Participant recruitment began in September 2019, and as of September 2020, all data collection has been completed. Results of this study will establish the acceptability of the intervention, recruitment rates, and will assess the feasibility and appropriateness of the outcome measures in preparation for a large-scale randomized controlled trial. ConclusionsThere is a need to evaluate the effectiveness of crisis intervention teams for older people with dementia. This is the first study to test the feasibility of an evidence-based best practice model for teams managing crisis in dementia. The results of this study will assist in the planning and delivery of a large-scale randomized controlled trial. International Registered Report Identifier (IRRID)DERR1-10.2196/18971

وصف الملف: electronic resource

العلاقة: http://www.researchprotocols.org/2020/10/e18971Test/; https://doaj.org/toc/1929-0748Test

الوصول الحر: https://doaj.org/article/23c708fa12d14caea598e38f7906abacTest

المؤلفون: Dening, Tom

مصطلحات موضوعية: RC 321 Neuroscience. Biological psychiatry. Neuropsychiatry

الوصف: Aim: This thesis presents nine of my published papers based around a common theme of meaningful activity in dementia. The papers and the accompanying text will explore the concept of meaningful activity and whether it is relevant to dementia; the use of meaningful activities for people living with dementia in various settings; and the experiences of people with dementia participating in such activities. Background: An overview of the published literature regarding four areas of meaningful activity is presented in Chapter 2. These areas, which reflect topics of the included papers, comprise: access to the outdoors; exercise and other group activities; dementia and the arts; and involving people with dementia in mindful design. Chapter 3 is a critical discussion of the concept of meaningful activity. Meaningful activity is a concept with considerable limitations but remains useful in psychosocial research and practice in dementia. Methods: The methods of each study are described in each of the nine included papers but the overall methodological approach is summarised in Chapter 4. In general, the approach is exploratory and qualitative, and places a strong emphasis on the voices and experiences of people living with dementia. Results: As with the methods, the detailed results are included in each study. Chapter 5 provides an overall summary of the results, and combines results from those papers with similar methods. Altogether, over 100 people living with dementia have contributed to the data, either as study participants or in the process of co-design. The nine papers included appear in Chapter 6, with the abstract as published and a commentary on each one. The full texts of the papers are reproduced in Appendices 2 to 10. The nine papers fall into four broad groups: Paper 1 is about outdoor access; Papers 2 to 5 concern exercise and other group activities; Paper 6 to 8 are studies of arts interventions; and Paper 9 is about design for and with people living with the dementia. The individual papers are as follows: Paper 1 is an invited editorial that argues for improved access to outdoor space for all people with dementia, whether resident in their own homes or in care homes. This argument is based upon a human rights perspective. Paper 2 reports a qualitative study of a community based sports and exercise group for men with young onset dementia. Four main themes were identified, with enjoyment, anticipation and the creation of a 'dementia-free' environment, set alongside less positive themes of loss and lack of other appropriate resources. Paper 3 is a qualitative study of using multisensory boxes as the basis for a storytelling group intervention for care home residents with dementia. The themes generated in our analysis included engagement, curiosity about the contents of the boxes, and the opportunity for self-expression. Paper 4 describes a qualitative study of a Boccia (modified indoor bowls) group for people with dementia. Four main themes were identified, three of them positive: the family nature of the group, the characteristics of Boccia as a sport, and the sense of equality and freedom from dementia in the group. Paper 5, another qualitative study, investigated a weekly swimming group for people with dementia. Themes included the impact of dementia, the pleasure of swimming, and how the group created a sense of equality or being 'all in the same boat'. Paper 6 reports two case studies of arts interventions for care home residents that were provided as part of a larger arts project. The case studies explored the perceptions of the artists and care home staff and draws attention to the crucial role of care home activity co-ordinators. Paper 7 includes more than one individual study (focus groups and case study) that were used to create a taxonomy of arts interventions in dementia. The paper presents a striking visual model with twelve descriptive dimensions, thus providing a common language for description and future research. Paper 8 is a single case study of a person with advanced dementia and her interaction with a visual art installation in an exhibition, using video analysis. The study was an exploration of capturing the in the moment experience of the participant but also as to whether a person with profound disability could engage with visual art. Paper 9 is a report on a European programme of work around mindful design with and for people with dementia, which provides a background to the work, a description of the models and the approach to co-design that were used, and concludes with a series of design guidelines for different stakeholder groups. Discussion and Conclusions: The main findings and the contribution of the work as a whole are presented and discussed in the final chapter of the thesis. Collectively, the papers present several positive findings. Participation in groups providing exercise or stimulating activities is enjoyed and valued by those taking part. Under the right circumstances, such activities have powerful effects, such as levelling things up for people with dementia, creating equality between group members, and reducing the sense of 'us and them' (that is, people with and without dementia). These effects act to enhance the dignity and confidence of participants and reduce the stigma of dementia. In addition, establishing meaningful collaboration with people with lived experience of dementia requires attention to several elements: how and why people are approached initially; how the invitation to participate is framed; observing relevant rights, permissions and consent; creating an equitable and inclusive working environment; and accessible communication and participatory activities that include everyone. There is much common ground across the nine papers, which may be described as an overriding theme of rights, empowerment, liberty and activity, all of which aim at enjoyment and social interaction. The studies included in this thesis have certain strengths, which include the exploratory nature of the studies, the collection of data in naturalistic surroundings, and the emphasis on recording the experiences of the participants with dementia. Possible limitations include the relatively small sample sizes and lack of quantitative data, though it is argued that these are not really required in exploratory studies looking at people's personal experiences. As a body of work, the nine papers in this thesis make a significant contribution to research and scholarship in the area of meaningful activity in dementia. Future research will need to explore the mechanisms by which interventions 'work' and to continue exploration of studying in the moment experiences. Involvement of people living with dementia is essential in order to design products or activities that they may value, and in order to ascertain that allegedly meaningful activities actually do have personal significance.

الوصول الحر: https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.874404Test

المؤلفون: Weng, Ying, Zhang, Yiming, Wang, Wenxin, Dening, Tom

الوصف: Supervised machine learning requires training on the dataset with annotation. However, fine-grained annotation is very expensive to acquire. In the medical image analysis domain, the sheer volume of data and lack of annotation limit the performance of the model. To address these limitations, semi-supervised information fusion has recently emerged as an important and promising paradigm owing to its ability to exploit labelled and unlabelled data and combine information from multiple sources to obtain a more robust and accurate performance. In this survey, we review the recent progress of semi-supervised information fusion for medical image analysis. Moreover, we categorize the state-of-the-art information fusion applications of semi-supervised learning with in-depth analysis. Finally, we discuss the challenges and outline the future perspective.

العلاقة: https://nottingham-repository.worktribe.com/output/31452852Test; Information Fusion; Volume 106; https://nottingham-repository.worktribe.com/file/31452852/1/Semi-supervised%20information%20fusion%20for%20medical%20image%20analysisTest

الإتاحة: https://doi.org/10.1016/j.inffus.2024.102263Test
https://nottingham-repository.worktribe.com/file/31452852/1/Semi-supervised%20information%20fusion%20for%20medical%20image%20analysisTest
https://nottingham-repository.worktribe.com/output/31452852Test

المؤلفون: Neal, David, Engelsma, Thomas, Tan, Joséphine, Craven, Michael P., Marcilly, Romaric, Dusseljee-Peute, Linda, Dening, Tom, Jaspers, Monique, Dröes, Rose-Marie

المساهمون: Université de Lille, CHU Lille, Amsterdam University Medical Centers Amsterdam UMC, University of Nottingham, UK UON, Centre d'Investigation Clinique - Innovation Technologique de Lille - CIC 1403 - CIC 9301 CIC Lille, METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

الوصف: 4

وصف الملف: application/rdf+xml; charset=utf-8; application/pdf

العلاقة: The Lancet Digital Health; Lancet Digit Health; http://hdl.handle.net/20.500.12210/90155Test

الإتاحة: https://doi.org/20.500.12210/90155Test
https://hdl.handle.net/20.500.12210/90155Test

المؤلفون: Chen, Ke, Weng, Ying, Hosseini, Akram A., Dening, Tom, Zuo, Guokun, Zhang, Yiming

المصدر: Neural Networks ; volume 169, page 442-452 ; ISSN 0893-6080

مصطلحات موضوعية: Artificial Intelligence, Cognitive Neuroscience

الإتاحة: https://doi.org/10.1016/j.neunet.2023.10.040Test
https://api.elsevier.com/content/article/PII:S0893608023006020?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0893608023006020?httpAccept=text/plainTest

المؤلفون: Burgon, Clare, Heffernan, Eithne, Dening, Tom, Calvert, Sian, Rajasingam, Saima, Henshaw, Helen, Broome, Emma

المساهمون: Ciorba, Andrea, Hatzopoulos, Stavros

مصطلحات موضوعية: dementia, hearing loss, multimorbidity, audiology, interprofessional care

الوصف: Both dementia and hearing loss are highly prevalent in older adults and often coexist, increasing the complexity of diagnosis and management of both conditions. As the population ages, an increasing number of people will experience both long-term conditions. The cause of the association is unclear, although there are several commonly proposed mechanisms. Within this chapter, we explore current challenges that exist in discriminating between symptoms and complications of hearing and cognitive difficulties, and how these factors can impact the identification and management of both conditions. Management options, including the role of audiology services and care, will be presented, and explored in context. As hearing loss has been identified as a potentially modifiable risk factor for dementia, contemporary research evidencewill be highlighted, including the challenges associated with research study design and interpretation. We conclude by exploring opportunities in care, research, and knowledge exchange, offering new approaches to improve the quality of life of those living with both dementia and hearing loss and those who care for them. Throughout this chapter, we provide the perspectives of individuals who have personally dealt with these conditions, as well as the viewpoints of their caregivers. This helps us connect concepts and evidence with real-life experiences.

العلاقة: https://nottingham-repository.worktribe.com/output/27074253Test; Pagination 1-27; https://nottingham-repository.worktribe.com/file/27074253/1/1145572Test

الإتاحة: https://doi.org/10.5772/intechopen.1003179Test
https://nottingham-repository.worktribe.com/file/27074253/1/1145572Test
https://nottingham-repository.worktribe.com/output/27074253Test

المؤلفون: Ziebuhr, Berit, Zanasi, Michele, Bueno Aguado, Yolanda, Losada Durán, Raquel, Dening, Tom, Tournier, Isabelle, Niedderer, Kristina, Diaz, Ana, Druschke, Diana, Almeida, Rosa, Holthoff-Detto, Vjera

المساهمون: St. Hedwig Kliniken Berlin, Alexianer Krankenhaus Hedwigshoehe, Berlin 12526, St. Hedwig Kliniken Berlin, Alexianer Krankenhaus Hedwigshoehe, Fundación INTRAS, INTRAS Neuropsychology Clinic, Fundación INTRAS, RDi Projects Department, Institute of Mental Health, University of Nottingham, UK (UON), Université Toulouse - Jean Jaurès (UT2J), Université de Toulouse (UT), Manchester Metropolitan University, Department of Design, Manchester School of Art, Manchester Metropolitan University, Paul Scherrer Institute (PSI), Alzheimer Europe, Center for Evidence-Based Healthcare, University Hospital Carl Gustav Carus, Department of Psychiatry and Psychotherapy, Carl Gustav Carus Faculty of Medicine, University of Technology Dresden, The ‘MinD-Designing for People with Dementia’ project has received funding from the European Union’s Horizon 2020 Research and Innovation Programme under the Marie Skłodowska-Curie grant agreement No 691001.

المصدر: ISSN: 1661-7827.

مصطلحات موضوعية: usefulness, empowerment, self-determination, shared decision-making, [SHS]Humanities and Social Sciences

الوصف: International audience ; This study was designed to advance our understanding of how feelings of empowerment in people living with dementia still residing at home can be promoted. We conducted qualitative interviews with 12 participants with mild-to-moderate stages of dementia in Germany and Spain as part of a European study on mindful design for dementia. A qualitative thematic content analysis was performed to elicit the key features of the experience reported by the interviewees. Three overarching categories were identified: the first category ‘experiencing changes in personal life and coping with changes in life’ covered losses and coping strategies; the second category ‘retaining a sense of usefulness‘ included social participation and the need for activities with others; the third category ‘feeling empowered’ covered reflections on lifetime achievements, accomplishments in the present life, being in control and self-worth. Participants placed a strong emphasis on continuity and on the importance of making active decisions and meaningful social contributions. Empowerment within the person living with dementia was achieved through their interactions with their social environment, including the significance of communication about their needs and wishes and enabling shared decision-making and interactions with others in reciprocity.

العلاقة: hal-04127476; https://hal.science/hal-04127476Test; https://hal.science/hal-04127476/documentTest; https://hal.science/hal-04127476/file/Living%20Well%20with%20Dementia%20Feeling%20Empowered%20through%20Interaction%20with%20Their%20Social%20Environment%20%28Ziebuhr%20et%20al.%29.pdfTest

الإتاحة: https://doi.org/10.3390/ijerph20126080Test
https://hal.science/hal-04127476Test
https://hal.science/hal-04127476/documentTest
https://hal.science/hal-04127476/file/Living%20Well%20with%20Dementia%20Feeling%20Empowered%20through%20Interaction%20with%20Their%20Social%20Environment%20%28Ziebuhr%20et%20al.%29.pdfTest

المؤلفون: Tournier, Isabelle, Orton, Laura, Dening, Tom, Ahmed, Anya, Holthoff-Detto, Vjera, Niedderer, Kristina

المساهمون: Université Toulouse - Jean Jaurès (UT2J), Université de Toulouse (UT), Manchester Metropolitan University, Institute of Mental Health, University of Nottingham, UK (UON)

المصدر: ISSN: 1661-7827.

مصطلحات موضوعية: [SHS]Humanities and Social Sciences

الوصف: International audience ; Many people are keen to be actively involved in social life and activities, but even at an early stage, dementia can have a negative impact on social participation and access to leisure activities. As part of the IDoService project, this study has investigated people’s needs and wishes, barriers and facilitators to identify opportunities for improving access to meaningful activities. Individual and focus group interviews were conducted with 5 people living with mild to moderate dementia, 2 familial and 2 professional care partners, as well as 12 people working in the field of dementia and/or community activities. Thematic analysis has highlighted the benefits of participating in meaningful activities, such as empowerment and pride, social contacts, and feeling useful to others. A number of barriers to participation relating to individual and environmental factors were reported. Even where participants praised dementia-friendly activities and facilities, they advocated activities inclusive for all and mentioned that some people might be reluctant to participate in dementia-labelled activities because they may not be suitable for their needs. These results indicate the need for developing tailored opportunities for people with mild to moderate dementia and provide valuable insights for researchers, service providers, policymakers and charities wanting to improve access.

العلاقة: hal-04088314; https://hal.science/hal-04088314Test; https://hal.science/hal-04088314/documentTest; https://hal.science/hal-04088314/file/ijerph-20-05358.pdfTest

الإتاحة: https://doi.org/10.3390/ijerph20075358Test
https://hal.science/hal-04088314Test
https://hal.science/hal-04088314/documentTest
https://hal.science/hal-04088314/file/ijerph-20-05358.pdfTest

المؤلفون: Begde, Ahmet, Jain, Manisha, Goodwin, Maria, Brayne, Carol, Barnes, Linda, Brooks, Rachael, Green, Emma, Richardson, Connor, Dening, Tom, Wilcockson, Thomas, Hogervorst, Eef

مصطلحات موضوعية: Technology, older adults, ageing, memory, activities of daily living

الوصف: Technology is widely promoted as a solution to greater independence and better health for the rapidly growing UK older population. If this is to be realised, we need to understand barriers and facilitators to uptake and investigate who wants this technology and who does not express an interest in use. This analysis is based on data from a population-based cohort study, the Cognitive Function and Ageing Study (CFAS)-II, which focused on brain health in older people and included questions about access to- and interest in- internet technologies. The factors affecting willingness to use technologies that support memory and ADL were identified using binary logistic regression analysis. 541 people aged 75 years and older from Cambridgeshire, Nottingham and Newcastle responded. Older adults were more willing to use technologies directed towards improving memory (65%) than towards ADL supportive technologies (38%). Regression analysis showed that an older age (OR = 0.64, 95% CI = 0.34–0.98), female gender (OR = 0.64, 95% CI = 0.42–0.99), no access to technology including laptops and tablets (OR = 0.48, 95% CI = 0.32–0.72), and self-reported physically less slowing down (but no objective health indicators) (OR = 0.57, 95% CI = 0.36–0.88) were strongly associated with UK older adults’ lesser willingness to use memory assistive technologies while not having access to laptops and tablets (OR = 0.57, 95% CI = 0.39–0.84) was associated with willingness to use ADL supportive technologies. Older people, females and those with less access to technologies should be considered as target groups by healthcare providers, policymakers, and technology producers to promote technology and support healthy and independent ageing.

العلاقة: https://nottingham-repository.worktribe.com/output/20566873Test; Information, Communication and Society; Volume 27; Issue 2; Pagination 368-385; https://nottingham-repository.worktribe.com/file/20566873/1/willingness%20of%20older%20adults%20to%20use%20assistive%20technologiesTest

الإتاحة: https://doi.org/10.1080/1369118X.2023.2205915Test
https://nottingham-repository.worktribe.com/file/20566873/1/willingness%20of%20older%20adults%20to%20use%20assistive%20technologiesTest
https://nottingham-repository.worktribe.com/output/20566873Test