Knowledge, practice, and attitude of nursing home staff toward the use of physical restraint : have they changed over time?

202312 bckwAccepted ManuscriptOthersSocial Service Department of the Yuen Yuen InstitutePublishedGreen (AAM

Evaluating the effectiveness of a 6-week hybrid mindfulness-based intervention in reducing the stress among caregivers of patients with dementia during COVID-19 pandemic : protocol of a randomized controlled trial

202307 bcchVersion of RecordRGCPublishe

The effects of immersive virtual reality - assisted experiential learning on enhancing empathy in undergraduate health care students toward older adults with cognitive impairment : multiple-methods study

202402 bckwVersion of RecordOthersHong Kong Polytechnic UniversityPublishedC

The use of modified Mindfulness-based Stress Reduction and Mindfulness-based Cognitive Therapy programme for family caregivers of people living with dementia: a feasibility study

PURPOSE: The aim of this study was to investigate the feasibility and preliminary efficacy of a modified Mindfulness-Based Stress Reduction (MBSR) programme and Mindfulness-Based Cognitive Therapy (MBCT) programme for reducing the stress, depressive symptoms, and subjective burden of family caregivers of people with dementia (PWD). METHODS: A prospective, parallel-group, randomized controlled trial design was adopted. Fifty-seven participants were recruited from the community and randomized into either the modified MBSR group (n = 27) or modified MBCT group (n = 26), receiving seven face-to-face intervention sessions over 16 weeks. Various psychological outcomes were measured at baseline (T0), immediately post-intervention (T1), and at the 3-month follow-up (T2). RESULTS: Both interventions were found to be feasible in view of the high attendance (over 70.0%) and low attrition (3.77%) rates. The mixed ANOVA results showed positive within-group effects on perceived stress (p = .030, Cohen's d = .54), depressive symptoms (p = .002, Cohen's d = .77), and subjective caregiver burden (p < .001, Cohen's d = 1.12) in both interventions across the time points, while the modified MBCT had a larger effect on stress reduction, compared with the modified MBSR (p = .019). CONCLUSIONS: Both the modified MBSR and MBCT are acceptable to family caregivers of PWD. Their preliminary effects were improvements in stress, depressive symptoms, and subjective burden. The modified MBCT may be more suitable for caregivers of PWD than the MBSR. A future clinical trial is needed to confirm their effectiveness in improving the psychological well-being of caregivers of PWD

The use of modified mindfulness-based stress reduction and mindfulness-based cognitive therapy program for family caregivers of people living with dementia : a feasibility study

202101 bcrcVersion of RecordPublishe

Hip, knee, and ankle joint forces in healthy weight, overweight, and obese individuals during walking

Worldwide in 2008, more than 1.4 billion adults, age 20 and older, were overweight. Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health. The World Health Organization defines overweight as having a body mass index (BMI) greater than or equal to 25 kg/m2 and obese as a BMI greater than or equal to 30 kg/m2. The aim of this study was to compare peak hip, knee, and ankle joint compressive loads during gait at self-selected speed between overweight and healthy weight individuals and to examine the functional relationship between body mass and peak joint forces. Twelve subjects, six high BMI subjects and six normal BMI control subjects, participated in this investigation. Absolute peak hip, knee, and ankle joint forces were 40 %, 43 %, and 48 % greater, respectively, for the high-BMI versus normal group. Joint loads were found to increase approximately linearly with body mass. Body mass accounted for 70-80 % of the variation in the peak compressive load at the hip, knee, and ankle during gait. These findings support the link that increased body mass leads to increased biomechanical loading of the joints and could be a factor linking obesity to osteoarthritis

Functional task limitations in obese adults

Obesity is characterized by increased dimensions and mass. Functional task limitations and changes in the mechanical strategies used to complete functional tasks may be related independently to increased mass or increased dimensions. Increased mass may not always be detrimental. The mechanical strategies may vary with the class of obesity or mass distribution to the trunk or lower limbs. Much of the literature is equivocal and it is possible that methodological approaches and class of obesity of participants result in different or conflicting outcomes