Concordance of self- and informant-rated depressive symptoms in nursing home residents with Dementia: cross-sectional findings

Background: Depression is highly prevalent in nursing home residents living with moderate to severe dementia. However, assessing depressive symptoms in residents with dementia can be challenging and may vary by rater perspective. We aimed to investigate the concordance of, and factors associated with self- and informant-rated depressive symptoms in nursing home residents with dementia. Methods: Cross-sectional data was collected from N= 162 nursing home residents with dementia (age: 53-100; 74% women). Self-ratings were assessed with the Geriatric Depression Scale, while the depression and anxiety items of the Neuropsychiatric Inventory were used for informant-ratings. Cohen's Kappa was calculated to determine the concordance of both measures and of each with antidepressant medication. Multivariate associations with sociodemographic variables, self- and informant-rated quality of life, dementia stage, neuropsychiatric symptoms, functional status and antidepressant medication were analysed with linear mixed models and generalized estimating equations. Results: Concordance between self- and single item informant-rated depressive symptoms was minimal (Cohen's Kappa = .22, p= .02). No concordance was found for self-reported depressive symptoms and the combined informant-rated depression-anxiety score. Self-reported depression was negatively associated with self-rated quality of life (beta=-.32; 95%CI: -.45 to -.19, p< .001), informant-rated quality of life (beta=-.25; 95%CI: -.43 to -.07, p= .005) and functional status (beta=-.16; 95%CI: -.32 to -.01, p= .04), whilst single item informant-rated depression revealed negative associations with informant-rated quality of life (beta =-.32; 95%CI: -.52 to .13, p=.001) and dementia stage (beta=-.31; 95%CI: -.52 to -.10, p = .004). The combined informant-rated depression-anxiety score showed negative associations with self-rated quality of life (beta=-.12; 95%CI: -.22 to -.03, p = .01) and dementia stage (beta = -.37; 95%CI: -.67 to -.07, p= .02) and a positive association with neuropsychiatric symptoms (beta = .30; 95%CI: .10 to .51, p= .004). No concordance was found with antidepressant medication. Conclusions: In line with our expectations, low agreement and unique association patterns were found for both measures. These findings indicate that both instruments address different aspects of depression and underline the need for comprehensive approaches when it comes to detecting signs of clinically relevant depressive symptoms in dementia

Transition into distance education: A scoping review protocol.

The number of students choosing to complete their studies online rather than in-person is on the rise. The transition to university is crucial for subsequent success, regardless of whether the learning is done face-to-face or remotely. If students can effectively handle the critical requirements associated with the transition to distance learning, their likelihood of success increases. However, thus far, little information is available on this topic. To gather existing sources, we will conduct a scoping review according to the guidelines of the research organization JBI. The review aims to systematically record, evaluate, and subsequently present the existing body of literature regarding the subject "transition into distance education". By answering the research question, "What is known about transition into distance education in higher education?" we hope to shed light on individual experiences, challenges, adaptation strategies, life situations, etc. of distance learners in a higher education context. The review will identify and categorize relevant concepts and terminologies in the research field, as well as outline the content-related boundaries. The findings derived from the scoping review will provide conceptual clarification, summarize the given theoretical and empirical knowledge in the field and offer practical implications for designing the initial phase in distance education. This article presents the a-priori study protocol that provides a detailed outline of the planned methodology for conducting the Scoping Review

Erfahrungen und Sichtweisen von Pflegeheimbewohnenden mit depressiver Symptomatik während der COVID-19-Pandemie: eine qualitative Studie

Hintergrund: Die COVID-19-Pandemie erfordert umfangreiche Maßnahmen in Pflegeheimen mit dem Ziel der Infektionsvermeidung. Diese Maßnahmen wirken sich auf das Leben der Bewohnenden aus und führen u. a. zu einer Zunahme an Depressivität und anderen negativen Begleiterscheinungen. Ziel der Arbeit: Die Studie hat die Exploration der Erfahrungen und Sichtweisen von Pflegeheimbewohnenden mit depressiver Symptomatik während der Pandemie zum Ziel. Methoden: Es wurden 9 leitfadengestützte Interviews mit Bewohnenden geführt, welche mittels der inhaltlich-strukturierenden Inhaltsanalyse nach Kuckartz ausgewertet wurden. Ergebnisse: Es konnten 3 Hauptthemen identifiziert werden: Empfindungen und Emotionen in Bezug auf die Pandemie, Veränderungen und Einschränkungen durch die Maßnahmen sowie Wünsche vor dem Hintergrund der Pandemie. Die befragten Bewohnenden berichten sowohl von emotionalen Belastungen als auch davon, keine Angst vor einer Infektion und deren Folgen zu haben. Zudem äußern die Befragten z. T. unangenehme Einschränkungen wie das Tragen von Masken, deren Nutzen sie bisweilen kritisch hinterfragen. Weiter werden diverse Wünsche der Bewohnenden in Bezug zur Pandemie wie etwa das Verlassen des Pflegeheims identifiziert. Diskussion: Die Studie zeigt komplexe Empfindungen, Veränderungen und Wünsche bei Pflegeheimbewohnenden aufgrund der Pandemie und der daraus resultierenden Maßnahmen. Dies erfordert einen individuellen Zugang zu den Bewohnenden mit depressiver Symptomatik, um eine Zunahme psychischer Probleme zu vermeiden. Vor diesem Hintergrund ergibt sich die Notwendigkeit einer partizipativen Umsetzung der Gesundheitsschutzmaßnahmen bei der besonders vulnerablen Gruppe der Pflegeheimbewohnenden

Steps to conduct a scoping review according to Peters et al. 2020.

Steps to conduct a scoping review according to Peters et al. 2020.</p

PRISMA-P (Preferred reporting items for systematic review and meta-analysis protocols) checklist.

PRISMA-P (Preferred reporting items for systematic review and meta-analysis protocols) checklist.</p

Keywords.

The number of students choosing to complete their studies online rather than in-person is on the rise. The transition to university is crucial for subsequent success, regardless of whether the learning is done face-to-face or remotely. If students can effectively handle the critical requirements associated with the transition to distance learning, their likelihood of success increases. However, thus far, little information is available on this topic. To gather existing sources, we will conduct a scoping review according to the guidelines of the research organization JBI. The review aims to systematically record, evaluate, and subsequently present the existing body of literature regarding the subject "transition into distance education". By answering the research question, "What is known about transition into distance education in higher education?" we hope to shed light on individual experiences, challenges, adaptation strategies, life situations, etc. of distance learners in a higher education context. The review will identify and categorize relevant concepts and terminologies in the research field, as well as outline the content-related boundaries. The findings derived from the scoping review will provide conceptual clarification, summarize the given theoretical and empirical knowledge in the field and offer practical implications for designing the initial phase in distance education. This article presents the a-priori study protocol that provides a detailed outline of the planned methodology for conducting the Scoping Review.</div

Extraction form.

The number of students choosing to complete their studies online rather than in-person is on the rise. The transition to university is crucial for subsequent success, regardless of whether the learning is done face-to-face or remotely. If students can effectively handle the critical requirements associated with the transition to distance learning, their likelihood of success increases. However, thus far, little information is available on this topic. To gather existing sources, we will conduct a scoping review according to the guidelines of the research organization JBI. The review aims to systematically record, evaluate, and subsequently present the existing body of literature regarding the subject "transition into distance education". By answering the research question, "What is known about transition into distance education in higher education?" we hope to shed light on individual experiences, challenges, adaptation strategies, life situations, etc. of distance learners in a higher education context. The review will identify and categorize relevant concepts and terminologies in the research field, as well as outline the content-related boundaries. The findings derived from the scoping review will provide conceptual clarification, summarize the given theoretical and empirical knowledge in the field and offer practical implications for designing the initial phase in distance education. This article presents the a-priori study protocol that provides a detailed outline of the planned methodology for conducting the Scoping Review.</div

Wishes and Needs of Nursing Home Residents: A Scoping Review

Falling birth rates and rising life expectancy are leading to global aging. The proportional increase in older people can be observed in almost all countries and regions worldwide. As a result, more people spend their later years in nursing homes. In homes where person-centered care is implemented, residents report greater satisfaction and quality of life. This approach is based on the wishes and needs of the residents. Therefore, the purpose of this scoping review is to explore the wishes and needs of nursing home residents. A scoping review of the literature was conducted in which 12 databases were systematically searched for relevant articles according to PRISMA-ScR guidelines. Both quantitative and qualitative study designs were considered. A total of 51 articles met the inclusion criteria. Included articles were subjected to thematic analysis and synthesis to categorize findings into themes. The analysis identified 12 themes to which the wishes and needs were assigned: (1) Activities, leisure, and daily routine; (2) Autonomy, independence, choice, and control; (3) Death, dying, and end-of-life; (4) Economics; (5) Environment, structural conditions, meals, and food; (6) Health condition; (7) Medication, care, treatment, and hygiene; (8) Peer relationship, company, and social contact; (9) Privacy; (10) Psychological and emotional aspects, security, and safety; (11) Religion, spirituality; and (12) Sexuality. Nursing home residents are not a homogeneous group. Accordingly, a wide range of needs and wishes are reported in the literature, assigned to various topics. This underscores the need for tailored and person-centered approaches to ensure long-term well-being and quality of life in the nursing home care setting