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A Simulation Exercise to Raise Learners’ Awareness of the Physical and Cognitive Changes in Older Adults

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Abstract

Objective

The growing number of older adults with cognitive impairment is increasing the need for healthcare services. However, there is a great shortage of geriatric trained primary care providers and psychiatrists. A positive attitude towards people with cognitive impairment is associated with better quality of life among residents of long-term care settings. This led us to develop a simulation exercise to raise learners’ awareness of, and attentiveness to, physical and cognitive changes experienced by the aging population.

Methods

Fifty-one learners rotating through Psychiatry at the Michael E. DeBakey VA Medical Center received the 10-min training over 1 year. The Approaches to Dementia Questionnaire was used to measure attitudes towards older persons with cognitive impairment. Pre- and postsimulation data subscores for the Hope, Person-centered, and total score were calculated, and a paired sample t test was conducted.

Results

Results of the questionnaire showed statistically significant improvement in the Approaches to Dementia Questionnaire scores among participants after they completed the simulation exercise, indicating an increase in positive attitudes. The mean difference in the total score of the Approaches to Dementia Questionnaire was 3.22, with a 95% CI of 1.67 to 4.74, t = 4.20, df (47), p < .000, r = .64, and a medium effect size of d = .61.

Conclusions

On the basis of these findings, the simulation exercise can be used for improving learners’ attitudes towards those with cognitive impairment.

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Disclosure

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Funding Sources

This material is the result of work done with the use of facilities and resources at the Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety (CIN13-413), and with the support of the VA South Central Mental Illness Research, Education and Clinical Center. The opinions expressed are those of the authors and not necessarily those of the Department of Veterans Affairs, the US government or Baylor College of Medicine.

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Correspondence to Ali Abbas Asghar-Ali.

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Approved by IRB at Baylor College of Medicine and Michael E. DeBakey VAMC Research Committee; participants signed informed consent.

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de Abreu, I.D., Hinojosa-Lindsey, M. & Asghar-Ali, A.A. A Simulation Exercise to Raise Learners’ Awareness of the Physical and Cognitive Changes in Older Adults. Acad Psychiatry 41, 684–687 (2017). https://doi.org/10.1007/s40596-017-0775-4

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  • DOI: https://doi.org/10.1007/s40596-017-0775-4

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