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  1. Article ; Online: Empowering Dementia Caregivers: Incorporating Caregiving Training Resources Into Current Procedural Technology Codes.

    Ko, Eunjung / Rose, Karen M / Wright, Kathy D

    Clinical nurse specialist CNS

    2024  Volume 38, Issue 2, Page(s) 107–109

    Abstract: Purpose/objectives: We aim to explore Current Procedural Terminology (CPT) codes for caregiving training services and their potential impacts on caregivers of people living with dementia.: Description of the project/program: In response to the ... ...

    Abstract Purpose/objectives: We aim to explore Current Procedural Terminology (CPT) codes for caregiving training services and their potential impacts on caregivers of people living with dementia.
    Description of the project/program: In response to the growing need for support for caregivers of people living with physical and mental health issues, CPT codes for caregiving training services will be activated for the calendar year 2024. These codes cover (1) family group behavior management and modification training services and (2) caregiver training for techniques to help patients maintain their quality of life. Caregivers will access such training support through the CPT codes provided by treating practitioners. The duration of training will vary by code.
    Outcome: Implementing CPT codes for caregiver training services highlights the vital role of caregivers in patient care. This support may improve their skills and communication with healthcare providers. However, timing and accessibility in care delivery need clarification, especially for caregivers of people living with dementia. Regular skill assessment and culturally competent care are essential. Before providing the service, provider training may also promote person-centered care, benefiting patients and their caregivers.
    Conclusion: Activating CPT codes for caregiving training services may enhance caregivers' support and skills, including dementia care.
    MeSH term(s) Humans ; Caregivers/psychology ; Dementia/psychology ; Quality of Life ; Health Personnel ; Power, Psychological
    Language English
    Publishing date 2024-02-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1036840-1
    ISSN 1538-9782 ; 0887-6274
    ISSN (online) 1538-9782
    ISSN 0887-6274
    DOI 10.1097/NUR.0000000000000803
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    Zs.A 2588: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Detection of Cognitive Impairment From eSAGE Metadata Using Machine Learning.

    Kawakami, Ryoma / Wright, Kathy D / Scharre, Douglas W / Ning, Xia

    Alzheimer disease and associated disorders

    2023  Volume 38, Issue 1, Page(s) 22–27

    Abstract: Objective: Using the metadata collected in the digital version of the Self-Administered Gerocognitive Examination (eSAGE), we aim to improve the prediction of mild cognitive impairment (MCI) and dementia (DM) by applying machine learning methods.: ... ...

    Abstract Objective: Using the metadata collected in the digital version of the Self-Administered Gerocognitive Examination (eSAGE), we aim to improve the prediction of mild cognitive impairment (MCI) and dementia (DM) by applying machine learning methods.
    Patients and methods: A total of 66 patients had a diagnosis of normal cognition (NC), MCI, or DM, and eSAGE scores and metadata were used. eSAGE scores and metadata were obtained. Each eSAGE question was scored and behavioral features (metadata) such as the time spent on each test page, drawing speed, and average stroke length were extracted for each patient. Logistic regression (LR) and gradient boosting models were trained using these features to detect cognitive impairment (CI). Performance was evaluated using 10-fold cross-validation, with accuracy, precision, recall, F1 score, and receiver operating characteristic area under the curve (AUC) score as evaluation metrics.
    Results: LR with feature selection achieved an AUC of 89.51%, a recall of 87.56%, and an F1 of 85.07% using both behavioral and scoring. LR using scores and metadata also achieved an AUC of 84.00% in detecting MCI from NC, and an AUC of 98.12% in detecting DM from NC. Average stroke length was particularly useful for prediction and when combined with 4 other scoring features, LR achieved an even better AUC of 92.06% in detecting CI. The study shows that eSAGE scores and metadata are predictive of CI.
    Conclusions: eSAGE scores and metadata are predictive of CI. With machine learning methods, the metadata could be combined with scores to enable more accurate detection of CI.
    MeSH term(s) Humans ; Metadata ; Sensitivity and Specificity ; Cognitive Dysfunction/diagnosis ; Machine Learning ; Stroke
    Language English
    Publishing date 2023-12-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1002700-2
    ISSN 1546-4156 ; 0893-0341
    ISSN (online) 1546-4156
    ISSN 0893-0341
    DOI 10.1097/WAD.0000000000000593
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    Zs.A 2569: Show issues Location:
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  3. Article ; Online: Commentary on Neural Systems in Late-Life Depression: Clinical Presentation and Treatment Outcome.

    Wright, Kathy D

    Journal of the American Geriatrics Society

    2017  Volume 66 Suppl 1, Page(s) S24–S27

    MeSH term(s) Depression ; Depressive Disorder ; Humans ; Treatment Outcome
    Language English
    Publishing date 2017-08-17
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 80363-7
    ISSN 1532-5415 ; 0002-8614
    ISSN (online) 1532-5415
    ISSN 0002-8614
    DOI 10.1111/jgs.15367
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    Ud II Zs.168: Show issues Location:
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  4. Article ; Online: Health Social Networks of Black Women With Hypertension.

    Jones, Lenette M / Hawkins, Jaclynn / Mitchell, Jamie / Wright, Kathy D / Cuffee, Yendelela

    Nursing research

    2023  Volume 72, Issue 6, Page(s) 489–494

    Abstract: Background: The prevalence of hypertension is 55% among African American/Black women, who have a higher risk for poor health outcomes compared to women from other racial and ethnic groups, in part because of uncontrolled blood pressure. Previous ... ...

    Abstract Background: The prevalence of hypertension is 55% among African American/Black women, who have a higher risk for poor health outcomes compared to women from other racial and ethnic groups, in part because of uncontrolled blood pressure. Previous research results suggest that peers may positively influence self-management of chronic conditions like hypertension. However, few studies have described the personal characteristics of peers in the health social networks of Black women.
    Objective: This substudy aimed to examine health social networks and describe the peers' characteristics, as reported by a convenience sample of Black women with hypertension.
    Methods: In this analysis of data from a larger study, 94 Black women with hypertension attending a church conference participated in a cross-sectional, descriptive study. Their mean age was 59 years, and their mean systolic blood pressure was 143 mm Hg. All participants completed a survey to gather data about (a) the characteristics of individuals they discussed health matters with (their peers or health social network) and (b) their perceptions about hypertension status and knowledge of hypertension among the peers in their health social network.
    Results: Collectively, participants from the larger study named a total of 658 peers who were part of their health social networks; the mean health social network size was six peers. The peers were mostly women, Black, family members, and, on average, 54 years old. The participants discussed hypertension with 71% of the peers, reported that 36% had hypertension, and felt that 67% were somewhat or very knowledgeable about the condition. A small, positive correlation existed between the participants' health social network size (number of peers named) and their systolic blood pressure levels.
    Discussion: The health social network peers were similar to those in the larger study, with most of the same gender, race, and age. The findings of this analysis may be used to help practitioners and scientists guide patients in building health social networks for support in self-managing hypertension and conducting future studies to examine the best strategies for developing and using health social networks to improve health outcomes and reduce health disparities.
    MeSH term(s) Female ; Humans ; Male ; Middle Aged ; Black or African American ; Cross-Sectional Studies ; Ethnicity ; Hypertension/ethnology ; Hypertension/therapy ; Social Networking ; Peer Group ; Health Education
    Language English
    Publishing date 2023-10-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80332-7
    ISSN 1538-9847 ; 0029-6562
    ISSN (online) 1538-9847
    ISSN 0029-6562
    DOI 10.1097/NNR.0000000000000679
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    Zs.A 697: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Sudarshan Kriya Meditation Reduces Substance Abuse Cravings and Improves Physical and Emotional Well-Being of Individuals With Opioid Use Disorder: A Pilot Study.

    Unudurthi, Sathya Dev / Wright, Kathy D / Klimpel, Jill M / Sud, Abhimanyu / Tan, Alai / Warren, Barbara J

    Journal of psychosocial nursing and mental health services

    2023  Volume 61, Issue 8, Page(s) 51–59

    Abstract: Opioid use disorder (OUD) is widely prevalent in the United States and there are high levels of comorbidity between OUD and mental illnesses, such as depression, anxiety, and posttraumatic stress disorder. Psychotherapy, in addition to medication- ... ...

    Abstract Opioid use disorder (OUD) is widely prevalent in the United States and there are high levels of comorbidity between OUD and mental illnesses, such as depression, anxiety, and posttraumatic stress disorder. Psychotherapy, in addition to medication-assisted therapy, are considered important components of long-term OUD treatment. Sudarshan Kriya Yoga (SKY) is a breathing-based mind-body intervention that has been demonstrated to have multiple physiological and psychological benefits. In the current study, participants (
    MeSH term(s) Humans ; Meditation ; Pilot Projects ; Craving ; Yoga ; Opioid-Related Disorders
    Language English
    Publishing date 2023-03-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 225817-1
    ISSN 1938-2413 ; 0279-3695
    ISSN (online) 1938-2413
    ISSN 0279-3695
    DOI 10.3928/02793695-20230321-01
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  6. Article ; Online: Beyond Allostatic Load: Focused Biological Measures of Chronic Stress in African American Older Adults.

    Wright, Kathy D / Lin, Chyongchiou J / Cothran, Fawn A / Williams, Karen Patricia

    Research in gerontological nursing

    2021  Volume 14, Issue 5, Page(s) 222–224

    MeSH term(s) African Americans ; Aged ; Allostasis ; Biomarkers ; Humans ; Socioeconomic Factors ; Stress, Psychological
    Chemical Substances Biomarkers
    Language English
    Publishing date 2021-09-01
    Publishing country United States
    Document type Editorial ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2555277-6
    ISSN 1938-2464 ; 1940-4921
    ISSN (online) 1938-2464
    ISSN 1940-4921
    DOI 10.3928/19404921-20210825-01
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  7. Article ; Online: Neural Processing of Health Information and Hypertension Self-Management in African Americans.

    Still, Carolyn H / Jack, Anthony I / Wright, Kathy D / Sattar, Abdus / Moore, Shirley M

    Nursing research

    2022  Volume 71, Issue 4, Page(s) 303–312

    Abstract: Background: Uncontrolled blood pressure (BP) rates are persistently high among African Americans with hypertension. Although self-management is critical to controlling BP, little is known about the brain-behavior connections underlying the processing of ...

    Abstract Background: Uncontrolled blood pressure (BP) rates are persistently high among African Americans with hypertension. Although self-management is critical to controlling BP, little is known about the brain-behavior connections underlying the processing of health information and the performance of self-management activities.
    Objectives: In this pilot study, we explored the associations among neural processing of two types of health information and a set of self-management cognitive processes (self-efficacy, activation, decision-making, and hypertension knowledge) and behaviors (physical activity, dietary intake, and medication taking) and health status indicators (BP, health-related quality of life, anxiety, and depression).
    Methods: Using a descriptive cross-sectional design, 16 African Americans with uncontrolled hypertension (mean age = 57.5 years, 68.8% women) underwent functional magnetic resonance imaging to assess activation of two neural networks, the task-positive network and the default mode network, and a region in the ventromedial prefrontal cortex associated with emotion-focused and analytic-focused health information. Participants completed self-reports and clinical assessments of self-management processes, behaviors, and health status indicators.
    Results: Our hypothesis that neural processing associated with different types of health information would correlate with self-management cognitive processes and behaviors and health status indicators was only partially supported. Home diastolic BP was positively associated with ventromedial prefrontal cortex activation ( r = .536, p = .09); no other associations were found among the neural markers and self-management or health status variables. Expected relationships were found among the self-management processes and behaviors and health status indicators.
    Discussion: To advance our understanding of the neural processes underlying health information processing and chronic illness self-management, future studies are needed that use larger samples with more heterogeneous populations and additional neuroimaging techniques.
    MeSH term(s) Black or African American/psychology ; Cross-Sectional Studies ; Female ; Humans ; Hypertension ; Male ; Middle Aged ; Pilot Projects ; Quality of Life ; Self-Management/psychology
    Language English
    Publishing date 2022-03-18
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 80332-7
    ISSN 1538-9847 ; 0029-6562
    ISSN (online) 1538-9847
    ISSN 0029-6562
    DOI 10.1097/NNR.0000000000000592
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    Zs.A 697: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Dyadic Hair Cortisol Self-Collection Procedure.

    Anderson, Alison R / Mahajan, Ishika / Ford, Jodi L / Wright, Kathy D / Mackos, Amy R / Rose, Karen M / Monroe, Todd B / Moss, Karen O

    Nursing research

    2023  Volume 72, Issue 5, Page(s) 404–408

    Abstract: Background: At-home self-collection of specimens has become more commonplace because of measures taken in response to the coronavirus pandemic. Self-collection of hair cortisol is important because chronic stress is present in many populations, such as ... ...

    Abstract Background: At-home self-collection of specimens has become more commonplace because of measures taken in response to the coronavirus pandemic. Self-collection of hair cortisol is important because chronic stress is present in many populations, such as older adults living with Alzheimer's disease and their family caregivers. For the evaluation of chronic stress, scalp hair can be used as a predictive biomarker because it examines the cumulative, retrospective stress from previous months.
    Objectives: The aim of the paper is to provide a study procedure for at-home, scalp hair self-collection for cortisol concentration analysis from dyads consisting of a person living with Alzheimer's disease and their family caregiver.
    Methods: After informed electronic consent is obtained, a package containing the necessary tools for self-collection of hair samples from the dyad is mailed to the participant's home. Participants are provided detailed print and video multimedia guides outlining how to obtain the hair samples. Ideally, the hair samples are obtained during the virtual data collection meeting with research personnel. Participants mail back the hair sample in a prepaid package to the biomedical laboratory for analysis.
    Discussion: At-home, self-collection of hair provides potential advantages such as reduced participant burden, especially for vulnerable populations where transportation and different environments are challenging. At-home sample collection options may increase research participation and can be applied to multiple research foci. Research considerations for dyads, such as people living with Alzheimer's disease and their caregivers, are discussed.
    MeSH term(s) Humans ; Aged ; Hydrocortisone/analysis ; Retrospective Studies ; Alzheimer Disease ; Caregivers ; Hair/chemistry
    Chemical Substances Hydrocortisone (WI4X0X7BPJ)
    Language English
    Publishing date 2023-05-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80332-7
    ISSN 1538-9847 ; 0029-6562
    ISSN (online) 1538-9847
    ISSN 0029-6562
    DOI 10.1097/NNR.0000000000000672
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    ab Jg. 2022: Lesesaal (EG)

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  9. Article ; Online: Hair Cortisol Concentration, Perceived Stress, Mental Well-Being, and Cardiovascular Health in African American Older Adults: A Pilot Study.

    Richards, Ericka L / Wright, Kathy D / Richards Adams, Ingrid K / Klatt, Maryanna D / Monroe, Todd B / Nguyen, Christopher M / Rose, Karen M

    Geriatrics (Basel, Switzerland)

    2022  Volume 7, Issue 3

    Abstract: 1) Background: African Americans experience high rates of psychological stress and hypertension, which increases their risk of cardiovascular disease with age. Easy-to-collect psychological and biological stress data are valuable to investigations of ... ...

    Abstract (1) Background: African Americans experience high rates of psychological stress and hypertension, which increases their risk of cardiovascular disease with age. Easy-to-collect psychological and biological stress data are valuable to investigations of this association. Hair cortisol concentration (HCC), as a proxy biomarker of chronic stress exposure, provides such advantages in contrast to collection of multiple daily samples of saliva. Objective: To examine the relationships among HCC, perceived stress, mental well-being, and cardiovascular health (systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP)). (2) Methods: Cross-sectional secondary data (
    Language English
    Publishing date 2022-04-29
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2308-3417
    ISSN (online) 2308-3417
    DOI 10.3390/geriatrics7030053
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  10. Article ; Online: Promoting successful participation of people living with Alzheimer's disease and related dementias in pain-related neuroimaging research studies.

    Iversen, Wm Larkin / Monroe, Todd B / Atalla, Sebastian / Anderson, Alison R / Cowan, Ronald L / Wright, Kathy D / Failla, Michelle D / Moss, Karen O

    Frontiers in pain research (Lausanne, Switzerland)

    2022  Volume 3, Page(s) 926459

    Abstract: Recruitment and retention of participants for pain-related neuroimaging research is challenging and becomes increasingly so when research participants have a diagnosis of Alzheimer's disease and related dementias (ADRD). This article shares the authors' ... ...

    Abstract Recruitment and retention of participants for pain-related neuroimaging research is challenging and becomes increasingly so when research participants have a diagnosis of Alzheimer's disease and related dementias (ADRD). This article shares the authors' recommendations from several years of successful recruitment and completion of pain-related neuroimaging studies of people living with ADRD and includes supportive literature. While not an exhaustive list, this review covers several topics related to recruitment and retention of participants living with ADRD, including community engagement, capacity to consent, dementia diagnostic criteria, pain medication and other study exclusion criteria, participant and caregiver burden, communication concerns, and relationships with neuroimaging facilities. Threaded throughout the paper are important cultural considerations. Additionally, we discuss implications of the coronavirus (COVID-19) pandemic for recruitment. Once tailored to specific research study protocols, these proven strategies may assist researchers with successfully recruiting and retaining participants living with ADRD for pain-related neuroimaging research studies toward improving overall health outcomes.
    Language English
    Publishing date 2022-08-19
    Publishing country Switzerland
    Document type Journal Article ; Review
    ISSN 2673-561X
    ISSN (online) 2673-561X
    DOI 10.3389/fpain.2022.926459
    Database MEDical Literature Analysis and Retrieval System OnLINE

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