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ObjectiveMethodsResultsConclusionsClinical ImplicationsTo evaluate the feasibility and acceptability of a virtually delivered psychoeducational skill-building intervention for ADRD caregivers.A single-arm, pre-posttest pilot study design was employed to evaluate the intervention. Four 90-min group-based weekly sessions were combined with four individual coaching sessions via Zoom. Intervention components covered topics designed to reduce caregiver stress and distress, and a VR experience to help caregivers understand dementia. Data was gathered via REDCap pre- and post-intervention and through post-intervention interviews via Zoom.Results (N = 20) from individual interviews, surveys, and treatment implementation strategies suggest strong feasibility and acceptability. Key change exploration indicated medium effect sizes and statistical significance in preparedness for caregiving (t(19) = 2.69, p = .015, d = 63), communication (t(19) = 2.45, p = .024, d = 0.55), and a medium effect size for the mindful attention awareness scale (t(19) = 0.48, p = (0.637, d = 0.54). Further, participants reported their perceptions of improvement in outcomes such as the ability to care, increased understanding of memory loss, and confidence.Through Alzheimer’s Eyes is a feasible and acceptable intervention that blends technology with skill-building strategies to help caregivers manage their stress and distress regardless of their location.There is potential for interventions including VR to assist family caregivers in managing caregiving challenges and improve well-being. [ABSTRACT FROM AUTHOR]

Background: A recent report estimates Latinos in the U.S. living with Alzheimer's Disease (AD) could reach as high as 3.5 million by 2060 and are 1.5 times more likely to develop AD than non‐Latino Whites. Consequently, Latino caregivers of people with Alzheimer's Disease or other related dementias (ADRD) face significant risks to their physical and mental well‐being. Due to the immense increase of ADRD in Latinos, it is important for research to highlight the ways in which caregivers can learn mindfulness based skills to support challenges they may face. Method: U.S. Latina caregivers of people with ADRD (n = 18) were analyzed from the CarePRO‐VS program. CarePRO‐VS is a multicomponent skill‐focused intervention conducted in Spanish that manages stress, tension and frustration associated with caregiving. This pilot project was conducted over ten weeks via telephone and Zoom including: (1) screening to determine eligibility, (2) pre‐ and post‐ intervention assessments conducted within approximately two weeks of the intervention, (3) individual "coach calls" and (4) the five‐week CarePRO‐VS program. Result: By week five, 60% of caregivers used mindful breathing 3 or more times a day. In comparison to week one, only 18.8% of caregivers used mindful breathing 3 or more times a day. As an example of a frequent user, coach call notes showed that one participant in particular self‐reported use of the relaxing techniques every week with an average of 3‐4 times a day. Mindful breathing helped her destress, stay positive, and focus on the present moment. Body scans helped her bring awareness to how she felt during stressful situations involving her father, the care recipient. She also extended the use of mindful breathing to situations beyond caregiving. At five weeks, she used mindful breathing with her father to ease his anxiety. Conclusion: These Latina caregivers implemented a new strategy that shows promising results and future research can expand on aspects of mindfulness as an equitable and accessible strategy to increase relaxation for caregivers and care recipients. To date, there are few published studies incorporating mindfulness techniques that also included Latino caregivers of people with ADRD in the U.S. [ABSTRACT FROM AUTHOR]

Maintaining brain health and promoting healthy lifestyle strategies to manage modifiable risk factors is vital to ensuring well-being for all – not only for the individuals with memory challenges but also their family caregivers and professional providers. In this brief review paper, we highlight modifiable risk and protective factors and opportunities for dementia risk reduction (e.g., limited alcohol use and reduced exposure to air pollution, secondhand smoke, and excessive noise); provide an overview of the World-Wide FINGERS Network and its goal to adapt the original Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) multidomain lifestyle approach in various settings to determine whether the protocol is effective across different populations in varied geographic, cultural, and economic settings and to optimize the model across a continuum of cognitive decline; and, comment on challenges and opportunities for researchers and clinicians including opportunities for risk reduction and intervention in primary care settings and the need to establish linkages across multiple levels of intervention to sustain behavior change in prevention, treatment, and care. [ABSTRACT FROM AUTHOR]

Background: New nurses often struggle with recognizing cues and applying clinical judgment. Nurse educators develop educational simulation scenarios to support students in developing clinical judgment, which includes the foundational step of recognizing cues. Purpose: A scoping review on undergraduate nursing students' cue recognition during simulation was conducted to systematically map the existing research and identify knowledge gaps. Methods: From initial identification of 228 studies published between 2010 and 2020, a total of 17 quantitative or qualitative studies were independently appraised using the Joanna Briggs Institute scoping review process and PRISMA-ScR reporting guidelines. Results: Cues were missed with varying levels of frequency. Participants frequently failed to recognize respiratory rates and physical assessment changes as salient cues to patient deterioration. Verbal cues from simulated patients were often missed or resulted in distancing behaviors. Conclusion: Research is needed to determine the most effective methods for helping learners develop skills in cue recognition and analysis. [ABSTRACT FROM AUTHOR]

Impostor phenomenon was first described by Clance and Imes in 1978 as the disbelief of own person's capacities and skills in overachieving women. Since then, studies have focused on causes and characteristics of such self-perception. This negative thought impedes professionals to achieve full potential of their abilities, triggering a series of unpleasant reactions like anxiety or poor patient outcome. This concept analysis aims to provide better understanding of the impostor phenomenon and its impact on the nursing profession. Further it may raise awareness to help promote interventions oriented toward overcoming feelings of fraudulence that help in achieving the full potential of individuals' skills. [ABSTRACT FROM AUTHOR]

Background: Alzheimer's disease affects 55 million people worldwide. As the disease progresses, these individuals require a devoted caregiver, often a family member, who provides evolving complex care. Caregivers can experience a variety of ongoing stressors, resulting in reductions in caregiver emotional well-being (and other quality-of-life indicators). Information and communication technologies provide an excellent opportunity to train caregivers remotely and help them to manage these stressors and related distress., Objective: This protocol describes the theoretical rationale, study design, and methods of a new, technologically enhanced psychoeducational skill-building intervention for caregivers of people with dementia that includes a virtual reality component., Methods: Through Alzheimer's Eyes is a 4-week, single-arm, pre-post test pilot study consisting of 4 sessions of 90 minutes each that are delivered by videoconferencing. These sessions include a weekly virtual reality experience characterizing the journey of an older Latina with Alzheimer's disease from her perspective to help caregivers see through the eyes of a person with dementia. The 4 sessions cover the skill-training topics of communication, managing challenging behaviors and unhelpful thoughts, the importance of self-care, and mindfulness-all of which are key components designed to reduce stress and distress in family caregivers. Individual interviews conducted before and after the intervention gather participant insights into the intervention, evaluate its feasibility and acceptability, and assess its impact on key outcomes., Results: Data collection for the study started in January 2022, and the results are expected to be submitted for publication in the second half of 2023. Twenty caregivers from the United States have completed the workshop to date. Preliminary data gathered from these participants support the intervention's feasibility and acceptability., Conclusions: Through Alzheimer's Eyes leverages existing technology combined with psychoeducational skill building to help caregivers manage their stress, regardless of their location., International Registered Report Identifier (irrid): DERR1-10.2196/42655., (©Abigail Gómez-Morales, David Coon, Rodney P Joseph, Teri Pipe. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 31.03.2023.)