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Biomedical subjects

D L Algase

Publications and source records attributed to D L Algase.

23 records · Page 2Linked to original sources

Fear and anxiety: a simultaneous concept analysis.

TOPIC: A simultaneous concept analysis of fear and anxiety. PURPOSE: To develop a process model that reflects distinct characteristics of fear and anxiety. SOURCES: Existing biopsychology empirics and theory from peer review with and external to nursing literature. CONCLUSIONS: Fear and anxiety are distinct diagnoses guided by separate brain mechanisms. The author offers a process model for further critique by peers and clinical populations.

Anxiety↗

The Algase Wandering Scale: initial psychometrics of a new caregiver reporting tool.

This paper reports on the Algase wandering scale (AWS), a 28-item questionnaire, based on five dimensions of wandering. With factor analysis, an eight-factor solution explained nearly 70 percent of the variance in ratings for 151 long-term care subjects and confirmed three of the structuring dimensions. Reliability of the AWS was examined for internal consistency and for inter-rater reliability. The AWS had an alpha of .86; subscale alphas ranged between .88 (persistent walking) and .57 (routinized walking). Inter-rater reliabilities, estimated through cross-rater comparisons of the AWS and subscales with a four-point judgement of wandering status, were moderately strong and no significant differences existed between two sets of raters. Validity of the AWS and its subscales was supported by examining their ability to differentiate wanderers and nonwanderers, by positive correlation with measures of cognitive impairment and with multiple parameters of observed wandering, and by negative or no correlations with nonwandering locomotion. Although the AWS may be a useful measure of wandering in long-term care settings, validation of its factor structure and evaluation in cross-cultural samples is needed.

Aged↗

Cognitive discriminants of wandering among nursing home residents.

Dimensions of cognitive impairment that best discriminated between wandering and nonwandering ambulatory subjects were studied. Cognitive impairment was measured along four dimensions: abstract thinking, language, judgement, and spatial skills. Wanderers had higher overall levels of cognitive impairment and poorer performance on all cognitive dimensions. The dimension of language was the most important higher order cognitive skill differentiating wanderers from nonwanderers; basic cognitive skill deficits (memory, orientation, concentration) and medical bases of cognitive impairment also contributed to the distinction between the groups. Overall classification rates obtained by linear classification function (LCF) analyses were only slightly better than chance rates. However, LCF rates for nonwanderers ranged from 93% to 95%, suggesting greater homogeneity in the cognitive impairments specific to this group.

Aged↗