Novel Approaches to Teaching Aging and Disability: Active Learning Through Design and Exploration.

Active learning emphasizes student engagement and collaboration instead of more passive learning, which involves primarily listening to lectures in the classroom setting. The benefits of active learning are many with an emphasis on the expansion of higher-order processing and critical thinking skills. Active learning can be found in many best practice approaches in the Medicine, Science, Engineering, and Mathematics (MSTEM) fields. Hack-a-thon and hack events are examples of active learning. These are gaining popularity in research institutes, and specifically in engineering, computer science, business, and healthcare settings. Wikipedia defines hack-a-thon as the blending of the words "hack," referring to exploratory programming, and "marathon," referring to a timed event. This article describes a hack-a-thon approach for active learning in the classroom setting.

Cognitive decline in the elderly: an analysis of population heterogeneity.

BACKGROUND: studies of cognitive ageing at the group level suggest that age is associated with cognitive decline; however, there may be individual differences such that not all older adults will experience cognitive decline. OBJECTIVE: to evaluate patterns of cognitive decline in a cohort of older adults initially free of dementia. DESIGN, SETTING AND SUBJECTS: elderly Catholic clergy members participating in the Religious Orders Study were followed for up to 15 years. Cognitive performance was assessed annually. METHODS: performance on a composite global measure of cognition was analysed using random effects models for baseline performance and change over time. A profile mixture component was used to identify subgroups with different cognitive trajectories over the study period. RESULTS: from a sample of 1,049 participants (mean age 75 years), three subgroups were identified based on the distribution of baseline performance and change over time. The majority (65%) of participants belonged to a slow decline class that did not experience substantial cognitive decline over the observation period [-0.04 baseline total sample standard deviation (SD) units/year]. About 27% experienced moderate decline (-0.19 SD/year), and 8% belonged to a class experiencing rapid decline (-0.57 SD/year). A subsample analysis revealed that when substantial cognitive decline does occur, the magnitude and rate of decline is correlated with neuropathological processes. CONCLUSIONS: in this sample, the most common pattern of cognitive decline is extremely slow, perceptible on a time scale measured by decades, not years. While in need of cross validation, these findings suggest that cognitive changes associated with ageing may be minimal and emphasise the importance of understanding the full range of age-related pathologies that may diminish brain function.

Factor structure and invariance of the Quality of Life in Alzheimer's Disease (QoL-AD) Scale.

The factor structure and factorial invariance of the Quality of Life in Alzheimer's Disease (QoL-AD) Scale was investigated in a sample of 653 nondemented, community-dwelling older adults, ages 57 to 95 years (M = 71.62, SD = 8.86), from the Seattle Longitudinal Study. The total sample was split into two random halves to explore and confirm the structure of the QoL-AD. Confirmatory factor analyses indicated better fit for a three-factor solution than one- or two-factor solutions. Weak factorial invariance was found for the three-factor solution (Physical, Social, and Psychological Well-being) across age group and gender. These findings may help to establish a baseline quality of life before the onset of any noticeable AD symptoms.

Predicting genetic loading from symptom patterns in obsessive- compulsive disorder: a latent variable analysis.

BACKGROUND: Some symptom dimensions in obsessive-compulsive disorder (OCD) patients have a familial and putative genetic foundation, based on replicated findings in studies of sib-pairs with OCD. However, these symptom dimensions are all from exploratory factor analyses of Yale-Brown Obsessive-Compulsive Scale Symptom Checklist ratings based on non-empirically derived symptom categories, rather than individual symptoms. METHODS: In this study, we used a novel latent variable mixture model analysis to identify meaningful patient subgroupings. This was preceded by a confirmatory factor analysis of a 65-item OCD symptom inventory from 398 OCD probands, which yielded a five-factor solution. Data from all five symptom factors were used in a latent variable mixture model analysis, which identified two statistically separate OCD subpopulations. RESULTS: One group of probands had a significantly higher proportion of OCD-affected afflicted relatives (parents or close parental relatives), whereas the other group had a less prevalent familial OCD. The group with the more familial OCD was also found to have an earlier age of OCD onset, more severe OCD symptoms, and greater psychiatric comorbidity and impairment. CONCLUSIONS: Especially if the results are verified in other samples, this research paradigm, which identified characteristics of individuals with familial OCD, should prove useful in carrying out genome-wide linkage and association studies of OCD and may provide a model for other symptom-based studies of additional medical disorders.

Brain lesion and memory functioning: short-term memory deficit is independent of lesion location.

We analyzed the effects of patterns of brain lesions from penetrating head injuries on memory performance in participants of the Vietnam Head Injury Study (Grafman et al., 1988). Classes of lesion patterns were determined by mixture modeling (L. K. Muthén & B. O. Muthén, 1998-2004). Memory performance was assessed for short-term memory (STM), semantic memory, verbal episodic memory, and visual episodic memory. The striking finding was that large STM deficits were observed in all classes of brain-injured individuals, regardless of lesion location pattern. These effects persist despite frequent concomitant effects of depressive symptomatology and substance dependence. Smaller deficits in semantic memory, verbal episodic memory, and visual episodic memory depended on lesion location, in a manner roughly consistent with the existing neuropsychological literature. The theoretical and clinical implications of the striking, seemingly permanent STM deficits in individuals with penetrating head injuries are discussed.

Parental practices and willingness to ask for children's help later in life.

We examine how parents' relationships with their 13- to 25-year-old offspring affect the parents' willingness to ask them for help with financial and personal problems 20 years later. Husbands and wives were interviewed in 1974 and 1994; a child was interviewed in 1974. We used two aspects of parental style, responsiveness and restrictive dominance, to predict parents' willingness to request help from a child 20 years later. Structural equation modeling analyses revealed the following: (a) mothers' willingness to ask an adult child for help with a personal problem was increased by higher levels of responsiveness; (b) mothers' willingness to ask for financial help was increased by responsive and decreased by restrictive-dominant maternal behavior; and (c) neither responsive nor restrictive-dominant paternal behavior affected fathers' later willingness to ask an adult child for help of either kind.

Extending neuropsychological assessments into the primary mental ability space.

A battery of 17 neuropsychological tests (including the CERAD battery) and 17 psychometric ability tests were administered to a sample of 499 participants of the Seattle Longitudinal study who had been given the psychometric ability tests seven and 14 years earlier. The neuropsychological tests were projected into a 5-factor psychometric ability space by means of extension analysis. The concurrent regressions of the neuropsychology tests on the psychometric ability tests were then used to estimate neuropsychology test scores from the psychometric ability tests administered in 1984, 1991 and 1998. Neuropsychologists then rated the study participants as either normal, suspect or cognitively impaired in 1998. Changes in estimated test scores were computed over seven and fourteen years. Significant odds ratios between normal and cognitively impaired groups were found for all neuropsychological tests over the proximal period and for most tests over the 14-year period. Similar findings occurred for the odds ratios between the normal and suspect groups for the most proximal 7-year changes.