Alzheimer's: Healthcare Access in Saudia Methodology Chapter

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Research Design

The research was conducted in 40-day care centers located in Baltimore County. A total of 510 newly admitted Alzheimer patients agreed to participate in the study and filled out the questionnaire during their first visit to the day care center. A follow-up survey was conducted two months later using the same instrument.

Study participants also completed an instrument designed to identify barriers preventing community services from being utilized, from the perspective of patients and caregivers. The instrument also assessed whether access to community services impacted the patient's quality of life.

The research design was based on the Trans-Theoretical Model (TTM), which assumes that individuals will differ significantly in how motivated and ready they are to change their health-related behaviors (Prochaska, and Diclement, 1983). This research design has been used by a number of researchers to investigate the association between barriers to healthcare services and quality of life measures (e.g., Skevington, Day, Chisholm, and Trueman, 2005).

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The hypothesis proposed here is that TTM is a valid research model for understanding the barriers that are preventing minority AD patients and their caregivers from accessing community AD services, as well as understanding the impact these barriers have on the psychological and social status of patients.

There are six stages of behavior change viewable through the TTM lens: (1) pre-contemplation of change, (2) contemplating change, and (4) preparation for changing (engaging sporadically in change behavior), (5) action (regular, but recent change activity), and (6) maintenance (long-term commitment to change activity) (Prochaska, and Diclement, 1983). Most AD patients would be expected to fall into the categories between preparation and action

Individuals who met the inclusion criteria and agreed to participate in the study were asked to complete a.....

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