Informal caregivers to persons with Alzheimer’s disease (AD) commonly experience high levels of perceived burden, stress, and low quality of life— outcomes that negatively affect the quality of care provided. Yet to be explored are the effects of heart-focused breathing, a self-regulation deep breathing technique, on perceived caregiver burden and heart rate variability (HRV), a measure of autonomic nervous system function. Considering the high attrition rates of many previous in-person AD caregiver interventions, it may be necessary to implement an online intervention to address perceived caregiver burden. This study aimed to test the trends in effects of a 2-week online heart-focused breathing intervention using HeartMath’s Heart Lock-In® technique on perceived caregiver burden, perceived stress, quality of life, anxiety, inner haven, self-compassion, and HRV in a population of AD caregivers. Ten informal AD caregivers participated in the study with five participants randomized into the waitlist control group and five into the intervention group. The intervention group practiced a 10-minute heart-focused breathing protocol using their smart device (i.e., phone) every day for a 2-week period. Participants completed pre- and post- self-report questionnaires online via Google Forms and HRV assessments via the Welltory mobile application. The HRV assessments measured rMSSD, high frequency, and low frequency. The intervention group did not experience improvements related to perceived caregiver burden, perceived stress, anxiety, inner haven or high frequency waves. However, the study results suggest positive trends in quality of life, self-compassion, rMSSD, and low frequency waves among the AD caregivers. Additional research within a larger and more diverse population is needed.
Keywords: Informal Alzheimer’s caregivers, perceived caregiver burden, heart-focused breathing, heart rate variability

Spousal bereavement is one of the most stressful life events, resulting in increased morbidities and mortality risk. Negative health outcomes include depressive episodes, anxiety, sleep disruption, and overall poorer physical health. The older adult population is rapidly increasing and over 30% of the US population 65 years and older are widowed. Current studies regarding older adults and spousal bereavement treatment have been limited to psychological and educational interventions. Meditative movement practices (e.g. Tai Chi) have shown benefits such as mood elevation, anxiety reduction, and other physical function improvements. A feasibility study applying an 8-week Tai Chi Easy intervention was examined to address the sequelae of spousal bereavement among adults 65 and older. Grounded in geriatric nursing as a discipline that addresses the unique needs of older adults' psychological and physiological health needs and related theoretical constructs, this project also draws from exercise science, mental health, and social psychology. Theoretical premises include Orem's Self Care Deficit Theory (nursing), Stroebe and Schut's Dual Process Model (thanatology), and Peter Salmon's Unifying Theory (exercise). Aims of the study examined feasibility as well as pre-post-intervention changes in grief, and the degree of loss orientation relative to restoration orientation (Inventory of Daily Widowed Life). A trend in the direction of improvement was found in measured subscales, as well as a statistically significant change within the loss orientation subscale. Based upon these encouraging findings, effect sizes may be used to power a future larger study of similar nature.

Obesity is a worldwide epidemic. Countries in the Middle East, Central and Eastern Europe, as well as North America have the highest prevalence of obesity in the world. Perimenopause is a transitional period in the life of a woman, occurring a few years before and a year after menopause or last menses. During this period, a woman may experience several physiological, psychological and socio-economical changes that may affect the health promotion efforts related to weight management. Perimenopausal obesity prevalence is high in Middle-Eastern countries and is a particular problem in Gulf Cooperation Council Countries (GCC). Despite the high prevalence of obesity in GCC countries and its comorbidities among the perimenopausal women, not much attention is given to it. There is lack of understanding regarding the perception of perimenopausal women of midlife weight gain. This study proposed a qualitative descriptive design that used semi-structured interviewing, and conventional content analysis. The purpose of this study was to examine the culturally specific views of perimenopausal GCC women concerning the causes and processes of midlife weight gain. Constructs derived from the health belief and explanatory models to identify and sort themes into conceptual categories were used. The themes and initial interpretations were brought forward into the organizing and explanatory framework of the socioecological model for further exploration and elucidation. The problem of overweight/obesity among the perimenopausal women in GCC countries was found to have many dimensions. These dimensions interacted at multiple levels (individual, interpersonal, organizational and community) and encompassed factors salient in both the HBM and Kleinman's model of disease and risk behaviors. The findings of this study suggest that weight-management programs targeting perimenopausal GCC women should be planned based on the multilevel factors that are expressed by them.