A randomized clinical trial of theory-based activities for the behavioral symptoms of dementia in nursing home residents.
A randomized clinical trial of theory-based activities for the behavioral symptoms of dementia in nursing home residents.
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DOI：
10.1111/j.1532-5415.2011.03449.x
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发表时间：
2011-06
影响因子：
6.3
通讯作者：
Costa PT Jr
中科院分区：
文献类型：
--
作者：
Kolanowski A;Litaker M;Buettner L;Moeller J;Costa PT Jr
本研究旨在探讨需求驱动型失智症行为模式所衍生的活动对护理之家住客行为症状反应的主效应与交互效应。根据兴趣的功能水平和个性风格定制的活动被假设为比部分定制或非定制的活动更大程度地改善行为结果。随机临床试验，双盲。9个社区养老院。128名认知障碍居民被随机分配到适合于以下活动的活动组：功能水平（FL）（n= 32）;感兴趣的人格风格（PSI）（n= 33）;功能水平和感兴趣的人格风格（FL+PSI）（n= 31）;或主动控制（AC）（n= 32）。为期三周的活动，每天提供两次。在基线、干预、干预外随机时间和干预后1周，通过视频记录和真实的时间观察评估激越、被动、参与、情感和情绪。与基线相比，除情绪在AC下恶化外，所有治疗均改善了干预期间的结局。在干预过程中，PSI组表现出更大的参与度，警觉性和注意力比其他组; FL+PSI组表现出更大的快乐。在随机时间内，参与度恢复到基线水平，但FL组的参与度有所下降。在那些有着个性化兴趣风格的群体中，也有更少的激动和被动。干预后一周，情绪、焦虑和被动性较基线有所改善;停止治疗后，快乐程度明显降低。这一假设得到部分支持。兴趣人格类型是个体化活动处方的重要组成部分。
To test the main and interactive effects of activities derived from the Need-driven Dementia-compromised Behavior model for responding to behavioral symptoms in nursing home residents. Activities tailored to functional level and personality style of interest were hypothesized to improve behavioral outcomes to a greater extent than partially- tailored or non-tailored activities. Randomized clinical trial, double-blind. Nine community-based nursing homes. One hundred and twenty eight cognitively impaired residents randomly assigned to activities tailored to: functional level (FL) (n= 32); personality style of interest (PSI) (n= 33); functional level and personality style of interest (FL+PSI) (n= 31); or active control (AC) (n= 32). Three weeks of activities provided twice daily. Agitation, passivity, engagement, affect, and mood assessed from video-recordings and real time observations during baseline, intervention, random times outside of intervention, and one week post-intervention. Compared to baseline all treatments improved outcomes during intervention except mood which worsened under AC. During intervention the PSI group demonstrated greater engagement, alertness, and attention than the other groups; the FL+PSI group demonstrated greater pleasure. During random times, engagement returned to baseline levels except in the FL group where it decreased. There was also less agitation and passivity in groups with a tailored to personality style of interest component. One week post intervention mood, anxiety and passivity improved over baseline; there was significantly less pleasure displayed following withdrawal of treatment. The hypothesis was partially supported. Personality style of interest is a critical component of individualized activity prescription.
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DOI：
10.1177/1533317506291074
发表时间：
2006-10-01
期刊：
American journal of Alzheimer's disease and other dementias
影响因子：
--
作者：
Kolanowski, Ann;Buettner, Linda;Moeller, Joyel
通讯作者：
Moeller, Joyel
影响因子：
5.7
作者：
Gitlin, Laura N.;Winter, Laraine;Burke, Janice P.
通讯作者：
Burke, Janice P.
影响因子：
3.8
作者：
Kurtz, JE;Lee, PA;Sherker, JL
通讯作者：
Sherker, JL
影响因子：
4.8
作者：
FOLSTEIN, MF;FOLSTEIN, SE;MCHUGH, PR
通讯作者：
MCHUGH, PR
DOI：
10.1097/01.jgp.0000249388.37080.b4
发表时间：
2007-06-01
影响因子：
7.2
作者：
Garland, Kathryn;Beer, Edwina;O'Connor, Daniel W.
通讯作者：
O'Connor, Daniel W.