Efficacy of theory-based activities for behavioral symptoms of dementia.
Efficacy of theory-based activities for behavioral symptoms of dementia.
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基于理论的活动对痴呆症行为症状的功效。
DOI：
10.1097/00006199-200507000-00003
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发表时间：
2005
期刊：
影响因子：
2.5
通讯作者：
Buettner,Linda
中科院分区：
文献类型：
--
作者：
Kolanowski,AnnM;Litaker,Mark;Buettner,Linda
研究背景老人院90%的痴呆患者表现出躁动和被动的行为症状。他们占许多不良的健康结果，照顾者的负担，并增加长期care.ObjectivesThis研究测试的需要驱动的痴呆妥协的行为（NDB）模型的娱乐活动的功效：活动匹配的技能水平，活动匹配的风格的兴趣，只有，活动的影响。以及两者的结合（NDB衍生）为应对痴呆症的行为症状。条件介绍在这个交叉实验设计与因变量的重复测量。经过培训的研究助理，不知道条件匹配，连续12天实施每个条件。参与度（任务时间和参与），影响和行为症状（激动和被动）的措施，从每个会议的录像带录音。情绪是用痴呆情绪图片测试来测量的。主要的分析方法是混合模型的方差analysis of variances.ResultsSignificantly更多的时间任务，更大的参与，更积极的影响，和更少的被动下NDB派生和匹配的兴趣只治疗相比，匹配的技能水平只治疗或基线。与基线相比，所有治疗组的躁动和负面情绪均有所改善。有没有显着的变化mood.DiscussionThe NDB衍生的活动量身定制，以满足个人需求，并改善与痴呆症相关的行为症状。这些发现有助于解释产生行为症状的因素以及成功治疗的机制。
BackgroundAgitation and passivity are behavioral symptoms exhibited by 90% of nursing home residents with dementia. They account for many poor health outcomes, caregiver burden, and increased costs of long-term care.ObjectivesThis study tested the efficacy of recreational activities derived from the Need-driven Dementia-compromised Behavior (NDB) model: activities matched to skill level only; activities matched to style of interest only; and a combination of both (NDB-derived) for responding to the behavioral symptoms of dementia.MethodsThirty participants were randomly assigned to 1 of 6 possible order-of-condition presentations in this crossover experimental design with repeated measures of dependent variables. Trained research assistants, blind to condition match, implemented each condition for 12 consecutive days. Measures of engagement (time on task and participation), affect, and behavioral symptoms (agitation and passivity) were taken from videotape recordings of each session. Mood was measured with the Dementia Mood Picture Test. The primary analysis method was mixed-model analysis of variance.ResultsSignificantly more time on task, greater participation, more positive affect, and less passivity were found under NDB-derived and matched to interest only treatments compared with the matched to skill level only treatment or baseline. Agitation and negative affect improved under all treatments compared with baseline. There was no significant change in mood.DiscussionThe NDB-derived activities are tailored to meet individual needs and improve behavioral symptoms associated with dementia. These findings help to explain factors that produce behavioral symptoms and the mechanisms that underlie their successful treatment.