Sensory Environments for Behavioral Health in Dementia: Diffusion of an Environmental Innovation at the Veterans Health Administration.
Sensory Environments for Behavioral Health in Dementia: Diffusion of an Environmental Innovation at the Veterans Health Administration.
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DOI：
10.1177/1937586720922852
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发表时间：
2020-10
期刊：
影响因子：
--
通讯作者：
Ahrentzen S
中科院分区：
文献类型：
--
作者：
Lorusso L;Park NK;Bosch S;Freytes IM;Shorr R;Conroy M;Ahrentzen S
评估多感官环境（MSE）的扩散作为退伍军人健康管理局（VHA）的一项创新，并收集有关工作人员对痴呆症退伍军人摄取障碍和MSEs有效性的看法的反馈。为了满足非药物行为干预的需求，VHA于2010年资助了第一个针对痴呆症退伍军人的MSE。该房间采用了LED变色灯、气泡管、振动声学家具、音乐和芳香疗法，这个以患者为中心的感官室的成功推动了2013年和2015年的全国推广。采用定性访谈方法。来自53个地点中12个地点的32名工作人员参加了访谈，进行了21次个人访谈和1次与11名参与者的集体访谈。研究结果由一个由八名研究人员组成的团队进行分析，使用快速定性调查方法来确定共同的主题和主要见解。结果如下：关于工作人员对MSE治疗有效性的看法以及接受障碍和克服这些障碍的建议策略（例如，授权冠军，制定明确的维护计划）。这项研究的结果表明，MSE被认为是有效改善痴呆症退伍军人的行为，代表了VHA中广泛传播的创新，具有未来临床应用的巨大潜力。
To evaluate the diffusion of multisensory environments (MSEs) as an innovation at the Veterans Health Administration (VHA) and gather feedback regarding staff perceptions of barriers to uptake and effectiveness of MSEs for Veterans with dementia. Responding to the need for nonpharmacological behavioral interventions, VHA funded the first MSE for Veterans with dementia in 2010. The room incorporated LED color-changing lights, bubble tubes, vibroacoustic furniture, music, and aromatherapy, and the success of this patient-centered sensory room fueled national rollouts in 2013 and 2015. A qualitative interview approach was used. Thirty-two staff members participated from 12 of the 53 sites producing 21 individual interviews and 1 group interview with 11 participants. Results were analyzed by a team of eight researchers using the rapid qualitative inquiry method to identify common themes and major insights. Results: Important insights emerged with regard to staff members’ perceptions about the effectiveness of MSE therapy as well as barriers to uptake and suggested strategies for overcoming those barriers (e.g., empowering a champion, developing a clear maintenance plan). The findings from this research indicate MSEs are perceived as effective in improving behavior for Veterans with dementia and represent an innovation that has been well-diffused within the VHA, with great potential for future clinical applications.
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影响因子：
0.4
作者：
Manesh, Mansoureh Jamshidi;Kalati, Mahnaz;Hosseini, Fatemeh
通讯作者：
Hosseini, Fatemeh
DOI：
10.1111/j.1532-5415.2010.02977.x
发表时间：
2010-09-01
影响因子：
6.3
作者：
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通讯作者：
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影响因子：
4
作者：
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通讯作者：
Parpura-Gill, Aleksandra
影响因子：
1.9
作者：
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通讯作者：
Kunik, Mark E.
影响因子：
1.8
作者：
Yao, L;Algase, D
通讯作者：
Algase, D