Meaningful Activity for Long-Term Care Residents With Dementia: A Comparison of Activities and Raters
Meaningful Activity for Long-Term Care Residents With Dementia: A Comparison of Activities and Raters
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DOI：
10.1093/geront/gnv694
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发表时间：
2017-06-01
期刊：
影响因子：
5.7
通讯作者：
Firth, Isabella M.
中科院分区：
文献类型：
--
作者：
Mansbach, William E.;Mace, Ryan A.;Firth, Isabella M.
研究目的：参与有意义的活动与痴呆症患者的积极成果有关，但缺乏研究证明哪些活动可以被认为是有意义的。我们调查了MemPics（TM），这是一个旨在通过参与和认知刺激促进痴呆症患者进行有意义活动的计划。它与其他娱乐活动在美国提供的长期护理设施，以确定MemPics（TM）是否被评为具有更有意义的活动，从参与者和娱乐stafle.Design和方法的角度：长期护理居民轻度至中度痴呆症，符合资格标准被随机分配到一个活动组（治疗，控制）。参与者完成了2个会议的实验组或对照组活动与设施娱乐工作人员。参与者和工作人员评价每项活动的意义后，每个sessions.Results：在登记的参与者（N = 126），研究分析的基础上，94名参与者（n = 48治疗和n = 46控制; M年龄= 82.98 +/- 9.63）谁完成了活动会话。与对照组活动相比，MemPics（TM）有显着更高的参与者和工作人员的有意义的评级。两种评分员类型之间的评分存在显著差异，工作人员报告的有意义活动高于参与者。MemPics T的进一步支持被发现在退出调查的反应从participating staff.Implications：我们讨论了这项研究的优点和缺点，MemPics T的效用提供有意义的参与长期护理居民轻度至中度痴呆症，并为未来的研究思路。
Purpose of the Study: Engagement in meaningful activities is associated with positive outcomes for persons with dementia, yet studies demonstrating quantitative evidence for which activities can be considered meaningful are lacking. We investigated MemPics (TM), a program designed to promote meaningful activity for individuals with dementia through engagement and cognitive stimulation. It was compared with other recreation activities offered in U.S. long-term care facilities to determine whether MemPics (TM) was rated as having more meaningful activity from both the perspectives of participants and recreation staff.Design and Methods: Long-term care residents with mild to moderate dementia that met eligibility criteria were randomly assigned to an activity group (treatment, control). Participants completed 2 sessions of either the experimental or control group activity with facility recreation staff. Both participants and staff rated each activity in terms of meaningfulness following each session.Results: Of the enrolled participants (N = 126), study analyses were based on the 94 participants (n = 48 treatment and n = 46 control; M age = 82.98 +/- 9.63) who completed the activity sessions. Compared to the control group activities, MemPics (TM) had significantly higher participant and staff ratings of meaningfulness. Scores between the 2 rater types were significantly different, with staff reporting higher meaningful activity than participants. Further support for MemPics T was found in exit survey responses from participating staff.Implications: We discuss the merits and shortcoming of this study, the utility of MemPics T for providing meaningful engagement in long-term care residents with mild to moderate dementia, and ideas for future research.