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THEORY-BASED ACTIVITIES FOR DEMENTIA BEHAVIORS

针对痴呆症行为的基于理论的活动

基本信息

批准号：
6541498
负责人：
ANN M KOLANOWSKI
金额：
$ 14.14万
依托单位：
PENNSYLVANIA STATE UNIVERSITY, THE
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-01-01 至 2003-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6541498
关键词：
behavior therapy behavioral /social science research tag dementia human old age (65+) human subject human therapy evaluation nursing homes nursing intervention patient oriented research psychological aspect of aging recreation

项目摘要

DESCRIPTION: (provided by applicant) Greater than half of the 4 million elders afflicted with dementia suffer from agitated and passive behaviors. These behaviors are a major source of caregiver stress and are associated with nursing home placement, use of restraints and functional decline. Nurses currently lack adequate scientific or theoretical bases for prescribing approaches that successfully respond to these behaviors. Some evidence exists that therapeutic recreational activities help but little is know about their mechanism of effect. The long-term goal of this project is to improve the scientific basis for prescription of therapeutic recreational activities for persons with dementia with the ultimate goal of improving symptom control and quality of life. The project will test an intervention theory that combines the Need-driven Dementia-compromised Behavior Model, a mid-range theory of dementia behaviors, and a treatment theory of activity effectiveness. Recreational activities are tailored to match elders' background profile as described in the model, i.e. pre-morbid personality traits, cognitive ability, and physical ability and are prescribed based on interest and skill level. Thirty nursing home residents with moderately severe dementia will be enrolled in this project that uses a cross-over experimental design to test the following hypotheses: When exposed to theory-based activities, H1: Subjects will exhibit greater engagement as measured by time on task; H2; Subjects will exhibit greater calm alertness as measured by heart rate variability; H3: Subjects will exhibit more positive affect, less negative affect and report more positive mood state; H4: Subjects will exhibit fewer dementia behaviors. We will compare outcomes during treatment to those obtained during baseline, and two control conditions: activities matched to skill level only and activities matched to interest level only. Findings from this study will add to our knowledge of how best to prescribe therapeutic activities for persons with dementia and will also help refine our knowledge about the adequacy of Need-driven Dementia-compromised Behavior Model for intervention derivation.

描述：（由申请人提供）超过一半的400万老年人患有痴呆症的人会表现出焦虑和消极的行为。这些行为是照顾者压力的主要来源，并且与疗养院安置、使用约束和功能衰退。护士目前缺乏足够的科学或理论基础，成功应对这些行为的方法。有证据表明治疗性娱乐活动有帮助，但对他们的作用机制。该项目的长期目标是改善制定治疗性娱乐活动处方的科学依据痴呆症患者，最终目标是改善症状控制，生活质量该项目将测试一种干预理论，需求驱动的痴呆妥协行为模型，痴呆的中档理论行为，以及活动有效性的治疗理论。娱乐长者的背景资料载于模型，即发病前的人格特征，认知能力和身体能力，并根据兴趣和技能水平规定。三十护理患有中度严重痴呆症的家庭居民将参加该项目它使用交叉实验设计来测试以下假设：当暴露于基于理论的活动时，H1：受试者将表现出更大的参与度（以任务时间衡量）; H2;受试者将表现出更大的平静通过心率变异性测量的警觉性; H3：受试者将表现出更多积极的情感，较少的消极情感和报告更多的积极情绪状态; H4：受试者将表现出更少的痴呆行为。我们将比较结果，基线期间获得的数据，以及两种对照条件：活动仅与技能水平匹配，活动与兴趣水平匹配只.这项研究的结果将增加我们对如何最好地为痴呆症患者开治疗活动处方，完善我们对需求驱动的痴呆症妥协的充分性的知识干预衍生行为模型。