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A Person-Centered Environmental and Sensory Intervention for Nursing Home Residents with Dementia who Exhibit Persistent Vocalizations

针对表现出持续发声的痴呆症疗养院居民的以人为本的环境和感官干预

基本信息

批准号：
10456225
负责人：
JUSTINE SUZETTE SEFCIK
金额：
$ 15.37万
依托单位：
DREXEL UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-01 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10456225
关键词：
Address Adverse drug effect Agitation Antipsychotic Agents Attention Behavior Behavior Therapy Behavioral Symptoms Chemicals Clinical Trials Data Dementia Development Distress Doctor of Philosophy Elements Environment Environmental Monitoring Equipment Exhibits Family member Foundations Frequencies Future Goals Heart Rate Home environment Hour Human Resources Image Intervention Intervention Studies Interview Measurement Measures Mentored Patient-Oriented Research Career Development Award Mentorship Mission Modeling Moods Nature Nursing Homes Participant Pennsylvania Perception Persons Pharmaceutical Preparations Phase I Clinical Trials Physiological Play Psyche structure Public Health Quality of life Research Research Personnel Research Proposals Resources Role Sensory Stress Suggestion Surveys Technology Testing Therapeutic Time Training United States Centers for Medicare and Medicaid Services United States National Institutes of Health Universities Work Wrist base biobehavioral measurement care providers cost cost effective design effectiveness evaluation exhaustion experience feasibility testing improved innovation intervention delivery member nature center novel nursing intervention person centered post intervention prevent psychological symptom restraint sensor skills sound symptom management theories uptake vocalization

项目摘要

Project Summary/Abstract This K23 application describes the background and experience of the applicant, Justine S. Sefcik, PhD, RN. It details her plan to acquire the training necessary to achieve her long-term goal to be an independent investigator developing and testing adaptive, non-pharmacological environmental and sensory interventions involving technology to reduce persistent vocalizations (PVs), a common behavioral and psychological symptom of dementia. PVs refer to vocal sounds or inappropriate use of words which are repetitive, persistent, and are upsetting to persons exhibiting them or to others in the same environment. There are known profound negative effects to persons residing in nursing homes (NH) living with dementia and exhibiting PVs, including physical exhaustion, reduced quality of life, and some NH staff using inappropriate interventions (e.g., administering chemical restraints). Unmet needs, such as a need for sensory stimulation and engagement in meaningful activities, may be a contributor to PVs, according to the Need-driven Dementia-compromised Behavior model. Innovative non-pharmacological interventions are urgently needed to reduce PVs. This proposal includes a new application of a nature-based intervention that includes the projection of person- centered nature images with the playing of associated nature sounds for NH residents with dementia and PVs. The intervention, Environmental And Sensory Experience (EASE), was designed based on evidence that engaging with nature elements is a meaningful activity, has a calming effect, and contributes to better moods in people with dementia. Participants (n = 32) will wear a wrist sensor collecting heart rate and electrodermal activity (measures of stress) and be observed 30 minutes prior to-, 30 minutes during-, and 30 minutes immediately after the EASE. The research aims are to: 1) Examine the feasibility and preliminary efficacy of EASE to reduce PVs among NH residents; 2) Evaluate the staff perception of the acceptability of EASE within 48 hours post-intervention, and 3) Examine the mechanism of action of EASE. In the short term, this proposal will allow Dr. Sefcik to: 1) build on her dissertation focused on NH residents with dementia and PVs; 2) gain new skills with behavioral intervention research; and 3) obtain NIH Phase 1 clinical trial data to determine preliminary efficacy of the EASE. The specific training objectives within this application include: 1) Develop skills in designing and implementing tailored, person-centered environmental and sensory behavioral interventions for clinical trials; 2) Acquire skills in biobehavioral measurement, analysis, and dissemination of clinical trial research; and 3) Examine the role of technology for environmental and sensory intervention approaches and measurement for clinical trial research. The University of Pennsylvania is a research-intensive environment with rich resources that will facilitate Dr. Sefcik’s development. This proposal aligns with NINR’s strategic mission to build evidence toward successful symptom management and will be foundational for a R- level submission that will build on these study findings and evaluate the effectiveness of the EASE.

项目总结/文摘

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Predictors of change over time in satisfaction with outdoor activities ratings among long-term care services and supports recipients.

DOI：
10.1016/j.gerinurse.2022.03.007
发表时间：
2022-05
期刊：
GERIATRIC NURSING
影响因子：
2.7
作者：
Sefcik, Justine S.;Petrovsky, Darina, V;Huang, Liming;Behrens, Liza L.;Naylor, Mary D.;Hodgson, Nancy A.;Hirschman, Karen B.
通讯作者：
Hirschman, Karen B.

Tailored Music Listening in Persons With Dementia: A Feasibility Randomized Clinical Trial.

DOI：
10.1177/15333175231186728
发表时间：
2023-01
期刊：
American journal of Alzheimer's disease and other dementias
影响因子：
0
作者：
通讯作者：

Chronic wounds in persons living with dementia: An integrative review.

DOI：
10.1111/opn.12447
发表时间：
2022-05
期刊：
INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING
影响因子：
2.2
作者：
Sefcik, Justine S.;McLaurin, Elease J.;Bass, Ellen J.;DiMaria-Ghalili, Rose Ann
通讯作者：
DiMaria-Ghalili, Rose Ann

When snowball sampling leads to an avalanche of fraudulent participants in qualitative research.

当滚雪球抽样导致定性研究中欺诈参与者雪崩时。

DOI：
10.1111/opn.12572
发表时间：
2023
期刊：
International journal of older people nursing
影响因子：
2.2
作者：
Sefcik,JustineS;Hathaway,Zachary;DiMaria-Ghalili,RoseAnn
通讯作者：
DiMaria-Ghalili,RoseAnn

Healthcare Utilization and Advance Care Planning among Older Adults Across Cognitive Levels.

不同认知水平的老年人的医疗保健利用和预先护理计划。

DOI：
10.1177/07334648231191667
发表时间：
2023
期刊：
Journal of applied gerontology : the official journal of the Southern Gerontological Society
影响因子：
0
作者：
Rahemi,Zahra;Malatyali,Ayse;Bacsu,Juanita-DawneR;Sefcik,JustineS;Petrovsky,DarinaV;Baker,ZacharyG;Ma,KrisPuiKwan;Smith,MatthewL;Adams,SwannA
通讯作者：
Adams,SwannA