IDEAS home Printed from https://ideas.repec.org/a/oup/geronb/v70y2015i1p35-45..html
   My bibliography  Save this article

A Randomized Controlled Trial for an Individualized Positive Psychosocial Intervention for the Affective and Behavioral Symptoms of Dementia in Nursing Home Residents

Author

Listed:
  • Kimberly S. Van Haitsma
  • Kimberly Curyto
  • Katherine M. Abbott
  • Gail L. Towsley
  • Abby Spector
  • Morton Kleban

Abstract

Objectives. This randomized controlled study tested the effectiveness of individualized activities, led by certified nursing assistants (CNAs), to increase positive and reduce negative affect and behavior among nursing home residents with dementia. Method. Nursing home residents with mild to advanced dementia (N = 180) were randomly assigned to usual care (UC, n = 93) or 1 of 2 experimental conditions. Residents in the attention control group (AC, N = 43) participated in standardized one-to-one activities with their CNAs. Individualized Positive Psychosocial Intervention (IPPI) participants (n = 44) received a CNA-led activity matched to their interests and ability. Outcomes were residents’ positive and negative affect and verbal and nonverbal behavior. Results. The IPPI and AC groups experienced similar benefits—more pleasure, alertness, engagement, positive touch, and positive verbal behavior—compared with UC. The AC group displayed more anger, uncooperativeness, and very negative verbal behavior than UC or IPPI. Discussion. This study demonstrates the value of individualized activities for nursing home residents with dementia. In a stringent test, residents were happier and less angry during a customized intervention compared with a standardized intervention. Even brief individualized CNA-led activities bring pleasure to nursing home residents and constitute an effective strategy to enhance positive affect and engagement in persons with dementia.

Suggested Citation

  • Kimberly S. Van Haitsma & Kimberly Curyto & Katherine M. Abbott & Gail L. Towsley & Abby Spector & Morton Kleban, 2015. "A Randomized Controlled Trial for an Individualized Positive Psychosocial Intervention for the Affective and Behavioral Symptoms of Dementia in Nursing Home Residents," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 70(1), pages 35-45.
    • Handle: RePEc:oup:geronb:v:70:y:2015:i:1:p:35-45.
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1093/geronb/gbt102
    Download Restriction: Access to full text is restricted to subscribers.
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Duane F. Alwin, 2012. "Integrating Varieties of Life Course Concepts," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 67(2), pages 206-220.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Wiebke Mohr & Anika Rädke & Adel Afi & Franka Mühlichen & Moritz Platen & Bernhard Michalowsky & Wolfgang Hoffmann, 2022. "Development of a Quantitative Instrument to Elicit Patient Preferences for Person-Centered Dementia Care Stage 1: A Formative Qualitative Study to Identify Patient Relevant Criteria for Experimental D," IJERPH, MDPI, vol. 19(13), pages 1-27, June.
    2. Viktoria Hoel & Kathrin Seibert & Dominik Domhoff & Benedikt Preuß & Franziska Heinze & Heinz Rothgang & Karin Wolf-Ostermann, 2022. "Social Health among German Nursing Home Residents with Dementia during the COVID-19 Pandemic, and the Role of Technology to Promote Social Participation," IJERPH, MDPI, vol. 19(4), pages 1-15, February.
    3. Melanie Zirves & Holger Pfaff, 2020. "Nursing Home Residents Aged over 80—A Cross-Sectional Analysis on Which Activity Traits Correlate to Positive Affect," IJERPH, MDPI, vol. 17(24), pages 1-13, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Carroll, Brídín & Walsh, Kieran & Scharf, Thomas & O'Donovan, Diarmuid & Keogh, Sinéad, 2023. "Positive health and ageing policies for older Irish travellers and older people who have experienced homelessness in Ireland: Life-course meanings and determinants," Social Science & Medicine, Elsevier, vol. 336(C).
    2. Huimin Yan & Lihu Pan & Zhichao Xue & Lin Zhen & Xuehong Bai & Yunfeng Hu & He-Qing Huang, 2019. "Agent-Based Modeling of Sustainable Ecological Consumption for Grasslands: A Case Study of Inner Mongolia, China," Sustainability, MDPI, vol. 11(8), pages 1-24, April.
    3. Guinea-Martin, Daniel, 2016. "Beyond occupation : the evolution of gender segregation over the life course," UC3M Working papers. Economics 23223, Universidad Carlos III de Madrid. Departamento de Economía.
    4. Ang, Shannon, 2019. "Intersectional cohort change: Disparities in mobility limitations among older Singaporeans," Social Science & Medicine, Elsevier, vol. 228(C), pages 223-231.
    5. Pannhorst, Matthias & Dost, Florian, 2019. "Marketing innovations to old-age consumers: A dynamic Bass model for different life stages," Technological Forecasting and Social Change, Elsevier, vol. 140(C), pages 315-327.
    6. Newton, Nicky J. & Ryan, Lindsay H. & King, Rachel T. & Smith, Jacqui, 2014. "Cohort differences in the marriage–health relationship for midlife women," Social Science & Medicine, Elsevier, vol. 116(C), pages 64-72.
    7. Weller, Susie & Lyle, Kate & Lucassen, Anneke, 2022. "Re-imagining ‘the patient’: Linked lives and lessons from genomic medicine," Social Science & Medicine, Elsevier, vol. 297(C).
    8. Bo Hu, 2021. "Childhood adversity and healthy ageing: a study of the Chinese older population," European Journal of Ageing, Springer, vol. 18(4), pages 523-535, December.
    9. Ryan, Jean & Wretstrand, Anders & Schmidt, Steven M., 2015. "Exploring public transport as an element of older persons' mobility: A Capability Approach perspective," Journal of Transport Geography, Elsevier, vol. 48(C), pages 105-114.
    10. Peiyi Lu & Mack Shelley & Yi‐Long Liu, 2021. "Reexamining the poverty cycle in middle and late adulthood: Evidence from the Health and Retirement Study 2002–2014," International Journal of Social Welfare, John Wiley & Sons, vol. 30(2), pages 140-151, April.
    11. Gignac, Monique A.M. & Backman, Catherine L. & Davis, Aileen M. & Lacaille, Diane & Cao, Xingshan & Badley, Elizabeth M., 2013. "Social role participation and the life course in healthy adults and individuals with osteoarthritis: Are we overlooking the impact on the middle-aged?," Social Science & Medicine, Elsevier, vol. 81(C), pages 87-93.
    12. Judith Treas, 2015. "Editor's choice Incorporating Immigrants: Integrating Theoretical Frameworks of Adaptation," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 70(2), pages 269-278.
    13. Unay-Gailhard, İlkay, 2016. "Job access after leaving education: A comparative analysis of young women and men in rural Germany," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 19(10), pages 1355-1381.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:oup:geronb:v:70:y:2015:i:1:p:35-45.. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Oxford University Press (email available below). General contact details of provider: https://academic.oup.com/psychsocgerontology .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.