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

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  • 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.
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    File URL: http://hdl.handle.net/10.1093/geronb/gbt102
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    References listed on IDEAS

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    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.
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    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.

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