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The effect of integrated emotion‐oriented care versus usual care on elderly persons with dementia in the nursing home and on nursing assistants: a randomized clinical trial
Abstract
Objectives: To examine the effect of integrated emotion‐oriented care on nursing home residents with dementia and nursing assistants. Design: A multi‐site randomized clinical trial with matched groups, and measurements at baseline and after seven months. Setting: Sixteen psychogeriatric wards in fourteen nursing homes in the Netherlands. Participants: One hundred and forty‐six elderly residents with the diagnosis dementia of the Alzheimer (DAT) type, mixed DAT and vascular dementia, and dementia syndrome (NAO) and 99 nursing assistants. Interventions: Integrated emotion‐oriented care and usual care. Mesurements: Demented elderly: Behaviour and mood related to adaptation to the illness and the institutionalization. Nursing assistants: General health as measured by feelings of stress, stress reactions, feeling of competence and illness. Results: Positive effects in favour of the integrated emotion‐oriented care were found in mild to moderately demented residents on two adaptive tasks: maintaining an emotional balance (less anxiety) and preserving a positive self‐image (less dissatisfaction). In the trained group of nursing assistants fewer stress reactions were found only in those who perceived improvement in their emotion‐oriented care skills after training. Conclusion: Emotion‐oriented care is more effective with regard to the emotional adaptation in nursing homes of persons with a mild to moderate dementia. For the severely demented elderly we did not find this surplus value. This outcome is of clinical importance for elderly persons with dementia who are cared for in nursing homes. With respect to the nursing assistants it is concluded that emotion‐oriented care has a positive influence on stress reactions in some of them. Copyright © 2005 John Wiley & Sons, Ltd.
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“Two high-quality studies found no immediate or longer-term effect (at 3 months, 6 months or 12 months) of either four or eleven sessions training family caregivers in BMT for severe or symptomatic agitation in people with dementia living at home. 45,46”
From Non-pharmacological interventions for agitation in dementia: systematic review of randomised controlled trials (2014) · cites this paper as [46]
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Metadata
- Authors
- Finnema, E., Dröes, R., Ettema, T., Ooms, M., Adèr, H., Ribbe, M., & Tilburg, W. V.
- Affiliations
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Amsterdam University Medical Centers (NL)
- Corresponding author
- Finnema, Evelyn
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2005-03-29
- Volume
- 20
- Issue
- 4
- Pages
- 330-343
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- OpenAlex
- W2103040941
- Cited by
- 155
- References
- 38
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 1 · 2022: 10 · 2021: 4 · 2020: 5 · 2019: 10 · 2018: 7 · 2017: 13 · 2016: 10 · 2015: 9 · 2014: 14 · 2013: 8 · 2012: 12
- FWCI
- 11.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (publishedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Dutch Health Insurance Funds Council
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Nursing › Research and Theory › Nursing care and research
- Keywords
- dementia, nursing homes, nursing assistants, Alzheimer's disease, vascular dementia, dementia syndromes, psychogeriatric ward, stress reactions, emotional adjustment, institutionalization, self-image, dementia severity, employee training
- MeSH terms
- Absenteeism, Aged, Aged, 80 and over, Analysis of Variance, Anxiety, Attitude of Health Personnel, Dementia, Emotions, Female, Homes for the Aged, Humans, Interpersonal Relations, Job Satisfaction, Male, Netherlands, Nurse-Patient Relations, Nursing Staff, Occupational Diseases, Psychotherapy, Quality of Life, Self Concept, Stress, Psychological, Patient Satisfaction
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