Practice guidelines for recreation therapy in the care of people with dementia (CE)
Open accessAbstract
Activity is a basic human need expressed in work and leisure pursuits. Unfortunately, people with dementia have a low rate of activity participation because of associated physical and cognitive constraints. Recently, the American Therapeutic Recreation Association (ATRA) held a consensus meeting to address this issue and formulate practice guidelines for recreation therapy in the care of people with dementia. The consensus document presents an evidence-based intervention theory that draws on the science of two disciplines: nursing and recreation therapy. This article reports on the ATRA guidelines and illustrates their applicability in a case study of a resident with severe aggression associated with dementia.
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Cites
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Claims the paper makes
9 of 24 cited sources checked · 6 supported · 0 flagged · accuracy not yet measured
- Premisecitation
The specific intervention theory that resulted from the consensus meeting combined the Need-Driven Dementia-Compromised Behavior Model (NDB) and the Neurodevelopmental Sequencing Program (NDSP).
“The specific intervention theory that resulted from the consensus meeting combined the Need-Driven Dementia-Compromised Behavior Model (NDB) 10 and the Neurodevelopmental Sequencing Program (NDSP).11”
Quote in the paperSubstantial claim1 of 2 sources checked- cites [10] Algase, 1996, Need-driven dementia-compromised behavior. An alternative view of disruptive behavior, Am J Alzheimer Dis source
- cites [11] Buettner, 1988, Utilizing developmental theory and adaptive equipment with regressed geriatric patients in therapeutic recreation, Ther Recreational J
- Premisecitation
Dementia-related behaviors arise in part because of an unmet need.
“The model asserts that such behaviors arise in part because of an unmet need.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [10] Algase, 1996, Need-driven dementia-compromised behavior. An alternative view of disruptive behavior, Am J Alzheimer Dis source
- Premisecitation
The NDB model has challenged the prevalent view that dementia-related behaviors are simply part of the disease process.
“The NDB model has challenged the prevalent view that dementia-related behaviors are simply part of the disease process.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [10] Algase, 1996, Need-driven dementia-compromised behavior. An alternative view of disruptive behavior, Am J Alzheimer Dis source
- Premisecitation
In the NDB model, relatively stable individual characteristics (background factors) interact with current situational variables (proximal factors) to produce dementia-related behaviors.
“In the NDB model, relatively stable individual characteristics (background factors) interact with current situational variables (proximal factors) to produce dementia-related behaviors (Figure 1).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [10] Algase, 1996, Need-driven dementia-compromised behavior. An alternative view of disruptive behavior, Am J Alzheimer Dis source
- Premisecitation
Proximal factors in the NDB model induce a need state and precipitate dementia-related behaviors, given the context of risk-producing background factors.
“Proximal factors in the NDB model induce a need state and precipitate dementia-related behaviors, given the context of risk-producing background factors.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [10] Algase, 1996, Need-driven dementia-compromised behavior. An alternative view of disruptive behavior, Am J Alzheimer Dis source
The framework discussion (page unavailable) describes background factors as relevant to risk profiles and says proximal factors are likely to precipitate need-driven dementia-compromised behaviors. It treats changing needs and states as proximal factors, but does not say that proximal factors induce a need state; the claim also states as certain what the paper describes as likely. (LLM, conf=0.83)
Experimental — accuracy not yet measured
- Findingown data
Noise and physical proximity were the physical and social environmental elements that triggered Mr. L.'s aggression.
“Noise and physical proximity were the physical and social environmental elements that triggered aggression.”
Quote in the paperSubstantial claim - Findingnone given
As the number of Mr. L.'s aggressive episodes decreased, the number of positive interactions in the form of outdoor walks increased.
“As the number of aggressive episodes decreased, the number of positive interactions in the form of outdoor walks increased.”
Quote in the paperSubstantial claim - Findingreasoning
This approach also helped the aides see Mr. L. in a different way by decreasing their fear of him.
“This approach also helped the aides see him in a different way by decreasing their fear of him.”
Quote in the paperNot a substantial claim - Findingnone given
During the full 12-week intervention period, the number of Mr. L.'s aggressive episodes decreased dramatically, from more than four to fewer than one per shift.
“During the full 12-week intervention period, the number of Mr. L.'s aggressive episodes decreased dramatically, from more than four to fewer than one per shift.”
Quote in the paperSubstantial claim - Premisecitation
Behavior, movement, and functional losses in people with dementia occur in approximately the reverse order of their original development.
“This approach is based on the observation that behavior, movement, and functional losses in people with dementia occur in approximately the reverse order of their original development.15,16”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [15] Reisburg, 1988, Functional assessment staging (FAST), Psychopharmacol Bull
Not checked in the free run.
- cites [16] Nolan, 1988, Functional skill regression in late-stage dementias, Am J Occup Ther source
- Premisecitation
The efficacy of the NDSP approach has been shown by overall improvement in grip strength, flexibility, and agitation reduction.
“The efficacy of this approach has been shown by overall improvement in grip strength, flexibility, and agitation reduction.18”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [18] Buettner, 1996, Therapeutic recreation as an intervention for persons with dementia and agitation: an efficacy study, Am J Alzheimer Dis source
- Premisereasoning
The NDB model was selected as the guiding framework for understanding dementia-related behaviors because it conceptualizes these behaviors as unmet needs.
“It was selected as the guiding framework for understanding dementia-related behaviors because it conceptualizes these behaviors as unmet needs.”
Quote in the paperSubstantial claim - Premisereasoning
The NDB model changes the interpretation of dementia-related behaviors from disruptive to understandable.
“As such, the model changes the interpretation of dementia-related behaviors from disruptive to understandable.12”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [12] Kolanowski, 1999, An overview of the need-driven dementia-compromised behavior model, J Gerontol Nurs source
- Premisecitation
An inability to communicate needs and wishes has been associated with both physical and verbal aggression in persons with dementia (PWD).
“An inability to communicate needs and wishes has been associated with both physical and verbal aggression in persons with dementia (PWD).20”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [20] Talerico, 2002, Mental health correlates of aggression in nursing home residents with dementia, Gerontologist source
- Premisecitation
People with dementia have a low rate of activity participation because of associated physical and cognitive constraints.
“Unfortunately, people with dementia have a low rate of activity participation because of associated physical and cognitive constraints.4”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [4] Griffin, 1998, Influences on leisure and life satisfaction of elderly people, Phys Occup Ther Geriatr source
- Premisecitation
The NDSP was developed as a treatment approach to promote movement in frail older adults with dementia syndromes.
“The NDSP was developed as a treatment approach to promote movement in frail older adults with dementia syndromes.11,14”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [11] Buettner, 1988, Utilizing developmental theory and adaptive equipment with regressed geriatric patients in therapeutic recreation, Ther Recreational J
- cites [14] Buettner, 1990, Therapeutic recreation for the frail elderly: a new approach
Not checked in the free run.
- Interpretationreasoning
Including certified nurse's aides in the outdoor walks after a few weeks helped Mr. L. associate his care providers with pleasant activities.
“Certified nurse's aides were included in the outdoor walks after a few weeks so that Mr. L. associated his care providers with pleasant activities.”
Quote in the paperSubstantial claim - Interpretationreasoning
In the absence of ideal pharmacotherapies for aggression and given current federal regulations, psychosocial interventions are at least as important as medications in the treatment of cognitively impaired residents in nursing homes.
“In the absence of ideal pharmacotherapies for aggression and given current federal regulations, psychosocial interventions are at least as important as medications in the treatment of cognitively impaired residents in nursing homes.”
Quote in the paperNot a substantial claim - Interpretationown data
The ATRA guidelines are effective in clinical practice.
“The ATRA guidelines are an excellent example of an interdisciplinary approach that is effective in clinical practice.”
Quote in the paperSubstantial claim - Interpretationown data
Positive outcomes can be realized for institutionalized people who demonstrate dementia-related behaviors by combining an assessment of need states, environmental supports, and a neurodevelopmental program that meets those needs.
“Positive outcomes can be realized for institutionalized people who demonstrate dementia-related behaviors by combining an assessment of need states, environmental supports, and a neurodevelopmental program that meets those needs.”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 26
- May combine two claims. 16
- The quote only partly states this claim. 2
Classified as probably not a substantial claim.
PremisecitationThe NDB model identifies and describes the causal processes through which interventions are expected to produce desired outcomes.
“It also identifies and describes the causal processes through which interventions are expected to produce desired outcomes.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [10] Algase, 1996, Need-driven dementia-compromised behavior. An alternative view of disruptive behavior, Am J Alzheimer Dis source
The Introduction describes how needs and background and proximal factors may give rise to dementia-compromised behaviors. Applications to practice and research uses those proposed relationships to suggest interventions, such as increasing social interaction to modify wandering. The paper does not establish the causal processes by which those interventions produce desired outcomes; it says the framework needs validation and recommends examining intervention effects. (LLM, conf=0.79)
Experimental — accuracy not yet measured
May combine two claims.
PremisecitationBackground factors identify people at risk for dementia-related behaviors and provide a profile of strengths and weaknesses.
“Background factors identify people at risk for dementia-related behaviors and provide a profile of strengths and weaknesses.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [10] Algase, 1996, Need-driven dementia-compromised behavior. An alternative view of disruptive behavior, Am J Alzheimer Dis source
Classified as probably not a substantial claim.
PremisereasoningBehaviors are seen as the most integrated and meaningful response a person with dementia can make at that time.
“Behaviors are seen as the most integrated and meaningful response a person with dementia can make at that time.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [10] Algase, 1996, Need-driven dementia-compromised behavior. An alternative view of disruptive behavior, Am J Alzheimer Dis source
May combine two claims.
PremisecitationThe NDB model is a middle-range theory that describes dementia-related behaviors and illustrates the processes that produce them.
“The NDB model is a middle-range theory that describes dementia-related behaviors and illustrates the processes that produce them.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [10] Algase, 1996, Need-driven dementia-compromised behavior. An alternative view of disruptive behavior, Am J Alzheimer Dis source
The Introduction describes the NDB model as a framework for understanding wandering, vocalization, and aggression, and explains these behaviors through needs and interacting background and proximal factors. The paper calls it a conceptual framework, but our copy does not identify it as a middle-range theory. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenAfter admission to the special care unit, Mr. L. resisted and was aggressive toward staff members who provided hands-on care.
“After admission to the special care unit, Mr. L. resisted and was aggressive toward any staff members who provided hands-on care.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). The quote only partly states this claim.
FindingreasoningDespite multiple pharmacologic interventions, Mr. L.'s physical aggression eventually required hospitalization at a crisis center for 2 weeks.
“Despite multiple pharmacologic interventions, his physical aggression eventually required hospitalization at the nearby crisis center.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenMr. L. physically assaulted staff who attempted to touch him or go near him.
“He physically assaulted staff who attempted to touch him or go near him.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataMr. L. demonstrated a tendency toward tactile defensiveness, with aggression most notable when staff made attempts to provide personal care.
“He demonstrated a tendency toward tactile defensiveness (his aggression was most notable when staff made attempts to provide personal care).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAfter the recreation therapy program, Mr. L. needed much less medication to control his behavior; his only medications were trazodone, 25 mg q HS, and lorazepam, .50mg BID.
“Other outcomes indicated that Mr. L. needed much less medication to control his behavior.After the recreation therapy program, his only medications were trazodone, 25 mg q HS, and lorazepam, .50mg BID.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingnone givenMr. L. was a 72-year-old widowed World War II Navy veteran admitted to a special care unit because of Alzheimer disease and severe aggressive behaviors.
“Mr. L. was a 72-year-old, widowed World War II Navy veteran who was admitted to a special care unit because of Alzheimer disease (AD) and severe aggressive behaviors.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenDuring personal care, Mr. L. continued to resist at times, but his occurrences of aggressiveness decreased to fewer than one time per day.
“During personal care, he continued to resist at times, but his occurrences of aggressiveness decreased to fewer than one time per day.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims. The quote only partly states this claim.
Findingnone givenMr. L. was not eating an adequate diet and lost 10 pounds in a 3-week period.
“He lost 10 pounds in a 3-week period.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingnone givenMr. L. refused to get out of bed and could not be bathed, dressed, or toileted.
“He refused to get out of bed; could not be bathed, dressed, or toileted; and was not eating an adequate diet.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenMr. L. usually slept until 10:30 AM, mainly as a result of a heavy psychoactive drug regimen.
“He usually slept until 10:30 AM, mainly as a result of a heavy psychoactive drug regimen.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningWith fewer sedatives, Mr. L. began getting up at breakfast time and joining other residents in the dining room.
“With fewer sedatives, he began getting up at breakfast time and joining other residents in the dining room.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenMr. L. became aggressive when staff tried to arouse him for morning care.
“He also became aggressive when staff tried to arouse him for morning care.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenDespite his severe dementia, Mr. L. recognized his recreation therapist and approached and greeted her when she entered the special care unit.
“Despite his severe dementia, Mr. L. obviously recognized his recreation therapist.When the therapist entered the special care unit, Mr. L. approached and greeted her.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenMr. L. was extremely difficult to redirect when wandering.
“He was extremely difficult to redirect when wandering.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningBy using the stimulation box, Mr. L. demonstrated good fine-motor skills and was encouraged by nursing staff to feed himself finger foods and then to use utensils in the dining room; staff no longer fed him by the end of the 12-week recreation therapy intervention.
“By using the stimulation box, he demonstrated that he had good fine-motor skills and was encouraged by nursing staff to feed himself finger foods and then to use utensils in the dining room.Staff no longer fed Mr. L. by the end of the 12week recreation therapy intervention.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataMr. L. required an additional 6 weeks of recreation therapy for a total of 12 weeks.
“He required an additional 6 weeks of recreation therapy for a total of 12 weeks.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenMr. L. gradually began to show trust in the staff, allowing them to shake hands and massage his shoulders while on the air mattress.
“He gradually began to show trust in the staff, allowing them to shake hands and massage his shoulders while on the air mattress.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataMr. L.'s measures of muscle strength and flexibility were good, and he was able to ambulate fully without assistance.
“His measures of muscle strength and flexibility were good, and he was able to ambulate fully without assistance.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationThe NDSP is a practice theory that describes the design of an intervention, the resources needed to deliver it, and implementation procedures.
“The NDSP is a practice theory that describes the design of an intervention, the resources needed to deliver it, and implementation procedures.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [11] Buettner, 1988, Utilizing developmental theory and adaptive equipment with regressed geriatric patients in therapeutic recreation, Ther Recreational J
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
May combine two claims.
PremisecitationTherapeutic recreation interventions are effective in maintaining function and improving mood and behavior, all indicators of quality of life.
“Studies indicate that such interventions are effective in maintaining function and improving mood and behavior, all indicators of quality of life. 1”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [1] Opie, 1999, The efficacy of psychosocial approaches to behavior disorders in dementia: a systematic literature review, Aust N Z J Psychiatry source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIntervention theory allows treatments to be applied in an intelligent rather than trial-and-error approach.
“Intervention theory allows treatments to be applied in an intelligent rather than trial-and-error approach.8”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [8] Lipsey, 1993, Theory as method: small theories of treatments, New Directions Program Evaluation source
Classified as probably not a substantial claim. May combine two claims.
Premisenone givenChosen interventions match the functional skills of the person with dementia to promote movement and provide success experiences.
“Chosen interventions match the functional skills of the person with dementia to promote movement and provide success experiences.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningAn individual with dementia who wanders, screams, or strikes out is pursuing a goal or trying to express a need.
“The individual who wanders, screams, or strikes out is pursuing a goal or trying to express a need.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based).
PremisereasoningThe NDSP was selected as the framework for implementation because of its widespread use in practice and strong research base.
“It was selected as the framework for implementation because of its widespread use in practice and strong research base.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Interpretationnone givenMr. L.'s wandering indicated a strong physical need for activity.
“His wandering indicated a strong physical need for activity.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationBackground factors, such as cognitive and physical functioning and personality style of interest, are critical in the selection of recreational activities.
“Background factors, such as cognitive and physical functioning and personality style of interest, are critical in the selection of recreational activities.13”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [13] Kolanowski, 2001, Capturing interests: therapeutic recreation activities for persons with dementia, Ther Recreation J
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Classified as probably not a substantial claim.
PremisecitationThe concept of using appropriate recreational activities to decrease dementia-related behaviors stems from the fact that human beings are active, living organisms who derive satisfaction from using their innate abilities.
“The concept of using appropriate recreational activities to decrease dementia-related behaviors stems from the fact that human beings are active, living organisms who derive satisfaction from using their innate abilities.17”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [17] Butcher, 1984
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Classified as probably not a substantial claim.
Premisenone givenThe consensus document presents an evidence-based intervention theory that draws on the science of two disciplines: nursing and recreation therapy.
“The consensus document presents an evidence-based intervention theory that draws on the science of two disciplines: nursing and recreation therapy.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Premisenone givenThe ATRA Dementia Practice Guidelines document includes 10 valid and reliable assessment tools, 82 recreation therapy protocols, and the most current evidence supporting those interventions.
“This document includes 10 valid and reliable assessment tools, 82 recreation therapy protocols, and the most current evidence supporting those interventions.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Premisenone givenThe multidisciplinary guidelines combine a midrange theory from nursing and a practice theory from therapeutic recreation.
“The multidisciplinary guidelines combine a midrange theory from nursing and a practice theory from therapeutic recreation.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationThe ATRA Dementia Practice Guidelines provide recreational therapists and others with a consistent framework to follow for assessment, prescription, treatment, and outcome measurement for older adults with dementia and disturbing behaviors.
“The ATRA Dementia Practice Guidelines 9 provide recreational therapists and others with a consistent framework to follow for assessment, prescription, treatment, and outcome measurement for older adults with dementia and disturbing behaviors.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [9] Buettner L, Fitzsimmons S. Dementia practice guideline for recreational therapy: treatment of disturbing behaviors. ATRA Publications; in press.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
The paper relies on this without support.
Activity is a basic human need expressed in work and leisure pursuits.
“Activity is a basic human need expressed in work and leisure pursuits.”
The paper relies on this without support.
An empirically based method for prescribing recreation therapy interventions has not been developed.
“Unfortunately, an empirically based method for prescribing these interventions has not been developed.”
The paper relies on this without support.
Experts agree that nonpharmacologic interventions should be attempted first.
“Although experts agree that nonpharmacologic interventions should be attempted first”
The paper relies on this without support.
Few health care professionals understand the benefit of interventions offered by recreational therapists.
“few health care professionals understand the benefit of interventions offered by recreational therapists”
The paper relies on this without support.
The discipline of recreational therapy has advanced no consistent framework for the prescription and implementation of activity interventions.
“the discipline has advanced no consistent framework for the prescription and implementation of these activity interventions.”
The paper relies on this without support.
Individuals who are able to meet basic needs using their remaining abilities are more likely to experience a state of well-being.
“The motivation underlying the intervention guidelines was that individuals who are able to meet basic needs using their remaining abilities are more likely to experience a state of well-being.”
The paper relies on this without support.
Therapeutic recreation interventions show great promise as management strategies for dementia-related behaviors.
“Therapeutic recreation interventions show great promise as management strategies for dementia-related behaviors.”
The paper relies on this without support.
Dementia-related behaviors often result in the removal of residents from traditional activity programs in long-term care settings.
“Dementia-related behaviors often result in the removal of residents from traditional activity programs in longterm care settings.”
The paper relies on this without support.
Exclusion from meaningful activities often creates a situation in which the resident with dementia generates his or her own often-inappropriate stimulation or becomes isolated and withdrawn.
“Exclusion from meaningful activities often creates a situation in which the resident with dementia generates his or her own often-inappropriate stimulation or becomes isolated and withdrawn.”
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- Buettner L, Fitzsimmons S. Dementia practice guideline for recreational therapy: treatment of disturbing behaviors. ATRA Publications; in press.
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“Buettner & Kolanowski, 2003 ; Fitzsimmons & Buettner, 2002 ).”
BackgroundPrescribing activities that engage passive residents. An innovative method.
Kolanowski, A. M., & Buettner, L. (2008) · Journal of Gerontological Nursing · doi:10.3928/00989134-20080101-08 · Cited by 47 · see citing works
“The activities we describe have been used successfully in nursing homes, so they are clinically applicable (Buettner & Kolanowski, 2003).”
MethodSelf-citationPicturing Leisure: Using Photovoice to Understand the Experience of Leisure and Dementia
Genoe, M. R., & Dupuis, S. L. (2015) · The Qualitative Report · doi:10.46743/2160-3715/2013.1545 · Cited by 43 · see citing works
Boccardi, M., & Frisoni, G. B. (2005) · Mechanisms of Ageing and Development · doi:10.1016/j.mad.2005.09.027 · Cited by 25 · see citing works
Kolanowski, A. M., Fick, D., Litaker, M., Clare, L., Leslie, D. L., & Boustani, M. (2011) · Trials · doi:10.1186/1745-6215-12-119 · Cited by 20 · see citing works
“This dosage is based on a consensus report of activity effectiveness compiled by expert recreational therapists from the American Therapeutic Recreation Association and the National Recreation Society [94], standard recreational therapy practice in the nursing home, and studies that have demonstrated the efficacy of d…”
BackgroundSelf-citationCreating Cross‐Disciplinary Research Alliances to Advance Nursing Science
Loeb, S. J., Penrod, J., Kolanowski, A. M., Hupcey, J. E., Haidet, K. K., Fick, D. M., McGonigle, D., & Yu, F. (2008) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2008.00226.x · Cited by 19 · see citing works
“…in cross-disciplinary (Kolanowski, Buettner, & Moeller, 2006) as well as in each others’ discipline-specific journals Journal of Nursing Scholarship Second Quarter 2008 199 (Buettner & Kolanowski, 2003; Buettner, Kolanowski, & Yu, 2007; Kolanowski, Buettner, Costa, & Litaker, 2001) was recognized.”
Self-citationThe Impact of a Sensory Garden for People with Dementia
Collins, H. E., Puymbroeck, M. V., Hawkins, B. L., & Vidotto, J. (2020) · Therapeutic Recreation Journal · doi:10.18666/trj-2020-v54-i1-10077 · Cited by 18 · see citing works
“This decline hinders the ability to participate in work, community life, and so-cializing (Buettner et al., 1996; Buettner & Kolanowski, 2003).”
Psychiatric Consultation in Long-Term Care: A Guide for Health Care Professionals
Desai, A. K., & Grossberg, G. T. (2010) · Cited by 17 · see citing works
Jordan, K., & Church, T. (2013) · Journal of Nursing Education · doi:10.3928/01484834-20130218-03 · Cited by 12 · see citing works
Kolanowski, A. M., Hill, N. L., Clare, L., & Marx, P. (2012) · PubMed · Cited by 9 · see citing works
Self-citationShultz, H. L., Wozencroft, A. J., & Cihak, D. F. (2017) · Therapeutic Recreation Journal · doi:10.18666/trj-2017-v51-i4-7812 · Cited by 7 · see citing works
Öhman, A. (2007) · Figshare · Cited by 6 · see citing works
The effect of community participation on subjective well-being in community dwelling elders
English, E. (2013) · Digital Commons at Illinois Wesleyan University (Illinois Wesleyan University) · Cited by 5 · see citing works
Arroyo-Anlló, E. M., Díaz-Marta, J. P., & Sánchez, J. C. (2012) · Pensamiento Psicológico · Cited by 5 · see citing works
Schilling, M. L., Coles, R., Simons, C., & Frost, R. L. (2017) · Activities Adaptation & Aging · doi:10.1080/01924788.2017.1406837 · Cited by 4 · see citing works
“In addition, Buettner and Kolanowski (2003) found that a 12-week sensorimotor program, which focused on a neurodevelopmental approach to services, reduced agitation, improved eating habits, and enhanced trust and interaction with caregivers in an individual with severe dementia.”
BackgroundCommunity-Based Service Providers’ Experiences With Activities for Persons With Dementia
Holden, R. J., Cavalcanti, L., Vemireddy, S., Bateman, D. R., Sheetz, N. J., Fowler, N. R., Parmar, T., & Karanam, Y. (2020) · The International Journal of Aging and Human Development · doi:10.1177/0091415020974620 · Cited by 3 · see citing works
Effects of Exercise on Sleep Quality and Dementia-related Factors of Dementia Patients
Yoon, B. K., Kim, J. J., & Kwak, Y. (2019) · JoLS Journal of Life Sciences · doi:10.5352/jls.2019.29.6.740 · Cited by 2 · see citing works
Frazee, K. (2010) · Summit (Simon Fraser University) · Cited by 2 · see citing works
A New Motion-Based Tool for Occupation and Monitoring of Residents in Nursing Homes
Foloppe, D. A., Richard, P., Allain, P., & Calenda, A. (2019) · Lecture notes in computer science · doi:10.1007/978-3-030-22649-7_37 · Cited by 1 · see citing works
Rätten till en aktiv och meningsfull vardag för personer med demens.
Persson, P., & Jönsson, S. (2007)
A Psychosocial-Spiritual Wellness Care Plan for Residents Who Have Major Neurocognitive Disorder
Desai, A. K., & Grossberg, G. T. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316687024.014
A Study on the Design Method of Physical Convergence Game for Leisure use of Silver Generation
Kim, T., Kim, K.-B., & Kang, S.-Y. (2020) · Journal of Digital Convergence · doi:10.14400/jdc.2020.18.6.419
“하지만, 이러한 신체활동의 긍정적인 효과 에도 불구하고 대부분의 실버세대들은 여가 활동이나 규 칙적인 운동에 참여하지 못하고 있었으며, 일반적인 실버 세대 보다 치매에 걸린 노인의 레저 활동과 신체적 운동 에 참여하는 비율이 낮은 것으로 나타났다[9].”
Current awareness in geriatric psychiatry
(2003) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.789
Prevalence of Recreational Interest in Geriatric Population
Thorat, S. (2020) · Indian Journal of Physiotherapy and Occupational Therapy - An International Journal · doi:10.37506/ijpot.v14i1.3430
Hassan, I., & Khan, A. A. (2022) · International Conference on Computational Science and Computational Intelligence (CSCI) · doi:10.1109/csci58124.2022.00307
Examination of academics’ opinions on therapeutic recreation education
Rize, C. F., Esentaş, M., & Alp, H. (2026) · Sport Sciences for Health · doi:10.1007/s11332-026-01911-6
“Collaborating across professions from physiotherapy to psychology, therapeutic recreation improves care by adding affective and social skills to physical rehab [32, 33].”
- Authors
- Buettner, L., & Kolanowski, A.
- Affiliations
- Pennsylvania State University (US)
- ORCID
- Kolanowski, Ann
- Venue
- Geriatric Nursing
- Publisher
- Elsevier BV
- Published
- 2003-01
- Volume
- 24
- Issue
- 1
- Pages
- 18-25
- ISSN
- 0197-4572 (ISSN-L)
- OpenAlex
- W2025595258
- Semantic Scholar
- 065cc38b6ad60007b9f89fe7b084901387368ebf
- Cited by
- 33
- References
- 20
- Citations by year
- 2026: 1 · 2022: 1 · 2020: 4 · 2019: 2 · 2017: 3 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- green
- libres.uncg.edu
- Locations
- Geriatric Nursing (publishedVersion)
- PubMed (publishedVersion)
- NC Digital Online Collection of Knowledge and Scholarship (The University of North Carolina at Greensboro) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Social Sciences › Psychology › Social Psychology › Recreation, Leisure, Wilderness Management
- Keywords
- therapeutic recreation, dementia, clinical guidelines, activities and participation, dementia care, evidence-based interventions
- MeSH terms
- Aged, Aggression, Alzheimer Disease, Dementia, Humans, Human Development, Male, Models, Neurological, Recreation, Practice Guidelines as Topic
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