Behavioural management of aggression in dementia: a randomized controlled trial
Abstract
OBJECTIVE: To evaluate the efficacy of a brief behaviour management training programme for family carers of patients with dementia and aggressive behaviour. DESIGN: A randomized controlled trial of a four-session, community-based behaviour management programme. The primary outcome measure was the Rating Scale for Aggressive Behaviour in the Elderly. PARTICIPANTS: 62 patients with dementia, and their co-resident carers. RESULTS: There were no significant differences in aggression scores between behaviour management and control groups at follow-up. After adjusting for baseline differences in Rating Scale for Aggressive Behaviour in the Elderly scores, there was a trend towards a reduction in aggressive behaviour in the patients in the behaviour management group compared with those in the control group (F = 3.37, P = 0.071). CONCLUSIONS: This study adds to the small evidence base for the effectiveness of behavioural management strategies in dementia.
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Direct behavioural management therapies with the person with dementia and specific staff education had lasting effectiveness, but this may be limited to affective symptoms.
“We found direct behavioural management therapies (BMT) with the person with dementia and specific staff education had lasting effectiveness, but this may be limited to affective symptoms. 7”
From Non-pharmacological interventions for agitation in dementia: systematic review of randomised controlled trials (2014) · cites this paper as [7]
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“45,46 Two studies training family caregivers in CBT for people with severe agitation also found no improvement compared with controls.”
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- Authors
- Gormley, N.
- Corresponding author
- Gormley, N.
- Venue
- Age and Ageing
- Publisher
- Oxford University Press (OUP)
- Published
- 2001-03-01
- Volume
- 30
- Issue
- 2
- Pages
- 141-145
- ISSN
- 0002-0729 (ISSN-L)
- 1468-2834
- OpenAlex
- W2101332478
- Cited by
- 62
- References
- 0
- Citations by year
- 2020: 1 · 2019: 2 · 2018: 4 · 2017: 5 · 2015: 5 · 2014: 6 · 2013: 3 · 2012: 7
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Age and Ageing (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- dementia, aggression, behavior management, family caregivers, caregiver education, community-based intervention
- MeSH terms
- Aged, Aged, 80 and over, Aggression, Behavior, Mental Disorders, Dementia, Female, Humans, Male, Psychiatric Status Rating Scales, Geriatric Assessment, Caregivers
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