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Effects of Behavioral Interventions on Disruptive Behavior and Affect in Demented Nursing Home Residents
Open accessAbstract
BACKGROUND: Disruptive behaviors are prevalent in nursing home residents with dementia and often have negative consequences for the resident, caregiver, and others in the environment. Behavioral interventions might ameliorate them and have a positive effect on residents' mood (affect). OBJECTIVES: This study tested two interventions-an activities of daily living and a psychosocial activity intervention-and a combination of the two to determine their efficacy in reducing disruptive behaviors and improving affect in nursing home residents with dementia. METHODS: The study had three treatment groups (activities of daily living, psychosocial activity, and a combination) and two control groups (placebo and no intervention). Nursing assistants hired specifically for this study enacted the interventions under the direction of a master's prepared gerontological clinical nurse specialist. Nursing assistants employed at the nursing homes recorded the occurrence of disruptive behaviors. Raters analyzed videotapes filmed during the study to determine the interventions' influence on affect. RESULTS: Findings indicated significantly more positive affect but not reduced disruptive behaviors in treatment groups compared to control groups. CONCLUSIONS: The treatments did not specifically address the factors that may have been triggering disruptive behaviors. Interventions much more precisely designed than those employed in this study require development to quell disruptive behaviors. Nontargeted interventions might increase positive affect. Treatments that produce even a brief improvement in affect indicate improved quality of mental health as mandated by federal law.
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In the citing paper
“Agitation in dementia is associated with poor quality of life, 3”
From Non-pharmacological interventions for agitation in dementia: systematic review of randomised controlled trials (2014) · cites this paper as [3]
In the citing paper
“The first ten minutes of ADL care have been established as reliable representations of verbal (r =.80 – .93) and nonverbal (r = .61 – .92) behaviors in comparison to entire interactions and are standard intervals in staff-resident interactions in dementia care research. 15, 16”
From Elderspeak's influence on resistiveness to care: focus on behavioral events (2009) · cites this paper as [16]
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“92) behaviors in comparison to entire interactions(38) and are standard intervals in staff-resident interactions in dementia care research.(39) The following criteria were used to select video footage for analysis: the staff-resident dyad had to be visible during the interaction, recording quality had to be adequate t…”
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BackgroundDevelopment and Initial Testing of a Measure of Person-Directed Care
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“…or caregiver, with emphasis on understanding the perspectives of those receiving care as well as the meaning they attach to their circumstances (Beck et al., 2002; Booker, 2004; Cotrell & Schulz, 1993; Dewing &, Garner, 1998; Harr & Kasayka, 2000; Kane, 2002; Kasch & Dine, 1988; Morse,…”
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Efficacy of Theory-Based Activities for Behavioral Symptoms of Dementia
Kolanowski, A. M., Litaker, M. S., & Buettner, L. L. (2005) · Nursing Research · doi:10.1097/00006199-200507000-00003 · Cited by 153
“These findings are similar to Beck et al. (2002) who found significantly more positive affect, but no reduction in negative affect or agitation, following implementation of tailored behavioral interventions for NH residents with dementia.”
BackgroundResultEvidence-based psychological treatments for disruptive behaviors in individuals with dementia.
Logsdon, R. G., McCurry, S. M., & Teri, L. L. (2007) · Psychology and Aging · doi:10.1037/0882-7974.22.1.28 · Cited by 140
“, 2004) to as many as 90 hr (Beck et al., 2002), but in most studies, participants were provided with between 8 and 20 hr of treatment.”
BackgroundResultInfluentialNonpharmacological intervention for agitation in dementia: A systematic review and meta-analysis
Kong, E.-H., Evans, L. K., & Guevara, J. P. (2009) · Aging & Mental Health · doi:10.1080/13607860902774394 · Cited by 132
“, 1998) Behavioral therapy Activities of daily living intervention (Beck et al., 2002); Way finding intervention (McGilton et al.”
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Hróbjartsson, A., & Gøtzsche, P. C. (2004) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003974.pub2 · Cited by 129
O'Connor, D. W., Ames, D., Gardner, B., & King, M. (2009) · International Psychogeriatrics · doi:10.1017/s1041610208008223 · Cited by 126
Spelten, E. R., Thomas, B., O'Meara, P. F., Maguire, B. J., FitzGerald, D., & Begg, S. J. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012662.pub2 · Cited by 121
Jeon, Y., Luscombe, G. M., Chenoweth, L., Stein‐Parbury, J., Brodaty, H., King, M. T., & Haas, M. R. (2011) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2011.10.020 · Cited by 120
Staal, J. A., Sacks, A. L., Matheis, R. J., Collier, L., Calia, T., Hanif, H., & Kofman, E. S. (2007) · The International Journal of Psychiatry in Medicine · doi:10.2190/pm.37.4.a · Cited by 119
Review Article: Management of Behavioral Symptoms in Progressive Degenerative Dementias
Volicer, L., & Hurley, A. C. (2003) · The Journals of Gerontology Series A · doi:10.1093/gerona/58.9.m837 · Cited by 119
“In a clinical trial with nursing home residents with dementia, two standardized interventions improved affect but did not reduce disruptive behaviors (64).”
BackgroundStress Process Model for Individuals With Dementia
Judge, K. S., Menne, H. L., & Whitlatch, C. J. (2009) · The Gerontologist · doi:10.1093/geront/gnp162 · Cited by 110
“…facilitate engagement and independence (Josephsson, Baechman, Borell, & Nygard, 1995; Judge et al., 2000), manage difficult behaviors and symptoms (Beck et al., 2002; Gitlin, Corcoran, Winter, Boyce, & Hauck, 2001), and utilize informal and formal supportive services (Bass, Clark, Looman,…”
BackgroundWoods, D. L., & Dimond, M. (2002) · Biological Research For Nursing · doi:10.1177/1099800402238331 · Cited by 105
Azcurra, D. S. (2012) · Brazilian Journal of Psychiatry · doi:10.1016/j.rbp.2012.05.008 · Cited by 114
Haitsma, K. S. V., Curyto, K. J., Abbott, K. H., Towsley, G. L., Spector, A., & Kleban, M. H. (2013) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbt102 · Cited by 110
Elderspeak's influence on resistiveness to care: focus on behavioral events
Herman, R. E., & Williams, K. N. (2009) · American Journal of Alzheimer's Disease & Other Dementias® · doi:10.1177/1533317509341949 · Cited by 99
“92) behaviors in comparison to entire interactions and are standard intervals in staff–resident interactions in dementia care research.(15,16) The following criteria were used to select video footage for analysis: the staff–resident dyad had to be visible during the interaction, the recording quality had to be adequat…”
MethodO'Neil, M. E., Freeman, M., Christensen, V., Telerant, R., Addleman, A., & Kansagara, D. L. (2011) · Cited by 96
Nonpharmacologic Treatment of Behavioral Disorders in Dementia
Cohen‐Mansfield, J. (2013) · Current Treatment Options in Neurology · doi:10.1007/s11940-013-0257-2 · Cited by 107
Magill, N., Knight, R., McCrone, P., Ismail, K., & Landau, S. (2019) · BMC Medical Research Methodology · doi:10.1186/s12874-018-0646-z · Cited by 100
Cabrera, E., Sutcliffe, C., Verbeek, H., Saks, K., Soto‐Martin, M., Meyer, G., Leino‐Kilpi, H., Karlsson, S., & Zabalegui, A. (2014) · European Geriatric Medicine · doi:10.1016/j.eurger.2014.06.003 · Cited by 97
“Study characteristics Thirty-one RCTs met the inclusion criteria [13–38,40–44] and five main intervention categories emerged (Table 1): psychoeducational [13–21], physical activity [22–25], sensorial [26–34], staff-focused [35,36,37,38,40] and complex [41–44] (Table 2).”
BackgroundMethodInfluentialPilot Testing of the Restorative Care Intervention for the Cognitively Impaired
Galik, E. M., Resnick, B. M., Gruber‐Baldini, A. L., Nahm, E., Pearson, K. B., & Pretzer‐Aboff, I. (2008) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2008.04.013 · Cited by 81
“Exercise interventions,(26,50,51) and interventions designed to increase patient involvement in physical care activities have resulted in significant reductions in depressive symptoms and behavioral symptoms among older adults with cognitive impairment.(24,28,52,53) Despite this growing body of evidence, there is a te…”
BackgroundTherapeutic Touch and Agitation in Individuals With Alzheimer's Disease
Hawranik, P., Johnston, P., & Deatrich, J. (2008) · Western Journal of Nursing Research · doi:10.1177/0193945907305126 · Cited by 81
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BackgroundNeeds of People With Dementia in Long-Term Care
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Effect of the BACE Intervention on Agitation of People With Dementia
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Therapeutic Effects of an Outdoor Activity Program on Nursing Home Residents with Dementia
Connell, B. R., Sanford, J. A., & Lewis, D. R. (2007) · Journal of Housing for the Elderly · doi:10.1300/j081v21n03_10 · Cited by 75
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BackgroundThe Effect of Therapeutic Touch on Behavioral Symptoms and Cortisol in Persons with Dementia
Woods, D. L., Beck, C., & Sinha, K. (2009) · Forschende Komplementärmedizin / Research in Complementary Medicine · doi:10.1159/000220479 · Cited by 70
Self-citationJablonski, R. A., Munro, C. L., Grap, M. J., & Elswick, R. K. (2005) · Biological Research For Nursing · doi:10.1177/1099800405275726 · Cited by 64
“The quantity and quality of LPN or RN supervision may influence the quantity and quality of oral care provided by CNAs (Beck et al., 2002; DeYoung, Just, & Harrison, 2002; Souder, Heithoff, O’Sullivan, Lancaster, & Beck, 1999).”
BackgroundCohen‐Mansfield, J., Marx, M. S., Dakheel‐Ali, M., & Thein, K. (2014) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2014.06.006 · Cited by 69
“In line with this, nonpharmacological interventions` comparable efficacy (or lack of efficacy) has been previously reported (6, 8, 9).”
BackgroundKonno, R., Kang, H. S., & Makimoto, K. (2014) · Journal of Advanced Nursing · doi:10.1111/jan.12432 · Cited by 61
“The RCT used a crossover design with 5 arms (Beck et al. 2002); three types of interventions to reduce resistance-to-care during daily care were evaluated in 127”
MethodPsychological treatments for depression and anxiety in dementia and mild cognitive impairment
Orgeta, V., Leung, P., del-Pino-Casado, R., Qazi, A., Orrell, M., Spector, A. E., & Methley, A. M. (2022) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009125.pub3 · Cited by 103
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Managing Agitation Using Nonpharmacological Interventions for Seniors With Dementia
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“Personalizing instructions to residents’ abilities promotes a sense of autonomy, self-esteem, and respect which enhances residents’ feelings of safety and security.(24) The NPIs may also be used to postpone the use of medications or in conjunction with medications to minimize their frequency and dose.”
BackgroundMeasuring the Person-Centeredness of Caregivers Working With Nursing Home Residents With Dementia
Wolcott, H., Medvene, L. J., & Williams, K. N. (2010) · Behavior Therapy · doi:10.1016/j.beth.2010.02.005 · Cited by 51
“92) behaviors in complete interactions (Caris-Verhallen, Kerkestra, & Bensing, 1999) and other researchers have used this interval in dementia care research (Beck et al., 2002).”
BackgroundTalerico, K. A., OʼBrien, J. A., & Swafford, K. (2003) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/0279-3695-20031101-10 · Cited by 47
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“The resulting behaviour can pose potential threats to the well-being of not only themselves, but also other patients being treated in the same ward, nursing staff and physicians (Beck et al. 2002).”
What affects pleasure in persons with advanced stage dementia?
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“The positive impact of engagement with stimuli or activities on the affect of nursing home residents with dementia has been reported (Beck et al., 2002; Engelman et al., 1999; Orsulic-Jeras et al., 2000; Bowlby-Sifton, 2001; Libin & Cohen-Mansfield, 2004; Cohen-Mansfield et al., 2007; Cohen-Mansfield et al., 2011; Kol…”
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“, 1998), and have been used in dementia care research(Beck et al., 2002).”
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Handbook of Pain and Palliative Care
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“Response to excessive environmental stress is agitation and decreased function (Beck et al. 2002 ) .”
BackgroundA systematic mapping review of Randomized Controlled Trials (RCTs) in care homes
Gordon, A. L., Logan, P., Jones, R. G., Forrester-Paton, C., Mamo, J. P., & Gladman, J. R. F. (2012) · BMC Geriatrics · doi:10.1186/1471-2318-12-31 · Cited by 41
“and included Activities of Daily Living (ADL)-targeted interventions [29,30], re-orientation [31], pet therapy”
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Overview of Alzheimer's disease
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“Beck et al [74] conducted a clinical trial of environmental and behavioral strategies to promote functional independence, a psychosocial activities intervention that involved 25 standardized modules, and an intervention that combined the two approaches in nursing homes.”
BackgroundSelf-citationThe Effectiveness of Function-Focused Care Interventions in Nursing Homes: A Systematic Review
Lee, S. J., Kim, M. S., Jung, Y. J., & Chang, S. O. (2018) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000268 · Cited by 39
“Beck et al. (2002) carried out an assessment of residents’ interests, which resulted in FFC interventions that were significantly more interesting to the residents (p = .028).”
BackgroundMethodInfluentialWorkforce development to provide person-centered care
Austrom, M. G., Carvell, C. A., Alder, C. A., Gao, S., Boustani, M. A., & LaMantia, M. A. (2015) · Aging & Mental Health · doi:10.1080/13607863.2015.1119802 · Cited by 38
“Studies have reported that clinical care providers often lack the knowledge required to apply the principles of person-centered care to everyday practice (Beck et al., 2002; Coker, 1998; Tellis-Nayak, 2007).”
Rehabilitating Patients With Dementia Who Have Had a Hip Fracture
McGilton, K. S., Wells, J., Teare, G. F., Davis, A. M., Rochon, E. A., Calabrese, S., Naglie, G., & Boscart, V. (2007) · Topics in Geriatric Rehabilitation · doi:10.1097/01.tgr.0000270185.98402.a6 · Cited by 38
Williams, K. N., Perkhounkova, Y., Jao, Y., Bossen, A., Hein, M., Chung, S. J., Starykowicz, A., & Turk, M. (2017) · Western Journal of Nursing Research · doi:10.1177/0193945917697226 · Cited by 37
“93) in complete interactions (Caris-Verhallen, Kerkstra, van der Heijden, & Bensing, 1998) and used in dementia research (Beck et al., 2002).”
Agronin, M. (2009) · Current Psychiatry Reports · doi:10.1007/s11920-009-0005-1 · Cited by 32
“Even mild to moderately demented individuals have benefi ted from various forms of group therapy, including cognitive-behavioral therapy [25], validation therapy [26], and a skills-training group focused on activities of daily living [ 27 ].”
BackgroundViau‐Guay, A., Bellemare, M., Feillou, I., Trudel, L., Desrosiers, J., & Robitaille, M.-J. (2013) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980812000426 · Cited by 34
“For example, the prevalence of psychological and behavioral symptoms related to dementia among CHSLD residents is between 55 and 85 per cent (Beck et al., 2002 ).”
BackgroundA randomized trial of early psychiatric intervention in residential care: impact on health outcomes
Kotynia-English, R., McGowan, H., & Almeida, O. P. (2005) · International Psychogeriatrics · doi:10.1017/s1041610205001572 · Cited by 31
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“Most of these studies, however, focus primarily on dementia patients (Allen-Burge et al., 1999; Ayalon et al., 2006; Beck et al., 2002; Bharani and Snowden, 2005; Cohen-Mansfield, 2001; Cohen-Mansfield et al., 2007; Landreville et al., 1998; Livingston et al., 2005; Ryu et al., 2005; Spira and…”
Managing Pain to Prevent Aggression in People With Dementia
Bradford, A. M., Shrestha, S., Snow, A. L., Stanley, M. A., WILSON, N. L., Hersch, G. I., & Kunik, M. E. (2012) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/1533317512439795 · Cited by 28
“For example, studies of nursing-home residents with dementia have found that expressions of positive affect are significantly more frequent during scheduled activity than during other periods.(71,72) Behavioral activation also directly counteracts avoidance that can lead to reduced environmental reinforcement and seco…”
BackgroundLandreville, P., Bédard, A., Verreault, R., Desrosiers, J., Champoux, N., Monette, J., & Voyer, P. (2006) · International Psychogeriatrics · doi:10.1017/s1041610205002929 · Cited by 29
Sidani, S., Streiner, D. L., & LeClerc, C. (2011) · International Journal of Older People Nursing · doi:10.1111/j.1748-3743.2011.00273.x · Cited by 25
“Those who are agitated pose a threat to themselves and to other residents; are at risk for falls and injury; and often suffer the adverse physical and psychosocial (e.g. social isolation) effects of restraints used as an intervention to minimise agitation prior to morning care (Beck et al., 2002).”
BackgroundKunik, M. E., Stanley, M. A., Shrestha, S., Ramsey, D. J., Richey, S. A., Snow, L., Freshour, J. S., Evans, T. L., Newmark, M. E., Williams, S., et al. (2020) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2020.01.190 · Cited by 26
“The intervention is rooted in the Unmet Needs Model (36) and other currently accepted frameworks for understanding behavioral problems, such as the Antecedent-Behavior- Consequences approach, (37) which underscores the importance of the interaction of individuals and their environment.”
BackgroundGender differences in predictors of survival in elderly nursing‐home residents: a 3‐year follow up
Sund‐Levander, M., Grodzinsky, E., & Wahren, L. K. (2007) · Scandinavian Journal of Caring Sciences · doi:10.1111/j.1471-6712.2007.00431.x · Cited by 23
Reactions of Assisted Living Staff to Behavioral and Psychological Symptoms of Dementia
McKenzie, G. L., Teri, L. L., Pike, K. C., LaFazia, D. M., & van Leynseele, J. (2012) · Geriatric Nursing · doi:10.1016/j.gerinurse.2011.12.004 · Cited by 22
Evidence-Based Interventions for Nursing Home Residents with Dementia-Related Behavioral Symptoms
Bharani, N. L. S., & Snowden, M. B. (2005) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2005.09.004 · Cited by 23
“(continued on next page) 9 5 IN T E R V E N T IO N S F O R D E M E N T IA -R E L A T E D S Y M P T O M S 2002 [45] psychosocial vs combination; placebo control, no intervention control, 12 wk training sca an”
BackgroundState of Nursing Science: On the Edge
Heitkemper, M. M., & Bond, E. F. (2003) · Biological Research For Nursing · doi:10.1177/1099800402239725 · Cited by 21
Sidani, S., LeClerc, C., & Streiner, D. L. (2009) · International Journal of Older People Nursing · doi:10.1111/j.1748-3743.2008.00154.x · Cited by 19
“social isolation) effects of chemical restraint used as an intervention prior to morning care (Beck et al., 2002).”
BackgroundRandall, E. W., & Clissett, P. (2015) · International Journal of Older People Nursing · doi:10.1111/opn.12083 · Cited by 18
“These interventions measured the behaviours of the person with dementia using the Disruptive Behavioural Scale (Beck et al., 2002), the Cohen-Mansfield Agitation Inventory (Remington, 2002; Hawranik et al., 2008; Deudon et al., 2009; and Cooke et al., 2010), the Demanding Behaviour Assessment Scale (Edberg & Hallberg,…”
BackgroundMethodInfluentialTesting Tele‐Savvy: Protocol for a randomized controlled trial
Kovaleva, M. A., Bilsborough, E., Griffiths, P. C., Nocera, J. R., Higgins, M. K., Epps, F. R., Kilgore, K. M., Lindauer, A., Morhardt, D., Shah, R. C., et al. (2018) · Research in Nursing & Health · doi:10.1002/nur.21859 · Cited by 18
“expertise of several disciplines, including nursing (Algase, Beattie, Antonakos, Beel-Bates, & Yao, 2010; Beck et al., 2002; Kovach, Noonan, Schildt, & Wells, 2005); psychology (Burgio, Stevens, Guy, Roth, & Haley, 2003; Coon, Thompson, Steffen, Sorocco, & Gallagher-Thompson, 2003; Teri, Logsdon, Uomoto, & McCurry, 19…”
Geropsychiatric Nursing: The State of the Science
Kolanowski, A. M., & Piven, M. L. S. (2006) · Journal of the American Psychiatric Nurses Association · doi:10.1177/1078390306292158 · Cited by 16
“In a placebo-controlled trial, Beck et al. (2002) demonstrated that psychosocial activities improve positive affect but not BPSD. Kolanowski, Litaker, and Buettner (2005) found, however, that matching activities to functional ability and personality style led to improvements in both affect and…”
BackgroundMohler, R. A., Calo, S., Guiteras, A. R., Renom, H., & Meyer, G. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009812.pub3 · Cited by 19
Managing Problem Behaviors Associated with Dementia
Remington, R., Abdallah, L., Melillo, K. D., & Flanagan, J. M. (2006) · Rehabilitation Nursing · doi:10.1002/j.2048-7940.2006.tb00134.x · Cited by 16
Andrews, G. J. (2016) · Nursing Philosophy · doi:10.1111/nup.12137 · Cited by 15
“…affect being a responsive experiential state of cognitive feeling or emotion follows engagement, which can be more objectively measured as a specific reaction [arising in gerontological nursing in the context of interventions for clients with dementia (Beck et al., 2002; Schreiner et al., 2005)].”
BackgroundEffective nursing interventions in ADL care affecting independence and comfort – a systematic review
Cremer, S., Vluggen, S., Ginkel, J. M. D. M., Metzelthin, S., Zwakhalen, S. M. G., & Bleijlevens, M. H. C. (2023) · Geriatric Nursing · doi:10.1016/j.gerinurse.2023.04.015 · Cited by 17
A música como recurso no cuidado à criança hospitalizada: uma intervenção possível?
Ferreira, C. C. M., Remedi, P. P., & de Lima, R. A. G. (2006) · Revista Brasileira de Enfermagem · doi:10.1590/s0034-71672006000500018 · Cited by 14
Kobayashi, N., & Yamamoto, M. (2004) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2004.03.003 · Cited by 14
Lee, K. H., Lee, J. Y., Boltz, M. P., & McConnell, E. S. (2019) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.12395 · Cited by 16
Staff Reports of Behavioral Expressions of Persons With Dementia in 250 Assisted Living Communities
Dobbs, D., Zimmerman, S. I., Carder, P., Beeber, A., & Palmertree, S. (2021) · The Gerontologist · doi:10.1093/geront/gnab059 · Cited by 13
Live Music Promotes Positive Behaviours in People with Alzheimer's Disease
Cox, E., Nowak, M. J., & Buettner, P. G. (2014) · British Journal of Occupational Therapy · doi:10.4276/030802214x14151078348477 · Cited by 13
“Similar behaviours have been noted in studies of background music and music therapy (Beck et al 2002, Brotons and Marti 2003, Brotons and Pickett-Cooper 1996), as have improvements in language and social skills (Brotons and Marti 2003).”
ResultKovach, C. R. (2011) · Springer eBooks · doi:10.1007/978-1-4419-1651-8_10 · Cited by 13
Benefits and Challenges of Electronic Surveillance in Nursing Home Research
Sifford, K. S., & Bharucha, A. J. (2009) · Research in Gerontological Nursing · doi:10.3928/19404921-20090706-01 · Cited by 13
Jordan, K., & Church, T. (2013) · Journal of Nursing Education · doi:10.3928/01484834-20130218-03 · Cited by 12
Pringle, D. M. (2003) · PubMed · Cited by 12
Measurement and evaluation of body temperature : Implications for clinical practice
Sund‐Levander, M. (2004) · DiVA (Linkoping University) · Cited by 12
Ready, R. E., Carvalho, J. O., Green, R. C., Gavett, B. E., & Stern, R. A. (2011) · International Psychogeriatrics · doi:10.1017/s104161021100041x · Cited by 11
Culture Change for Residents With Dementia
Volicer, L. (2008) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2008.04.014 · Cited by 11
“It is also not clear how their intervention differs from interventions used in other studies, such as Beck et al.3 That study attempted to meet residents’ psychosocial needs for territoriality, communication, autonomy, and self-esteem to promote their sense of safety and security using 3 types of strategies specific t…”
Grief Among Demented Elderly Individuals
Johansson, Å. K., & Grimby, A. (2012) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909112457009 · Cited by 9
“Treatments that produce even a brief improvement might indicate improved quality of mental health also to demented people.(25)”
BackgroundNon-Pharmacological Approaches to Reducing Negative Behavioral Symptoms
Wong, C. M., & Leland, N. E. (2016) · OTJR Occupational Therapy Journal of Research · doi:10.1177/1539449215627278 · Cited by 9
“Individuals who demonstrate negative behavioral symptoms are at a higher risk of self-inflicted pain and accidental falls and injuries (Beck et al., 2002).”
BackgroundResultInfluentialMadsø, K. G., Flo, E., Pachana, N. A., & Nordhus, I. H. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.742510 · Cited by 10
“…were skewed and not normally distributed (see Asplund et al., 1995; Magai et al., 1996, 2002; Perrin, 1997; Lawton et al., 1999; Judge et al., 2000; Beck et al., 2002; Kinney and Rentz, 2005; Wood, 2005; Phillips et al., 2010; Casey et al., 2014; Beerens et al., 2016; de Boer et al., 2016; Lokon…”
BackgroundInfluentialManagement of behavioural and psychological symptoms of dementia and acquired brain injury
Sadavoy, J., Lanctôt, K. L., & Deb, S. S. (2008) · Cambridge University Press eBooks · doi:10.1017/cbo9780511544392.012 · Cited by 9
Nonpharmacological Management of Agitated Behaviours Associated with Dementia
Forbes, D. A., Peacock, S., & Morgan, D. (2005) · Cited by 9
Evaluating non-pharmacological approaches to nursing home dementia care: A protocol
Leland, N. E., Shier, V., Piersol, C. V., Lekovitch, C. A., Martínez, J., Bae‐Shaaw, Y. H., Sood, N., Day, C. E., Cass, P., Como, D. H., et al. (2023) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2023.101161 · Cited by 8
“If untreated, these behavioral and psychological symptoms result in negative side effects (e.g., injuries to self or others, limited food intake, accidental falls) increasing the risk of hospitalization and death [4,5].”
Psychologische Interventionen bei demenziellen Erkrankungen
Fischer-Terworth, C., Probst, P., Glanzmann, P. G., & Knorr, C. C. (2009) · Zeitschrift für Psychiatrie Psychologie und Psychotherapie · doi:10.1024/1661-4747.57.3.195 · Cited by 8
Die deutsche Fassung der «Serial Trial Intervention» (STI-D)
Fischer, T., Kuhlmey, A., Sibbel, R., & Nordheim, J. (2008) · Zeitschrift für Gerontopsychologie & -psychiatrie · doi:10.1024/1011-6877.21.3.199 · Cited by 7
Metadata
- Authors
- Beck, C. K., Vogelpohl, T. S., Rasin, J. H., Uriri, J. T., O???Sullivan, P., Walls, R., Phillips, R., & Baldwin, B.
- Affiliations
- National Institutes of Health (US)
- Stevenson University (US)
- ORCID
- Phillips, Regina
- Venue
- Nursing Research
- Published
- 2002-07
- Volume
- 51
- Issue
- 4
- Pages
- 219-228
- ISSN
- 0029-6562 (ISSN-L)
- OpenAlex
- W2040325460
- Cited by
- 143
- References
- 37
- Citations by year
- 2024: 2 · 2023: 3 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 4 · 2018: 6 · 2017: 4 · 2016: 8 · 2015: 4 · 2014: 11 · 2013: 7 · 2012: 9
- FWCI
- 5.98
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Nursing Research (publishedVersion)
- PubMed (publishedVersion)
- Maryland Shared Open Access Repository (USMAI Consortium) (submittedVersion)
- Digital Repository at the University of Maryland (University of Maryland College Park)
- Funders
- National Institutes of Health (5r01ag010321-05)
- National Institute on Aging (R01 AG10321)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- dementia, disruptive behavior, affect, nursing home residents, behavioral interventions, activities of daily living, nursing assistants, positive affect, long-term care
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Analysis of Variance, Behavior Therapy, Dementia, Female, Geriatric Nursing, Homes for the Aged, Humans, Interpersonal Relations, Male, Nursing Homes, Social Behavior Disorders, United States, Nursing Research
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