An Evaluation of a Family Visit Education Program
Abstract
OBJECTIVES : This study was designed to examine the impact of the Family Visit Education Program (FVEP) on family members, nursing staff, and nursing home residents with dementia. DESIGN : The study employed a 2 × 3 single‐blind, randomized control group design with two study conditions, FVEP or usual care (UC), and three times of measurement, baseline, 3‐months, and 6‐months. SETTING : The study was conducted in five skilled‐care nursing homes that ranged in size from 120 to 300 beds. PARTICIPANTS : Sixty‐six residents with dementia and their primary visitor were randomly assigned to FVEP (n = 32) or UC (n = 34). MEASUREMENTS : Residents were assessed for (1) psychosocial functioning, (2) depression, (3) agitated behavior, and (4) degree of positive social interaction. Nursing staff were assessed for changes in the time and methods used to manage problem behaviors. Visitors were assessed for (1) dementia management skills, (2) extent of perceived caregiving hassles, and (3) visit satisfaction. RESULTS : FVEP was effective for reducing residents' problem behaviors and for decreasing their symptoms of depression and irritability. It was also effective for improving the way family members and other visitors communicated with residents, but, with the exception of reducing the use of mechanical restraints, it was not effective in changing nurses' management of residents' behavior problems. CONCLUSIONS : It is possible to educate family members to communicate and interact more effectively with nursing home residents with dementia. This has beneficial effects on residents but not on nursing staff's management of problem behaviors. J Am Geriatr Soc 47:203–214, 1999.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Psychotropic medication was routinely used to treat agitation but is now discouraged since benzodiazepines and antipsychotics increase cognitive decline.
“Psychotropic medication was routinely used to treat agitation but is now discouraged since benzodiazepines and antipsychotics increase cognitive decline, 10”
From Non-pharmacological interventions for agitation in dementia: systematic review of randomised controlled trials (2014) · cites this paper as [10]
Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,588 · see citing works
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282 · see citing works
The Global Deterioration Scale for assessment of primary degenerative dementia
Reisberg, ., Ferris, S. H., de Leon, M. J., & Crook, T. H. (1982) · American Journal of Psychiatry · doi:10.1176/ajp.139.9.1136 · Cited by 4,982 · see citing works
Cornell scale for depression in dementia
Alexopoulos, G. S., Abrams, R. C., Young, R. C., & Shamoian, C. A. (1988) · Biological Psychiatry · doi:10.1016/0006-3223(88)90038-8 · Cited by 2,678 · see citing works
Handbook of the Psychology of Aging
(1986) · Journal of Gerontology · doi:10.1093/geronj/41.2.296 · Cited by 1,557 · see citing works
A Description of Agitation in a Nursing Home
Cohen-mansfield, J., Marx, M. S., & Rosenthal, A. S. (1989) · Journal of Gerontology · doi:10.1093/geronj/44.3.m77 · Cited by 1,349 · see citing works
Designing the National Resident Assessment Instrument for Nursing Homes
Morris, J., Hawes, C., Fries, B. E., Phillips, C. D., Mor, V., Katz, S. R., Murphy, K., Drugovich, M. L., & Friedlob, A. S. (1990) · The Gerontologist · doi:10.1093/geront/30.3.293 · Cited by 925 · see citing works
Some Conceptual and Statistical Issues in Analysis of Longitudinal Psychiatric Data
Gibbons, R. D. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820210073009 · Cited by 719 · see citing works
Agitated Behaviors in the Elderly: II. Preliminary Results in the Cognitively Deteriorated
Cohen‐Mansfield, J. (1986) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1986.tb04303.x · Cited by 649 · see citing works
Assessing the Elderly: A Practical Guide to Measurement
Willemain, T. R. (1982) · Journal of Health Politics Policy and Law · doi:10.1215/03616878-7-1-280 · Cited by 296 · see citing works
Sharing the Caring: Family Caregivers' Views of Their Relationships With Nursing Home Staff
Duncan, M. T., & Morgan, D. L. (1994) · The Gerontologist · doi:10.1093/geront/34.2.235 · Cited by 235 · see citing works
Helmes, E., Csapo, K. G., & Short, J.-A. (1987) · Journal of Gerontology · doi:10.1093/geronj/42.4.395 · Cited by 197 · see citing works
Caregiving Hassles Scale: Assessing the Daily Hassles of Caring for a Family Member With Dementia
Kinney, J. M., & Stephens, M. A. P. (1989) · The Gerontologist · doi:10.1093/geront/29.3.328 · Cited by 180 · see citing works
Aberrant Behaviors and Alzheimer's Disease: Mental Health Effects on Spouse Caregivers
Pruchno, R. A., & Resch, N. L. (1989) · Journal of Gerontology · doi:10.1093/geronj/44.5.s177 · Cited by 175 · see citing works
Care-giving in dementia : research and applications
Jones, G., & Miesen, B. M. L. (1992) · Routledge eBooks · Cited by 147 · see citing works
VITALIANO, P. P., Young, H. M., Russo, J. E., Romano, J. M., & Magana-Amato, A. (1993) · Journal of Gerontology · doi:10.1093/geronj/48.4.p202 · Cited by 147 · see citing works
Modifying Repetitive Verbalizations of Community-Dwelling Patients with AD
Bourgeois, M. S., Burgio, L. D., Schulz, R., Beach, S. R., & Palmer, B. W. (1997) · The Gerontologist · doi:10.1093/geront/37.1.30 · Cited by 141 · see citing works
The loss of self : a family resource for the care of Alzheimer's disease and related disorders
Cohén, D., & Eisdorfer, C. (1987) · Medical Entomology and Zoology · Cited by 140 · see citing works
Stephens, M. A. P., Kinney, J. M., & Ogrocki, P. K. (1991) · The Gerontologist · doi:10.1093/geront/31.2.217 · Cited by 133 · see citing works
Dementia Management Strategies and Adjustment of Family Members of Older Patients
Hinrichsen, G. A., & Niederehe, G. (1994) · The Gerontologist · doi:10.1093/geront/34.1.95 · Cited by 131 · see citing works
Reliability of psychiatric scales in patients with dementia of the Alzheimer type
Gottlieb, G. L., Gur, R. E., & Gur, R. C. (1988) · American Journal of Psychiatry · doi:10.1176/ajp.145.7.857 · Cited by 86 · see citing works
Sources of Stress for Family Caregivers of Institutionalized Dementia Patients
Stephens, M. A. P., Ogrocki, P. K., & Kinney, J. M. (1991) · Journal of Applied Gerontology · doi:10.1177/073346489101000307 · Cited by 57 · see citing works
Institutionalization of the Aged: A Family Crisis
Brody, E., & Spark, G. M. (1966) · Family Process · doi:10.1111/j.1545-5300.1966.00076.x · Cited by 52 · see citing works
Gladstone, J. W. (1995) · The Gerontologist · doi:10.1093/geront/35.1.52 · Cited by 43 · see citing works
The Effects of Placement in Nursing Homes on Family Caregivers: Short and Long Term Consequences
Zarit, S. H., & Whitlatch, C. J. (1993) · The Irish Journal of Psychology · doi:10.1080/03033910.1993.10557912 · Cited by 42 · see citing works
Winogrond, I. R., Fisk, A. A., Kirsling, R. A., & Keyes, B. (1987) · The Gerontologist · doi:10.1093/geront/27.3.336 · Cited by 39 · see citing works
Psychometric Assessment of the Multidimensional Observation Scale for Elderly Subjects (MOSES)
Pruchno, R. A., Kleban, M. H., & Resch, N. L. (1988) · Journal of Gerontology · doi:10.1093/geronj/43.6.p164 · Cited by 38 · see citing works
Psychological Intervention with the Aging Individual
Smyer, M. A., Zarit, S. H., & Qualls, S. H. (1990) · Elsevier eBooks · doi:10.1016/b978-0-12-101280-9.50029-2 · Cited by 37 · see citing works
Demoralization among Sons, Daughters, Spouses, and Other Relatives of Nursing Home Residents
Grau, L., Teresi, J. A., & Chandler, B. J. (1993) · Research on Aging · doi:10.1177/0164027593153004 · Cited by 36 · see citing works
Caregiver Adaptations to Having a Relative with Dementia Admitted to a Nursing Home
Riddick, C. C., Cohen‐Mansfield, J., Fleshner, E., et al. (1992) · Journal of Gerontological Social Work · doi:10.1300/j083v19n01_04 · Cited by 30 · see citing works
"If You Don't Like the Care, Why Don't You Take Your Mother Home?"
Safford, F. (1989) · Journal of Gerontological Social Work · doi:10.1300/j083v13n03_01 · Cited by 25 · see citing works
Informal Caregivers of Institutionalized Dementia Residents
Monahan, D. J. (1995) · Journal of Gerontological Social Work · doi:10.1300/j083v23n03_05 · Cited by 23 · see citing works
Reisberg, . (1997) · PubMed · Cited by 21 · see citing works
A Standardized Patient Program in a Mandatory Geriatrics Clerkship for Medical Students
Gold, G., Hadda, C., Taylor, B., et al. (1995) · The Gerontologist · doi:10.1093/geront/35.1.61 · Cited by 19 · see citing works
Comforting the Confused: Strategies for Managing Dementia
Hoffman, S. B., & Platt, C. A. (1991) · Cited by 16 · see citing works
Spousal Care of Alzheimer's Disease Patients in Nursing Home versus In-Home Settings
Barber, C. E. (1993) · Clinical Gerontologist · doi:10.1300/j018v12n04_02 · Cited by 15 · see citing works
Treatments for the Alzheimer patient : the long haul
Jarvik, L. F., & Winograd, C. H. (1988) · Medical Entomology and Zoology · Cited by 14 · see citing works
Reisberg, . (1985) · Psychiatric Annals · doi:10.3928/0048-5713-19850501-07 · Cited by 14 · see citing works
MacKenzie, P., & MacLean, M. (1992) · Journal of Gerontological Social Work · doi:10.1300/j083v19n02_07 · Cited by 12 · see citing works
Mental Health Problems and Behavioral Disruptions in Nursing Homes:
Tirrito, T. (1997) · Journal of Gerontological Social Work · doi:10.1300/j083v27n01_06 · Cited by 11 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Dementia prevention, intervention, and care
Livingston, G., Sommerlad, A., Orgeta, V., Costafreda, S. G., Huntley, J., Ames, D., Ballard, C., Banerjee, S., Burns, A., Cohen-Mansfield, J., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(17)31363-6 · Cited by 6,072 · see citing works
Meta‐Analysis of Psychosocial Interventions for Caregivers of People with Dementia
Brodaty, H., Green, A., & Koschera, A. (2003) · Journal of the American Geriatrics Society · doi:10.1034/j.1600-0579.2003.00210.x · Cited by 952 · see citing works
Nonpharmacological therapies in Alzheimer’s disease: a systematic review of efficacy
Olazarán, J., Reisberg, B., Clare, L., Cruz, I., Peña-Casanova, J., del Ser, T., Woods, B., Beck, C., Auer, S., Lai, C., et al. (2010) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000316119 · Cited by 937 · see citing works
Livingston, G., Johnston, K., Katona, C., Paton, J., Lyketsos, C. G., & Old Age Task Force of the World Federation of Biological Psychiatry (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.11.1996 · Cited by 591 · see citing works
Abraha, I., Rimland, J. M., Trotta, F. M., Dell'Aquila, G., Cruz-Jentoft, A., Petrovic, M., Gudmundsson, A., Soiza, R., O'Mahony, D., Guaita, A., et al. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-012759 · Cited by 557 · see citing works
Livingston, G., Kelly, L., Lewis-Holmes, E., Baio, G., Morris, S., Patel, N., Omar, R. Z., Katona, C., & Cooper, C. (2014) · British Journal of Psychiatry · doi:10.1192/bjp.bp.113.141119 · Cited by 426 · see citing works
McCallion, P., Toseland, R. W., Lacey, D., & Banks, S. (1999) · The Gerontologist · doi:10.1093/geront/39.5.546 · Cited by 182 · see citing works
Self-citationPort, C. L., Zimmerman, S., Williams, C. S., Dobbs, D., Preisser, J. S., & Williams, S. W. (2005) · The Gerontologist · doi:10.1093/geront/45.suppl_1.87 · Cited by 144 · see citing works
Sánchez-Izquierdo, M., Santacreu, M., Olmos, R., & Fernández-Ballesteros, R. (2019) · Clinical Interventions in Aging · doi:10.2147/cia.s213644 · Cited by 34 · see citing works
Griffin, J. M., Meis, L. A., Greer, N., MacDonald, R., Jensen, A., Rutks, I., Carlyle, M., & Wilt, T. J. (2015) · Gerontology and Geriatric Medicine · doi:10.1177/2333721415595789 · Cited by 21 · see citing works
- Authors
- McCallion, P., Toseland, R. W., & Freeman, K.
- Affiliations
- State University of New York (US)
- Corresponding author
- McCallion, Philip
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 1999-02
- Volume
- 47
- Issue
- 2
- Pages
- 203-214
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W2068938636
- Cited by
- 104
- References
- 40
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 3 · 2022: 1 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 4 · 2014: 8 · 2013: 1 · 2012: 4
- FWCI
- 8.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Geriatrics Society (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- dementia, nursing home residents, family caregivers, family education, behavioral problems, depression, agitation, social interaction, nurses, mechanical restraint, caregiver communication, visitor satisfaction
- MeSH terms
- Adult, Communication, Dementia, Family, Female, Homes for the Aged, Humans, Male, Middle Aged, Nurse-Patient Relations, Nursing Homes, Visitors to Patients, Geriatric Assessment, Single-Blind Method, Caregivers, Cost of Illness
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review