Reducing verbal agitation in people with dementia: evaluation of an intervention based on the satisfaction of basic needs
| Autor: | Annick Bédard, Jean Vézina, Philippe Landreville, René Verreault, Philippe Voyer |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Psychological intervention Interpersonal relationship Behavior Therapy Intervention (counseling) medicine Dementia Humans Interpersonal Relations Psychomotor Agitation Aged Aged 80 and over Verbal Behavior Repeated measures design medicine.disease Social relation Psychiatry and Mental health Long-term care Treatment Outcome Physical therapy Female Geriatrics and Gerontology Pshychiatric Mental Health Psychology Gerontology Psychosocial Clinical psychology |
| Zdroj: | Agingmental health. 15(7) |
| ISSN: | 1364-6915 |
| Popis: | Positive results have been reported with psychosocial interventions used to reduce verbal agitation (VA) in people with dementia, but there is no clear information regarding the proportion of persons who demonstrate significant behavioural improvement with such treatments. The main objectives of this pilot study are (a) to identify the proportion of persons with dementia who demonstrate significant behavioural improvement with a need-based intervention to reduce VA and (b) to further evaluate the effectiveness of this type of intervention.A single-group repeated measures design was used (N = 26). An individualized multicomponent intervention addressing needs for comfort, social interaction and sensory stimulation was applied by a therapist during 30 min sessions during the time of day when VA was most severe. The frequency and duration of VA were measured through computer-assisted direct observation several times before, during and after the intervention.A statistically significant reduction of the duration of VA during the intervention phase relative to other phases of the protocol was found. This effect was limited to the period during which the treatment is being applied. Half of the participants (54%) demonstrated considerable behavioural improvement during the intervention (50% reduction of symptoms) and those whose functioning is best preserved showed the best response to the intervention.This need-based intervention appears promising for improving the behaviour of a considerable proportion of patients. |
| Databáze: | OpenAIRE |
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