Montessori-Based Activities Among Persons with Late-Stage Dementia: Evaluation of Mental and Behavioral Health Outcomes
| Autor: | Daphne S. Cain, Scott E. Wilks, Samantha Bates, Jennifer R. Geiger, P. August Boyd |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Activities of daily living Sociology and Political Science Anxiety Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Activities of Daily Living medicine Humans Dementia Interpersonal Relations Longitudinal Studies 030212 general & internal medicine Aged Problem Behavior Data collection General Social Sciences General Medicine Social engagement medicine.disease Mental health Nursing Homes Long-term care Quality of Life Female medicine.symptom Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Dementia. 18:1373-1392 |
| ISSN: | 1741-2684 1471-3012 |
| DOI: | 10.1177/1471301217703242 |
| Popis: | Objectives Literature regarding Montessori-based activities with older adults with dementia is fairly common with early stages of dementia. Conversely, research on said activities with individuals experiencing late-stage dementia is limited because of logistical difficulties in sampling and data collection. Given the need to understand risks and benefits of treatments for individuals with late-stage dementia, specifically regarding their mental and behavioral health, this study sought to evaluate the effects of a Montessori-based activity program implemented in a long-term care facility. Method Utilizing an interrupted time series design, trained staff completed observation-based measures for 43 residents with late-stage dementia at three intervals over six months. Empirical measures assessed mental health (anxiety, psychological well-being, quality of life) and behavioral health (problem behaviors, social engagement, capacity for activities of daily living). Results Group differences were observed via repeated measures ANOVA and paired-samples t-tests. The aggregate, longitudinal results—from baseline to final data interval—for the psychological and behavioral health measures were as follows: problem behaviors diminished though not significantly; social engagement decreased significantly; capacities for activities of daily living decreased significantly; quality of life increased slightly but not significantly; anxiety decreased slightly but not significantly; and psychological well-being significantly decreased. Conclusion Improvements observed for quality of life and problem behaviors may yield promise for Montessori-based activities and related health care practices. The rapid physiological and cognitive deterioration from late-stage dementia should be considered when interpreting these results. |
| Databáze: | OpenAIRE |
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