Sensory Environments for Behavioral Health in Dementia: Diffusion of an Environmental Innovation at the Veterans Health Administration
Autor: | Sherry Ahrentzen, I. Magaly Freytes, Ronald I. Shorr, Maureen A. Conroy, Lesa Lorusso, Nam-Kyu Park, Sheila J. Bosch |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Gerontology
Male Aromatherapy Attitude of Health Personnel sensory Critical Care and Intensive Care Medicine Article 03 medical and health sciences 0302 clinical medicine Environmental innovation medicine Dementia Humans 030212 general & internal medicine health care economics and organizations Qualitative Research Veterans Problem Behavior Staff perceptions Public Health Environmental and Occupational Health interview Veterans health medicine.disease innovation United States 030227 psychiatry multisensory United States Department of Veterans Affairs Acoustic Stimulation Female Psychology Administration (government) Music Photic Stimulation |
Zdroj: | HERD |
ISSN: | 2167-5112 1937-5867 |
Popis: | Objectives: To evaluate the diffusion of multisensory environments (MSEs) as an innovation at the Veterans Health Administration (VHA) and gather feedback regarding staff perceptions of barriers to uptake and effectiveness of MSEs for Veterans with dementia. Background: Responding to the need for nonpharmacological behavioral interventions, VHA funded the first MSE for Veterans with dementia in 2010. The room incorporated LED color-changing lights, bubble tubes, vibroacoustic furniture, music, and aromatherapy, and the success of this patient-centered sensory room fueled national rollouts in 2013 and 2015. Method: A qualitative interview approach was used. Thirty-two staff members participated from 12 of the 53 sites producing 21 individual interviews and 1 group interview with 11 participants. Results were analyzed by a team of eight researchers using the rapid qualitative inquiry method to identify common themes and major insights. Results: Important insights emerged with regard to staff members’ perceptions about the effectiveness of MSE therapy as well as barriers to uptake and suggested strategies for overcoming those barriers (e.g., empowering a champion, developing a clear maintenance plan). Conclusions: The findings from this research indicate MSEs are perceived as effective in improving behavior for Veterans with dementia and represent an innovation that has been well-diffused within the VHA, with great potential for future clinical applications. |
Databáze: | OpenAIRE |
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