OBJECTIVES: To assess the relative effect of different types of stimuli on agitated behaviors of nursing home residents with dementia. DESIGN: Repeated-measures design with randomized assignment of conditions. SETTING:Seven Maryland nursing homes. PARTICIPANTS: One hundred eleven nursing home residents with a diagnosis of dementia who exhibited agitation. INTERVENTION: Different types of stimuli (music, social stimuli, simulated social stimuli, and individualized stimuli based on the person's self-identity) were presented. MEASUREMENTS: Agitation was directly observed and recorded using the Agitation Behavior Mapping Instrument. RESULTS: All stimulus categories were associated with significantly less physical agitation than baseline observations, and all except for manipulative stimuli were associated with significantly less total agitation. Live social stimuli were associated with less agitation than music, self-identity, work, simulated social, and manipulative stimulus categories. Task and reading stimulus categories were each associated with significantly less agitation than work, simulated social, and manipulative stimulus categories. Music and self-identity stimuli were associated with less agitation than simulated social and manipulative stimuli. CONCLUSION: Providing stimuli offers a proactive approach to preventing agitation in persons with dementia, with live social stimuli being the most successful.
RCT Entities:
OBJECTIVES: To assess the relative effect of different types of stimuli on agitated behaviors of nursing home residents with dementia. DESIGN: Repeated-measures design with randomized assignment of conditions. SETTING: Seven Maryland nursing homes. PARTICIPANTS: One hundred eleven nursing home residents with a diagnosis of dementia who exhibited agitation. INTERVENTION: Different types of stimuli (music, social stimuli, simulated social stimuli, and individualized stimuli based on the person's self-identity) were presented. MEASUREMENTS: Agitation was directly observed and recorded using the Agitation Behavior Mapping Instrument. RESULTS: All stimulus categories were associated with significantly less physical agitation than baseline observations, and all except for manipulative stimuli were associated with significantly less total agitation. Live social stimuli were associated with less agitation than music, self-identity, work, simulated social, and manipulative stimulus categories. Task and reading stimulus categories were each associated with significantly less agitation than work, simulated social, and manipulative stimulus categories. Music and self-identity stimuli were associated with less agitation than simulated social and manipulative stimuli. CONCLUSION: Providing stimuli offers a proactive approach to preventing agitation in persons with dementia, with live social stimuli being the most successful.
Authors: Jonathan Rabinowitz; Michael Davidson; Peter Paul De Deyn; Ira Katz; Henry Brodaty; Jiska Cohen-Mansfield Journal: Am J Geriatr Psychiatry Date: 2005-11 Impact factor: 4.105
Authors: Robert A Rosenheck; Douglas L Leslie; Jody L Sindelar; Edward A Miller; Peter N Tariot; Karen S Dagerman; Sonia M Davis; Barry D Lebowitz; Peter Rabins; John K Hsiao; Jeffery A Lieberman; Lon S Schneider Journal: Arch Gen Psychiatry Date: 2007-11
Authors: Dilip V Jeste; Dan Blazer; Daniel Casey; Thomas Meeks; Carl Salzman; Lon Schneider; Pierre Tariot; Kristine Yaffe Journal: Neuropsychopharmacology Date: 2007-07-18 Impact factor: 7.853
Authors: Sudeep S Gill; Susan E Bronskill; Sharon-Lise T Normand; Geoffrey M Anderson; Kathy Sykora; Kelvin Lam; Chaim M Bell; Philip E Lee; Hadas D Fischer; Nathan Herrmann; Jerry H Gurwitz; Paula A Rochon Journal: Ann Intern Med Date: 2007-06-05 Impact factor: 25.391
Authors: Jenny T van der Steen; Mirjam C van Soest-Poortvliet; Johannes C van der Wouden; Manon S Bruinsma; Rob Jpm Scholten; Annemiek C Vink Journal: Cochrane Database Syst Rev Date: 2017-05-02
Authors: Laura N Gitlin; Catherine Verrier Piersol; Nancy Hodgson; Katherine Marx; David L Roth; Deidre Johnston; Quincy Samus; Laura Pizzi; Eric Jutkowitz; Constantine G Lyketsos Journal: Contemp Clin Trials Date: 2016-06-21 Impact factor: 2.226
Authors: Laura N Gitlin; Katherine A Marx; Dana Alonzi; Tristen Kvedar; Jennifer Moody; Maranda Trahan; Kimberly Van Haitsma Journal: Gerontologist Date: 2016-04-13