Multi-Sensory Stimulation in 24-hour Dementia Care - Nivel

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ISBN 90-6905-696-8 http://www.nivel.nl nivel@nivel.nl Telephone +31 30 2 729 700 Fax +31 30 2 729 729 ©2004 Julia C.M. van Weert Cover design: Arnoud van den Heuvel Photography: © Hapé Smeele Hapé Smeele kindly gave permission to use one of his photographs from 'Met de moed van een ontdekkingsreiziger', published by Servire 2002, Utrecht Word processing / layout: Doortje Saya Language consultant: Stafford Wadsworth / Mieke van Leeuwe Printing: Twin Design All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of Julia CM van Weert. Exceptions are allowed in respect of any fair dealing for the purpose of research, private study or review.
Multi-Sensory Stimulation in 24-hour Dementia Care Effects of snoezelen on residents and caregivers Zintuigactivering in de 24-uurszorg aan demente ouderen Effecten van snoezelen op verpleeghuisbewoners en zorgverleners (met een samenvatting in het Nederlands) PROEFSCHRIFT ter verkrijging van de graad van doctor aan de Universiteit Utrecht, op gezag van de Rector Magnificus Prof dr. W.H. Gispen, volgens het besluit van het College voor Promoties, in het openbaar te verdedigen op woensdag 8 december 2004 des middags te 12.45 uur door Julia Caecilia Maria van Weert geboren op 1 november 1962, te Zundert
Page 1: Dit proefschrift is een uitgave van
Page 5: niet naakt maar ontbloot het ontgli
Page 8 and 9: 8 Multi-Sensory Stimulation in 24-h
Page 10 and 11: Introduction The study described in
Page 12 and 13: equire special services such as the
Page 14 and 15: the biomedical nature of dementia a
Page 16 and 17: Holtkamp et al., 1997; Kragt et al.
Page 18 and 19: Figure 1.1 Research model ‘reside
Page 20 and 21: a decrease of negative instrumental
Page 22 and 23: measurements on the experimental an
Page 24 and 25: Figure 1.3 Design of the study Mont
Page 26 and 27: Chapter 2 to 7 are submitted for pu
Page 28 and 29: 2 A systematic review The effects o
Page 30 and 31: International Psychogeriatric Assoc
Page 32 and 33: Table 2.1 Included methods Behaviou
Page 34 and 35: Table 2.2 Criteria List for the Met
Page 36 and 37: The Best Evidence Synthesis is cond
Page 38 and 39: This section describes the features
Page 40 and 41: Treatment type and first author Val
Page 42 and 43: and first author (N; sex; age) seve
Page 44 and 45: -table 2.5 continued V- Treatment t
Page 46 and 47: Treatment type and first author Psy
Page 48 and 49: The second control group continued
Page 50 and 51: the day hospital, an occupational t
Page 52 and 53:
One included study researched the e
Page 54 and 55:
There is limited scientific evidenc
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Another point related to the focus
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Abstract Many intervention studies
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characteristics of the programme (i
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implementation process and the resu
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Study group On the last day of trai
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Questionnaire In order to identify
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Table 3.1 Caregivers’ opinion abo
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Nursing home (H) Facilitating facto
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In four homes, the study group had
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‘An obstacle was formed by centra
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patient outcomes. There were two pr
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interventions in the organisational
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centred work environments’, as de
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4 Effects of snoezelen, integrated
Page 84 and 85:
Introduction Effective communicatio
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The following research questions wi
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Subjects Residents To establish the
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CNAs was employed in the ward at pr
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Table 4.1 Nonverbal categories of t
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-table 4.2 continued Instrumental c
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the mean frequency of ‘smiling’
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Follow-up Allocation Enrollment Ana
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The table shows that the experiment
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Table 4.5 Change in nonverbal commu
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Table 4.6 Change in verbal communic
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Table 4.7 Change in verbal communic
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Conclusion and discussion Results T
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Strengths and limitations The findi
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communication despite demented resi
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Abstract Background. Caregivers in
Page 116 and 117:
Background The intervention (implem
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In particular, it was hypothesized
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In the pre-test, 124 video-recordin
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Enabling Giving the resident the op
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Pearson correlation of 25 (10%) vid
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change scores indicate a change in
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- table 5.2 continued - Outcome mea
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they were considered particularly i
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dementia, which can be used by staf
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138 Multi-Sensory Stimulation in 24
Page 136 and 137:
Abstract Objectives: To investigate
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2002; Sambandham and Schirm, 1995).
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Randomization took place at ward le
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eak) (Van Weert et al., 2004). Inte
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The caregivers were offered three i
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internal consistency (Cronbach’s
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The number of wards was too small t
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Background characteristics Table 6.
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* p< .05, ** p< .01 a The scores in
Page 155 and 156:
- table 6.3 continued - Outcome mea
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al., 2002). The within-session impr
Page 159 and 160:
Effects on resident's behaviour 163
Page 161 and 162:
Abstract Background: Dementia among
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new model, reflecting the relations
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considerations (e.g., the presence
Page 167 and 168:
working life. Outcome measures ‘Q
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value calculated from the valid ite
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Enrollment Allocation Follow-up Ana
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The table shows that the experiment
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Psychological outcomes The effects
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Table 7.4 Change in outcome measure
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Table 7.4 provides the adjusted est
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model takes into account the data o
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8 Summary and discussion Summary an
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analysis, which implied more power
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informal reciprocal consultation wa
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To study the adherence of CNAs to t
Page 191 and 192:
Discussion Theoretical reflections
Page 193 and 194:
The effects of improved quality of
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The results of the present study gi
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direction. Qualitative as well as q
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Schrijnemaekers, 2001; 2002). They
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This study helped to answer relevan
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The practical and complex methodolo
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expected. In the experimental group
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observation scale that included pos
Page 209 and 210:
Stimulus preference screening and c
Page 211 and 212:
Samenvatting In dit proefschrift wo
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Om de effecten van snoezelen op de
Page 215 and 216:
van gewoontes. De follow-up bijeenk
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tijdsinvestering gedaan wordt op zo
Page 219 and 220:
In hoofdstuk 7 zijn de effecten van
Page 221 and 222:
ewonersgerichte houding van verzorg
Page 223 and 224:
Samenvatting 233
Page 225 and 226:
Ballard C, O’Brien J, James I, My
Page 227 and 228:
Burns A. Psychotherapy in Alzheimer
Page 229 and 230:
versus usual care to demented elder
Page 231 and 232:
Grol RTPM, van Everdingen JJE, Casp
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observatiekliniek voor ouderen [Val
Page 235 and 236:
Landeweerd JA, Boumans NPG, Nissen
Page 237 and 238:
Ribbe MW, Ljunggren G, Steel K, Top
Page 239 and 240:
Schrijnemaekers VJJ, Rossum E van,
Page 241 and 242:
Volicer L, Camberg L, Hurley AC, As
Page 243 and 244:
254 Multi-Sensory Stimulation in 24
Page 245 and 246:
Definitions for verbal communicatio
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Definitions for ‘Positive Person
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Definitions for behaviour/mood item
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Item Definition Wandering / restles
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Appendix 2 Gedragsobservatielijst I
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CODE B2-6- B VK 0=nee / 1=ja CODE B
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Zorg Afhankelijkheids Schaal voor d
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12 Reageert zichtbaar op muziek noo
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50 Schuift met de voeten heen en we
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AGITATIE (CMAI-D) De volgende 29 vr
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DEPRESSIE (CSDD-D) Hierna volgen ee
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2. Incontinentie De mate waarin de
Page 270 and 271:
9. Vermijden van gevaar De mate waa
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Tot slot Wilt u a.u.b. controleren
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284 Multi Sensory Stimulation in 24
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1) TOELICHTING Met behulp van deze
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1 wisselend ga door naar vraag 10
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Heeft u in uw werk voldoende afwiss
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C. OMGANG DOOR VERZORGENDEN MET DEM
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22 ik krijg van de demente bewoners
Page 289 and 290:
D. PROBLEMEN VAN VERZORGENDEN MET H
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schreeuwen) 1 2 3 4 5 8 29 depressi
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geen weinig niet weinig veel heel v
Page 296 and 297:
13 de mate waarin u het gevoel hebt
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zien? 6. Voelde u zich de laatste B
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Eventuele aanvullende op- en aanmer
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Dankwoord Dankwoord 305
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“En nu de zon nog….!”, zei ee
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Curriculum Vitae Curriculum Vitae 3
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Julia van Weert werd op 1 november
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Multi-Sensory Stimulation in 24-hour Dementia Care - Nivel

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