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

More documents

Recommendations

Info

This section describes the features of each study and the rating of their methodological quality. The description includes the items mentioned in the Methods section about data-extraction as far as they were described in the articles. Table 2.5 contains an overview of the main characteristics of the included studies. The text following table 2.5 describes the more precise content of the psychosocial methods, the control groups(s) that were used and the results of each study. Validation integrated emotion-oriented care Four studies into the effects of validation were included in the review. Validation aims to restore self-worth and reduce stress by validating emotional ties to the past (APA, 1997). The first included study, reported by Finnema et al. (1998, 2000) and Dröes et al. (1999), investigated the effects of Integrated Emotion-Oriented Care on depression, aggression and apathy on nursing home residents in the Netherlands. Integrated emotion-oriented care is a combination of methods and techniques from emotionoriented approaches, based on the needs of the resident in question. The method mainly consists of validation, supplemented by other emotion-oriented methods (see table 2.1). Participants in the experimental group received 24-h Emotion-Oriented Care for 7 months by trained nursing assistants. Participants in the control group received usual nursing home care. Finnema et al. and Dröes et al. did not find significant changes in the depression, aggression or apathy scores of the participants who received Emotion-Oriented Care or in participants that received usual care. The second study that measured the effects of validation was conducted by Toseland et al. (1997) and investigated the effects of structured Validation Therapy group sessions on depression, aggression and apathy of nursing home residents in the United States. Participants in the experimental group received structured Validation Therapy group sessions of 30 minutes, four times a week, during a period of one year. There were two types of control groups. The first control group received Social Contact group sessions with the same intensity as the experimental group received Validation Therapy group sessions. Literature review 39
Table 2.5 Characteristics of included studies (E=Experimental group, C=Control group) Treatment type and first author Validation, Finnema et al., 1998; 2000, Dröes, 1999 -table 2.5 continued I- Quality Design Participants (N; sex; age) High RCT N completers=146 (67 exp; 79 contr.) Female n=118 Male n=28 Age exp M=83,8 SD 5.3 Age contr. M=83,6 SD 5.8 Participants (Type and severity dementia) 107 Alzheimer’s Disease 29 Dementia Syndrome 8 Alzheimer’s and Vascular 2 Amnestic Syndrome Severity dementia (GDSscore) Mild n=7 Moderate-Severe n=69 Severe-Very severe n=70 Outcome measures Results 1) Apathy: -Behavioural Assessment Scale for Intramural Psychogeriatrics (BIP)_Subscale apathy -Dutch Assessment Scale for Elderly Patients (ASEP)_Subscale inactivity Depression: -Cornell Scale for Depression in dementia Aggression: -Cohen-Mansfield Agitation Inventory (CMAI)_Subscales verbally and physically aggressive behaviours -Dutch Assessment Scale for Elderly Patients (ASEP)_Subscale aggression Apathy: No significant changes Depression: No significant changes Aggression: No significant changes
Page 1 and 2: Dit proefschrift is een uitgave van
Page 3 and 4: Multi-Sensory Stimulation in 24-hou
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 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
Page 56 and 57: Another point related to the focus
Page 58 and 59: Abstract Many intervention studies
Page 60 and 61: characteristics of the programme (i
Page 62 and 63: implementation process and the resu
Page 64 and 65: Study group On the last day of trai
Page 66 and 67: Questionnaire In order to identify
Page 68 and 69: Table 3.1 Caregivers’ opinion abo
Page 70 and 71: Nursing home (H) Facilitating facto
Page 72 and 73: In four homes, the study group had
Page 74 and 75: ‘An obstacle was formed by centra
Page 76 and 77: patient outcomes. There were two pr
Page 78 and 79: interventions in the organisational
Page 80 and 81: centred work environments’, as de
Page 82 and 83: 4 Effects of snoezelen, integrated
Page 84 and 85: Introduction Effective communicatio
Page 86 and 87: The following research questions wi
Page 88 and 89:
Subjects Residents To establish the
Page 90 and 91:
CNAs was employed in the ward at pr
Page 92 and 93:
Table 4.1 Nonverbal categories of t
Page 94 and 95:
-table 4.2 continued Instrumental c
Page 96 and 97:
the mean frequency of ‘smiling’
Page 98 and 99:
Follow-up Allocation Enrollment Ana
Page 100 and 101:
The table shows that the experiment
Page 102 and 103:
Table 4.5 Change in nonverbal commu
Page 104 and 105:
Table 4.6 Change in verbal communic
Page 106 and 107:
Table 4.7 Change in verbal communic
Page 108 and 109:
Conclusion and discussion Results T
Page 110 and 111:
Strengths and limitations The findi
Page 112 and 113:
communication despite demented resi
Page 114 and 115:
Abstract Background. Caregivers in
Page 116 and 117:
Background The intervention (implem
Page 118 and 119:
In particular, it was hypothesized
Page 120 and 121:
In the pre-test, 124 video-recordin
Page 122 and 123:
Enabling Giving the resident the op
Page 124 and 125:
Pearson correlation of 25 (10%) vid
Page 126 and 127:
change scores indicate a change in
Page 128 and 129:
- table 5.2 continued - Outcome mea
Page 130 and 131:
they were considered particularly i
Page 132 and 133:
dementia, which can be used by staf
Page 134 and 135:
138 Multi-Sensory Stimulation in 24
Page 136 and 137:
Abstract Objectives: To investigate
Page 138 and 139:
2002; Sambandham and Schirm, 1995).
Page 140 and 141:
Randomization took place at ward le
Page 142 and 143:
eak) (Van Weert et al., 2004). Inte
Page 144 and 145:
The caregivers were offered three i
Page 146 and 147:
internal consistency (Cronbach’s
Page 148 and 149:
The number of wards was too small t
Page 150:
Background characteristics Table 6.
Page 153 and 154:
* p< .05, ** p< .01 a The scores in
Page 155 and 156:
- table 6.3 continued - Outcome mea
Page 157 and 158:
al., 2002). The within-session impr
Page 159 and 160:
Effects on resident's behaviour 163
Page 161 and 162:
Abstract Background: Dementia among
Page 163 and 164:
new model, reflecting the relations
Page 165 and 166:
considerations (e.g., the presence
Page 167 and 168:
working life. Outcome measures ‘Q
Page 169 and 170:
value calculated from the valid ite
Page 171 and 172:
Enrollment Allocation Follow-up Ana
Page 173 and 174:
The table shows that the experiment
Page 175 and 176:
Psychological outcomes The effects
Page 177 and 178:
Table 7.4 Change in outcome measure
Page 179 and 180:
Table 7.4 provides the adjusted est
Page 181 and 182:
model takes into account the data o
Page 183 and 184:
8 Summary and discussion Summary an
Page 185 and 186:
analysis, which implied more power
Page 187 and 188:
informal reciprocal consultation wa
Page 189 and 190:
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
Page 195 and 196:
The results of the present study gi
Page 197 and 198:
direction. Qualitative as well as q
Page 199 and 200:
Schrijnemaekers, 2001; 2002). They
Page 201 and 202:
This study helped to answer relevan
Page 203 and 204:
The practical and complex methodolo
Page 205 and 206:
expected. In the experimental group
Page 207 and 208:
observation scale that included pos
Page 209 and 210:
Stimulus preference screening and c
Page 211 and 212:
Samenvatting In dit proefschrift wo
Page 213 and 214:
Om de effecten van snoezelen op de
Page 215 and 216:
van gewoontes. De follow-up bijeenk
Page 217 and 218:
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
Page 233 and 234:
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
Page 247 and 248:
Definitions for ‘Positive Person
Page 249 and 250:
Definitions for behaviour/mood item
Page 251 and 252:
Item Definition Wandering / restles
Page 253 and 254:
Appendix 2 Gedragsobservatielijst I
Page 255 and 256:
CODE B2-6- B VK 0=nee / 1=ja CODE B
Page 257 and 258:
Zorg Afhankelijkheids Schaal voor d
Page 259 and 260:
12 Reageert zichtbaar op muziek noo
Page 261 and 262:
50 Schuift met de voeten heen en we
Page 263 and 264:
AGITATIE (CMAI-D) De volgende 29 vr
Page 266 and 267:
DEPRESSIE (CSDD-D) Hierna volgen ee
Page 268 and 269:
2. Incontinentie De mate waarin de
Page 270 and 271:
9. Vermijden van gevaar De mate waa
Page 272 and 273:
Tot slot Wilt u a.u.b. controleren
Page 274 and 275:
284 Multi Sensory Stimulation in 24
Page 278 and 279:
1) TOELICHTING Met behulp van deze
Page 280 and 281:
1 wisselend ga door naar vraag 10
Page 282 and 283:
Heeft u in uw werk voldoende afwiss
Page 284 and 285:
C. OMGANG DOOR VERZORGENDEN MET DEM
Page 286 and 287:
22 ik krijg van de demente bewoners
Page 289 and 290:
D. PROBLEMEN VAN VERZORGENDEN MET H
Page 291 and 292:
schreeuwen) 1 2 3 4 5 8 29 depressi
Page 293:
geen weinig niet weinig veel heel v
Page 296 and 297:
13 de mate waarin u het gevoel hebt
Page 298 and 299:
zien? 6. Voelde u zich de laatste B
Page 300 and 301:
Eventuele aanvullende op- en aanmer
Page 302 and 303:
Dankwoord Dankwoord 305
Page 304 and 305:
“En nu de zon nog….!”, zei ee
Page 306 and 307:
Curriculum Vitae Curriculum Vitae 3
Page 308 and 309:
Julia van Weert werd op 1 november
show all

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

Create successful ePaper yourself

Delete template?

Save as template?