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

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Promotores: Prof. dr. J.M. Bensing Prof. dr. M.W. Ribbe Copromotor: Dr. A.M. van Dulmen The research described in this thesis was carried out at NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands. NIVEL is a participating member of the Research Institute for Psychology & Health, officially certified by the Royal Netherlands Academy of Science (KNAW). The study was financed by ZonMW; Netherlands Organisation for Health Research and Development, research program ‘Elderly Care’. Additional funding was provided by Foundation Central Fund RVVZ and the Province of Zeeland. Bernardus Centre of Expertise/Fontis (Mr. Jan Peter) performed the training ‘snoezelen for caregivers’ and supported the implementation in the experimental wards. Barry Emons gave discount on snoezel materials. Financial support for the publication of the thesis was kindly provided by the Netherlands Institute for Health Services Research (NIVEL), Alzheimer Nederland, Internationale Stichting Alzheimer Onderzoek, Arjo Nederland, Barry Emons and my parents.
niet naakt maar ontbloot het ontglipt me heel verpleegsterlijk en dan is het nu tijd voor de l- liefde, vult mama in ik wou luier zeggen maar dit is wel zo overtuigend nog eens, crescendo klimt het op tegen de tegelwanden en alles wat glunderen kan glundert © 2003 Verlichtingdienst | Société Lumineuse Kijk! Mama: De Tijd Verstrijkt www.verlichtingdienst.nl/mama
Page 1 and 2: Dit proefschrift is een uitgave van
Page 3: Multi-Sensory Stimulation in 24-hou
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
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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
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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
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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
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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
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- table 6.3 continued - Outcome mea
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al., 2002). The within-session impr
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Effects on resident's behaviour 163
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Abstract Background: Dementia among
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new model, reflecting the relations
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considerations (e.g., the presence
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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
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Discussion Theoretical reflections
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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
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Stimulus preference screening and c
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Samenvatting In dit proefschrift wo
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Om de effecten van snoezelen op de
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van gewoontes. De follow-up bijeenk
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tijdsinvestering gedaan wordt op zo
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In hoofdstuk 7 zijn de effecten van
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ewonersgerichte houding van verzorg
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Samenvatting 233
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Ballard C, O’Brien J, James I, My
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Burns A. Psychotherapy in Alzheimer
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versus usual care to demented elder
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Grol RTPM, van Everdingen JJE, Casp
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observatiekliniek voor ouderen [Val
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Landeweerd JA, Boumans NPG, Nissen
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Ribbe MW, Ljunggren G, Steel K, Top
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Schrijnemaekers VJJ, Rossum E van,
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Volicer L, Camberg L, Hurley AC, As
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254 Multi-Sensory Stimulation in 24
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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
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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
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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
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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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