Agitation in Nursing Home Residents With Dementia (VIDEANT Trial): Effects of a Cluster-Randomized, Controlled, Guideline Implementation Trial

Care‐Delivery Interventions to Manage Agitation and Aggression in Dementia Nursing Home and Assisted Living Residents: A Systematic Review and Meta‐analysis

“…Three studies used clinical protocols in an effort to reduce the use of antipsychotic and other psychotropic drugs, agitation, and aggression . In all studies, investigators trained prescribers in appropriate prescribing.…”

Virtual Reality Experience In Long Term Care Resident Older Adults With Dementia: A Case Series

“…As the length of our intervention was short, we did not expect to observe a large change in BPSD among individuals. In fact, when we apply the thresholds described by other authors [79,80] as clinically meaningful, we observed a small clinically meaningful change in CMAI score and in proportion of night-time sleep.…”

“…According to Cohen an ES is trivial if it is less than 0.20, small if it is between 0.21 -0.49, moderate if it is between 0.51-0.79, and large if it is greater than 0.80 (Cohen, 1988). We considered the change to be clinically meaningful when ES of CMAI score was ≥ 0.2 (Rapp et al, 2013), and ES of sleep percentage was ≥ 0.4 (Perlis et al, 2000). Table 6 Longitudinal validity of Cohen-Mans eld Agitation Inventory domains at the end of week 1 and week 2…”

Clinical and cost-effectiveness of the Managing Agitation and Raising Quality of Life (MARQUE) intervention for agitation in people with dementia in care homes: a single-blind, cluster-randomised controlled trial

“…encouraging reflective practice, co-creation of SMART action plans, training champions, and offering follow-up supervision and support. Three studies 10,12,13 have reported clinically significant reductions in agitation in care homes. These interventions were intensive and multicomponent, combining the following elements: staff training; increased social interaction; antipsychotic review; physician review of medical history and medications; assessment of pain; a doctor and nurse-led reflective case conference develop ing individualised treatment plans; a 3 h educational lecture; staff role play; 45 min sessions of activity therapy for residents delivered twice a week; and training of care home staff by a doctor and nurse in two 4 h blocks.…”

“…Activities in care homes are not necessarily attended by individuals with agitation. 6,9,10 Intensive multicomponent interventions in which physical, social, or occupational activities are implemented, and staff are trained to ensure people with dementia and agitation participate, had some success in reducing agitation in care home residents with dementia immediately after the intervention, [10][11][12][13] with a similar magnitude of effect to antipsychotic medication, but without the associated sideeffects. 14,15 However, such interventions might not be scalable or cost-effective, since they require specialist professional training of care home staff, ongoing supervision to deliver person-centred care and improve communication, physical problems to be addressed, and the implementation of social or other activities, such as positive sensory experiences.…”