Group engagement in persons with dementia: The concept and its measurement

Cohen‐Mansfield, Jiska; Hai, Tasmia; Comishen, Michael

doi:10.1016/j.psychres.2017.02.013

Cited by 36 publications

(44 citation statements)

References 35 publications

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“…Observations were collected using the Group Observational Measurement of Engagement (GOME) [ 2 ] and included outcomes of engagement, mood, and sleep. These are described in the following.…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, it is important to understand the impact of group activities on engagement and the possible related outcomes. The Comprehensive Process Model of Group Engagement serves as a conceptual framework to understand engagement of persons with dementia within group activity settings [ 2 ]. This model posits that environmental (e.g., physical and group environments), stimulus (e.g., content of activities), and personal attributes (e.g., age, cognitive functioning) impact on the engagement and affect levels of individuals taking part in the activity, which can, in turn, influence behaviors of persons with dementia.…”

Section: Introductionmentioning

confidence: 99%

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The impact of group activities and their content on persons with dementia attending them

Cohen‐Mansfield

2018

Alz Res Therapy

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BackgroundIndividuals suffering from dementia and residing in nursing homes often feel lonely and bored. This study examined the engagement and mood of people with dementia in group activities, and how personal characteristics, such as cognitive function, may impact on an individual’s responses to group activities.MethodsThe study included 102 participants, who took part in group activities while their mood and engagement levels were observed. Participants were invited to attend 10 different types of group activities, each of which was offered twice.ResultsResults found improved engagement and mood during group activities as compared to control no-group times. Significant relationships between the type of activity and ratings of engagement and mood were also found. Although participants with higher levels of cognitive functioning manifested greater responsiveness to groups, the pattern of response to different contents did not differ by cognitive function.ConclusionsThis study shows the potential utility of group activities for improving quality of life of persons with dementia and demonstrates a methodology that can be used for quality improvement to optimize group contents. Future research should expand the range of contents of group activities in order to enhance the options for improving mood and engagement of individuals with dementia.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The impact of group activities and their content on persons with dementia attending them

Cohen‐Mansfield

2018

Alz Res Therapy

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“…This study is part of a larger study on group activities for PwD [16,17]. It was approved by the Research Ethics Board of Baycrest Health Sciences in Toronto, Canada.…”

Section: Participantsmentioning

confidence: 99%

“…Observations were collected using the Group Observational Measurement of Engagement [16] Since the term, "engagement" is used to describe a group of variables as well as a specific indicator variable, we will use single quotes whenever referring to the observed variable named 'engagement' and use the term without quotes when we refer to the general construct of engagement.…”

Section: Outcome Measuresmentioning

confidence: 99%

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Do Reports on Personal Preferences of Persons with Dementia Predict Their Responses to Group Activities?

Cohen‐Mansfield¹

2018

Dement Geriatr Cogn Disord

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Background: We examine the utility of individualizing activities for persons with dementia (PwD) on the basis of congruence with preferences. Previous studies demonstrated only limited evidence of individualization of activity content to improve response, tended not to consider group activities, or were inconclusive. Methods: Participants were 90 PwD residing in a nursing home or attending a day center. After family and staff caregivers rated preferences for music, exercise, reading, brain games, and baking, group activities were conducted, and the impact on mood and engagement was monitored. We tested whether participants showed more engagement and better mood when group activities were related to topics they liked, in comparison to topics they did not like (within-person analysis), and whether persons who liked certain topics showed better outcomes in comparison to persons who did not like those topics (between-person analyses). Results: Within-person analysis found a relationship between the report of liking the topic and engagement and mood during the group activity, confirming the benefit of individualizing activities to persons’ preferences. Between-person analyses were statistically significant only when based on staff preference ratings. Conclusion: Despite the fact that each topic represents a wide range of possible activities, individualizing group activities based on participants’ preferences can optimize the impact.

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The impact of environmental factors on persons with dementia attending recreational groups

Cohen‐Mansfield

2019

Int J Geriat Psychiatry

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ObjectivesThe Comprehensive Process Model of Group Engagement posits that personal factors (eg, cognitive function), stimulus factors (eg, group activity content and group size), and environmental factors (eg, light and noise) impact the response to group activities. This paper reports the impact of environmental and group characteristics on engagement, mood, and sleepiness of persons with dementia attending group activities.Methods/designThe sample included 69 nursing home residents. Environmental contexts of activities included time of day, location, noise, light, and temperature. Outcome variables captured engagement, mood, and sleepiness, observed during 20 group activity sessions. Mixed model analyses were used to examine the impact of environmental and group attributes on the outcome variables.ResultsBackground noise and time of day significantly affected outcome variables after controlling for participants' cognitive functioning and group topic. Background noise was related with decreased engagement and increased sleepiness. Activities conducted before noon were associated with increased sleepiness. Group size did not affect the outcome variables. There was little variation concerning temperature and light.ConclusionsThese findings have implications for architectural and ongoing planning. The methodology presents a model for continuous quality improvement. The main components of the Comprehensive Process Model of Group Engagement significantly impacted group activity engagement.

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Group engagement in persons with dementia: The concept and its measurement

Cited by 36 publications

References 35 publications

The impact of group activities and their content on persons with dementia attending them

The impact of group activities and their content on persons with dementia attending them

Do Reports on Personal Preferences of Persons with Dementia Predict Their Responses to Group Activities?

The impact of environmental factors on persons with dementia attending recreational groups

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