Impact of TimeSlips, a Creative Expression Intervention Program, on Nursing Home Residents With Dementia and their Caregivers

Fritsch, Thomas; Kwak, Jung; Grant, Stacey; Lang, Josh; Montgomery, Rhonda J. V.; Basting, Anne

doi:10.1093/geront/gnp008

Cited by 117 publications

(155 citation statements)

References 10 publications

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“…One other study found significant improvement on job satisfaction after the introduction of Snoezelen in 24-hour dementia care (van Weert et al, 2005), whereas a study about a creative expression intervention did not yield any significant changes in staff outcomes (Fritsch et al, 2009). However, a comparison between these studies and GRIP is difficult, for GRIP focuses on improving a process rather than providing a new treatment.…”

Section: Discussionmentioning

confidence: 99%

Coming to grips with challenging behaviour: A cluster randomised controlled trial on the effects of a new care programme for challenging behaviour on burnout, job satisfaction and job demands of care staff on dementia special care units

Zwijsen¹,

Gerritsen²,

Eefsting³

et al. 2015

International Journal of Nursing Studies

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Please cite this article as: Zwijsen, S.A., Gerritsen, D.L., Eefsting, J.A., Smalbrugge, M., Hertogh, C.M.P.M., Pot, A.M.,Coming to grips with challenging behaviour: a cluster randomised controlled trial on the effects of a new care programme for challenging behaviour on burnout, job satisfaction and job demands of care staff on dementia special care units., International Journal of Nursing Studies (2014), http://dx.doi.org/10. 1016/j.ijnurstu.2014.10.003 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. A c c e p t e d M a n u s c r i p tWhat is already known?-Caring for people with dementia is a demanding job -Job satisfaction of care staff is, amongst other things, influenced by challenging behaviour of residents What this paper adds:-The introduction of a care programme that provides the multidisciplinary team with education and tools to structure the process of detecting, analysing, treatment and evaluation of treatment of challenging behaviour. -By using the care programme, job satisfaction of care staff can be improved without increasing job demands Objectives: To determine the effects of a care programme for the challenging behaviour of nursing home residents with dementia on the burnout, job satisfaction and job demands of care staff. Design:The care programme was implemented according to a stepped wedge design in which care units were randomly divided over five groups with different time points of starting with implementation.Setting: 17 Dutch dementia special care units. Participants:Care staff members of the 17 units. Intervention:The care programme consists of an education package and of various structured assessment tools that guide professionals through the multidisciplinary detection, analysis, treatment and evaluation of treatment of challenging behaviour. Results: Of the 1441 questionnaires, 645 were returned (response 45%, 318 control measurements, 327 intervention measurements) by 380 unique care staff members.Significant effects were found on job satisfaction (0.93, 95% CI 0.48 to 1.38). On the other outcomes, no significant changes in the scores were found. Conclusion:Positive effects of using the Grip on Challenging behaviour care programme were found on job satisfaction, without an increase in job demands.

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Section: Discussionmentioning

confidence: 99%

Coming to grips with challenging behaviour: A cluster randomised controlled trial on the effects of a new care programme for challenging behaviour on burnout, job satisfaction and job demands of care staff on dementia special care units

Zwijsen¹,

Gerritsen²,

Eefsting³

et al. 2015

International Journal of Nursing Studies

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“…However, the results were very similar: participants demonstrated significant cognitive and affective improvement when compared with two comparison groups (one a singing group and one a nontreatment group). Similarly, whilst Anne Basting herself has provided an account of the history and processes of her well-known 'TimeSlips' programme (Basting, 2013), it has also been formally evaluated (Fritsch et al, 2009). The results showed that residents with dementia in the intervention sites were more engaged and alert, and there were more interactions between residents and staff; meanwhile, staff in intervention sites had more positive views of residents and devalued them less than in the control sites.…”

Section: Reminiscence (N=5)mentioning

confidence: 99%

“…Only one study compared drama participation with another art form (Noice, Noice & Staines, 2004), and three used control groups comparing drama participants with non-participants (Fritsch et al, 2009;Noice, Noice & Staines, 2004;Osgood, 1984). Nor, as we noted earlier, has research been conducted on the long-term effects of drama and theatre participation.…”

Section: Conclusion: Areas For Further Researchmentioning

confidence: 99%

The Cultural Value of Older People’s Experiences of Theater-making: A Review

Bernard

Rickett

2016

GERONT

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“…Timeslips is a group storytelling program that encourages creating expression among patients with AD [20]. Pressure to remember memories from the past can be frustrating for a person with dementia but the Timeslips program alleviates that pressure by relying on creativity and encouragement for imagination [19].…”

Section: Timeslipsmentioning

confidence: 99%

Timeslips—Comparing Agitation and Anxiety Rating Scales to Evaluate the Benefit of Non-Pharmacologic Creative Sessions in Nursing Home Patients with Dementia

Sullivan

Sillup²,

Klimberg³

2014

OJN

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Timeslips™ is a group storytelling program that encourages creative expression among dementia patients without the pressure to recall the past. Analysis of the literature was conducted to determine the nine most relevant agitation and anxiety scales most appropriate for use with Timeslips in nursing home patients with dementia, who experience agitation and anxiety. Qualitative assessment of the nine scales was conducted to identify six criteria to determine the most pertinent characteristics for implementation of Timeslips within this patient population: 1) validity/reliability, 2) observation period, 3) training required, 4) time to administer, 5) most appropriate administrator and 6) accessibility/cost. Utilizing these six criteria, quantitative assessment was conducted using the Analytical Hierarchical Process (AHP) to identify that the Overt Agitation Severity Scale (OASS) was optimal. IRB approvals have been attained to investigate use of the OASS with Timeslips in the nursing home setting for patients with dementia, who experience agitation and anxiety.

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Impact of TimeSlips, a Creative Expression Intervention Program, on Nursing Home Residents With Dementia and their Caregivers

Abstract: Implementing the TS program in nursing facilities improves the care environment for PWDs. However, additional studies are needed to offer further insights into the mechanisms by which TS improves both staff and resident outcomes.

Cited by 117 publications

References 10 publications

Coming to grips with challenging behaviour: A cluster randomised controlled trial on the effects of a new care programme for challenging behaviour on burnout, job satisfaction and job demands of care staff on dementia special care units

Coming to grips with challenging behaviour: A cluster randomised controlled trial on the effects of a new care programme for challenging behaviour on burnout, job satisfaction and job demands of care staff on dementia special care units

The Cultural Value of Older People’s Experiences of Theater-making: A Review

Timeslips—Comparing Agitation and Anxiety Rating Scales to Evaluate the Benefit of Non-Pharmacologic Creative Sessions in Nursing Home Patients with Dementia

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