Influence of social interaction on behavioral and psychological symptoms of dementia over 1 year among long-term care facility residents

Arai, Asuna; Khaltar, Amartuvshin; Ozaki, Takuo; Katsumata, Yuriko

doi:10.1016/j.gerinurse.2020.09.008

Cited by 30 publications

(34 citation statements)

References 37 publications

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Section: Resultsmentioning

confidence: 99%

“…Similarly, a recent 1-year follow-up study also in Japan found BPSD of residents were likely to increase over time where there were low levels of communication with family and relatives (less than several times per year). Low communication levels were also associated with an increase in BPSD severity (Arai et al 2021). Two additional studies found family involvement to be related to positive quality of life (Chappell et al 2014;Dobbs et al 2005;Zimmerman et al 2005) and end-of-life (Verreault et al 2018) benefits for residents.…”

Section: Does Family Involvement With Care Homes Have a Positive Effect On Residents' Bpsd And Quality Of Life?mentioning

confidence: 95%

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Interventions promoting family involvement with care homes following placement of a relative with dementia: A systematic review

et al. 2021

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There is a wealth of literature investigating the role of family involvement within care homes following placement of a relative with dementia. This review summarises how family involvement is measured and aims to address two questions: (1) which interventions concerning family involvement have been evaluated? And (2) does family involvement within care homes have a positive effect on a resident’s quality of life and behavioural and psychological symptoms of dementia? After searching and screening on the three major databases PsycINFO, MEDLINE and CINAHL Plus for papers published between January 2005 and May 2021, 22 papers were included for synthesis and appraisal due to their relevance to family involvement interventions and or family involvement with resident outcomes. Results show that in 11 interventions designed to enhance at least one type of family involvement, most found positive changes in communication and family–staff relationships. Improvement in resident behavioural and psychological symptoms of dementia was reported in two randomised controlled trials promoting partnership. Visit frequency was associated with a reduction of behavioural and psychological symptoms of dementia for residents with moderate dementia. Family involvement was related to positive quality of life benefits for residents. Contrasting results and methodological weaknesses in some studies made definitive conclusions difficult. Few interventions to specifically promote family involvement within care homes following placement of a relative with dementia have been evaluated. Many proposals for further research made over a decade ago by Gaugler (2005) have yet to be extensively pursued. Uncertainty remains about how best to facilitate an optimum level and type of family involvement to ensure significant quality of life and behavioural and psychological symptoms of dementia benefits for residents with dementia.

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Section: Resultsmentioning

confidence: 99%

Section: Does Family Involvement With Care Homes Have a Positive Effect On Residents' Bpsd And Quality Of Life?mentioning

confidence: 95%

Interventions promoting family involvement with care homes following placement of a relative with dementia: A systematic review

et al. 2021

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“…In addition to the relationships between caregiver behaviors and resident BPSD, no interaction (e.g., no verbal response) between caregiver and resident was also related to behavioral symptoms. Previous studies reported that a lack of interaction between persons living with dementia and their surroundings were associated with BPSD [35] or resulted in mealtime agitation [10]. However, persons living with dementia were found to interact directly with the caregivers only 2.5 % of the time per day [36].…”

Section: Discussionmentioning

confidence: 99%

Mealtime Caregiving Approaches and Behavioral Symptoms in Persons Living With Dementia: A Longitudinal, Observational Study

Lee

McConnell

2021

Preprint

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Background: Behavioral symptoms during mealtime can prohibit persons living with dementia from obtaining sufficient nutrition. However, little research has examined the relationship between behavioral symptoms and caregiving approaches. This study examines this relationship and further explores which specific caregiver behaviors were related to behavioral symptoms among persons living with dementia. Methods: A secondary data analysis was performed using 86 mealtime videos from a longitudinal, observational study. The videos were repeatedly taken at months 0, 3, and 6 with 30 persons living with dementia in one of four long-term care facilities. Video coding was performed using coding schemes modified from the Cohen-Mansfield Agitation Inventory for behavioral symptoms and the Person-/Task-Centered Behavior Inventory for caregiving approaches. Coding schemes for behavioral symptoms consisted of four categories: total duration, aggressive behavior, physically nonaggressive behavior, and verbally agitated behavior. Caregiving approaches consisted of ten-verbal/seven-nonverbal person-centered behavior codes, four-verbal/four-nonverbal task-centered behavior codes, and no-verbal/no-nonverbal interaction codes. A mixed-effect model was conducted using variables such as demographics, medical information, cognitive status, depression, function, and caregiving approaches as fixed effects, participant as a random effect, and four categories of behavioral symptoms as dependent variables. Results: The total duration of the Cohen-Mansfield Agitation Inventory was associated with no verbal response (β = 9.09) and task-centered verbal behavior (β = 8.43), specifically verbal controlling (β = 7.87). Physically nonaggressive behavior was associated with no verbal response (β = 9.36). Verbally agitated behavior was associated with task-centered nonverbal behavior (β = 51.29), and specifically inappropriate touch (β = 59.05). Conclusions: Mealtime is indispensable to dementia care, but best practices for mealtime have not been suggested when behavioral symptoms are present. Our findings revealed caregivers’ task-centered behaviors and no interaction were related to behavioral symptoms of persons living with dementia. When caregivers encounter behavioral symptoms during mealtime, it is recommended to avoid no response and task-centered behaviors, especially verbal controlling and inappropriate touch, and to promote person-centered behaviors.

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“…Similarly, a recent one year follow-up study also in Japan found BPSD of residents were likely to increase over time where there was low levels of communication with family and relatives (less than several times per year). Low communication levels were also associated with an increase in BPSD severity (Arai et al, 2021).…”

Section: Does Family Involvement With Care Homes Have a Positive Effect On Residents' Behavioural And Psychological Symptoms (Bpsd) And Qmentioning

confidence: 93%

Family involvement with care homes following placement of a relative living with dementia: a review

et al. 2021

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This review updated a previous review [Gaugler JE (2005) Family involvement in residential long-term care: a synthesis and critical review. Aging and Mental Health9, 105–118] and focused on dementia. Fourteen years of development in family involvement with care homes following placement of a relative was explored. The review aimed to investigate two questions: (1) What types of involvement do families have with care homes following placement of people living with dementia? (2) Which factors influence family involvement with care homes? PsycINFO, MEDLINE and CINAHL Plus were searched for publications between January 2005 and December 2018. Thirty-three papers representing 30 studies were included. Papers were appraised using a quality rating tool designed for use with mixed study designs. Studies were of a reasonable quality though some weaknesses included single-site samples, high attrition rates and poor reporting. Twenty-eight papers highlighted types of involvement including collaboration, family–staff relationship development, decision making and visiting. Twenty-five papers pertained to factors influencing involvement, which included outcome of care quality evaluation, wish for recognition and sense of integration into the care team. Type of family involvement has changed over time with increased emphasis on families’ desire for partnership, to be active rather than passive advocates, and to focus on care monitoring and evaluation. Seven themes of family involvement activities are featured and a non-linear process is proposed. When compared to patient and family-centred care principles, an analysis of family involvement types found good fit overall and potential for framework improvements. Over 30 diverse factors influence inter-family variation in the level and nature of family involvement. Consideration of these factors and resolution of the gaps in evidence, including intergenerational and cultural concerns, can improve care home facilitation of family participation. This dementia-specific review is a comprehensive timely complement to Gaugler's seminal work about older adults in care.

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Influence of social interaction on behavioral and psychological symptoms of dementia over 1 year among long-term care facility residents

Cited by 30 publications

References 37 publications

Interventions promoting family involvement with care homes following placement of a relative with dementia: A systematic review

Interventions promoting family involvement with care homes following placement of a relative with dementia: A systematic review

Mealtime Caregiving Approaches and Behavioral Symptoms in Persons Living With Dementia: A Longitudinal, Observational Study

Family involvement with care homes following placement of a relative living with dementia: a review

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