Integrative Psychotherapeutic Nursing Home Program to Reduce Multiple Psychiatric Symptoms of Cognitively Impaired Patients and Caregiver Burden: Randomized Controlled Trial

Bakker, Ton; Duivenvoorden, Hugo J.; Lee, Jacqueline van der; Rikkert, Marcel G M Olde; Beekman, Aartjan T.F.; Ribbe, Miel W.

doi:10.1097/jgp.0b013e3181eafdc6

Cited by 47 publications

(51 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, interventions on mood disorders (depression, anxiety, and aggression) in combination with caregiver support [41] are other important promising developments. However, older patients’ abilities to self-manage their social lives and activities, such as regularly socializing with family and friends and being physically active, must also be addressed.…”

Section: Discussionmentioning

confidence: 99%

Understanding older patients’ self-management abilities: functional loss, self-management, and well-being

et al. 2012

View full text Add to dashboard Cite

PurposeThis study aimed to increase our understanding of self-management abilities and identify better self-managers among older individuals.MethodsOur cross-sectional research was based on a pilot study of older people who had recently been admitted to a hospital. In the pilot study, all patients (>65 years of age) who were admitted to the Vlietland hospital between June and October 2010 were asked to participate, which led to the inclusion of 456 older patients at baseline. A total of 296 patients (65% response rate) were interviewed in their homes 3 months after admission. Measures included social, cognitive, and physical functioning, self-management abilities, and well-being. We used descriptive, correlations, and multiple regression analyses. In addition, we evaluated the mediation effect of self-management abilities on well-being.ResultsSocial, cognitive, and physical functioning significantly correlated with self-management abilities and well-being (all p ≤ 0.001). After controlling for background characteristics, multiple regression analysis indicated that social, cognitive, and physical functioning still related to self-management abilities (β = 0.17–0.25; all p ≤ 0.001). Older people with low levels of social, cognitive, and physical functioning were worse self-managers than were those with higher levels of functioning.ConclusionsSelf-management abilities mediate the relationship between social, cognitive, and physical functioning and well-being. Interventions to improve self-management abilities may help older people better deal with function losses as they age further.

show abstract

Section: Discussionmentioning

confidence: 99%

Understanding older patients’ self-management abilities: functional loss, self-management, and well-being

et al. 2012

View full text Add to dashboard Cite

show abstract

“…The study found improved orientation and withdrawal subscales of MOSES, agreeing with our current study. In a randomized controlled trial on 168 demented elders in nursing homes, a comprehensive program of counseling, life review, interpersonal therapy, behavioral therapy, and rehabilitation reduced multiple psychiatric symptoms, suggesting the importance of a person-oriented approach [16]. Activities adjusted to ‘personality style of interest’ reduced agitation and passivity of demented elders.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Controlled Trial of Brain-Activating Rehabilitation for Elderly Participants with Dementia in Residential Care Homes

Yamagami

Takayama²,

Maki

et al. 2012

Dement Geriatr Cogn Disord Extra

View full text Add to dashboard Cite

Background/Aims: We aimed to prove the effectiveness of brain-activating rehabilitation for dementia, which consisted of 5 principles: pleasant atmosphere, communication, praising, social role, and supportive care. Methods: The design was a randomized controlled trial that was not blinded. Fifty-four elderly participants with dementia (mean age: 85.2 years) were selected. Intervention based on the 5 principles of brain-activating rehabilitation was conducted for 1 h, twice a week, for 12 weeks (24 sessions). The control group had no treatment. Outcome measures consisted of two observation scales, namely sum of boxes in clinical dementia rating (CDR-SB) and the multidimensional observation scale for elderly subjects (MOSES), and two cognitive tests: the Hasegawa dementia scale revised (HDS-R) and trail making test A. Results: Repeated measure ANCOVA showed a significant interaction for total score of CDR-SB (F = 7.190, p = 0.015) and MOSES (F = 4.525, p = 0.038). There were no significant changes in the two cognitive test scores. Conclusion: Intervention based on the principles of brain-activating rehabilitation was effective in maintaining and improving daily life functions in elderly participants with dementia in residential care homes.

show abstract

“…1). A more extensive description of the IRR programme has been published elsewhere [32,33]. A personal package of interventions was composed for each patient and caregiver based on six dimensions [11,42]: ‘Emotion’ (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…We evaluated the effectiveness of IRR in a sample of psychogeriatric patients with cognitive impairment or dementia. Our results showed that IRR was twice as effective as usual care (UC) at reducing MPS in psychogeriatric patients and reducing caregiver burden [33]. In addition, we assessed the differences between IRR and UC with respect to the percentage of clinically improved psychogeriatric patients and of significantly unburdened caregivers [34,35,36,37].…”

Section: Introductionmentioning

confidence: 99%

Prognostic Factors for a Favourable Long-Term Outcome from an Integrative Psychotherapeutic Nursing Home Programme

Bakker

Duivenvoorden

Lee

et al. 2011

Dement Geriatr Cogn Disord

Self Cite

View full text Add to dashboard Cite

Background/Aims: The prevalence of multiple psychiatric symptoms (MPS) in psychogeriatric patients is about 80%. MPS have negative effects on caregivers; 70–80% of caregivers are moderately to heavily burdened. We tested an integrative psychotherapeutic programme (IRR) focused on MPS as well as caregiver burden. To develop decision rules in indicating IRR, prognostic potentialities of diagnostic and functional baseline variables for a favourable outcome of IRR were identified. Methods: Patients with a DSM-IV classification of dementia, amnestic disorders or other cognitive disorders were followed in a randomised controlled trial, comparing IRR (n = 81) with usual nursing home care (n = 87). Assessments at T1 (intake) and T2 (6 months’ follow-up). Results: In the combined prognostic models Alzheimer dementia showed significant prognostic qualities for improvement on NPI sum severity (OR 3.01), IRR on general burden and competence of caregiver (OR 2.29 and 3.34). Cognitive functions had low prognostic value. Conclusion: Prognostic modelling of positive change on severity of MPS and caregiver burden was feasible. Applying three decision rules, all resulted in IRR as indicated intervention. It seems justified to refer psychogeriatric patients suffering from a broad range of cognitive function disorders, specifically patients with dementia of the Alzheimer type, to the IRR programme.

show abstract

Integrative Psychotherapeutic Nursing Home Program to Reduce Multiple Psychiatric Symptoms of Cognitively Impaired Patients and Caregiver Burden: Randomized Controlled Trial

Cited by 47 publications

References 57 publications

Understanding older patients’ self-management abilities: functional loss, self-management, and well-being

Understanding older patients’ self-management abilities: functional loss, self-management, and well-being

A Randomized Controlled Trial of Brain-Activating Rehabilitation for Elderly Participants with Dementia in Residential Care Homes

Prognostic Factors for a Favourable Long-Term Outcome from an Integrative Psychotherapeutic Nursing Home Programme

Contact Info

Product

Resources

About