Non-pharmacological interventions for aggressive behavior in older adults living in long-term care facilities

Abstract

Non-pharmacological interventions seem effective for managing AB. Future studies on the effectiveness of these interventions need to be more rigorous. Development in this field needs to be based on knowledge regarding the determinants of AB in older adults.

Psychosocial treatments of behavior symptoms in dementia: a systematic review of reports meeting quality standards

“…Most previous systematic reviews of psychosocial treatments applied limited, if any, quality standards when selecting articles (Cohen-Mansfield, 2001;Snowden et al, 2003;Bharani and Snowden, 2005;Livingston et al, 2005;Turner, 2005;Landreville et al, 2006). Three reviews adopted a more discriminating approach, though not as rigorous as ours.…”

A controlled clinical trial on the effects of exercise on neuropsychiatric disorders and instrumental activities in women with Alzheimer's disease

“…Several forms of non-pharmacological intervention have aimed to decrease the behavioral disturbances. Management of environment, training programs for caregivers, reminiscence psychotherapy directed toward the recognition of significant past situations, sensory stimulation, strategies to enhance appropriate behaviors, and psychosocial interventions have been common ways to reduce the suffering of patients and the burden on caregivers 47 . However, even in geriatric institutions, few studies have investigated exercise programs focused on behavioral disturbances.…”

An Innovative Approach to Behavioral Assessment and Intervention in Residential Care: A Service Evaluation

“…Innovative and effective nonpharmacological treatments for depression and challenging behaviors have become more widespread in recent years (Camp, Cohen-Mansfield, & Capezuti, 2002;Landreville et al, 2006;Turner, 2005). In a comprehensive review, Opie, Doyle, and O'Connor (2002) concluded that there is evidence to support the efficacy of non-pharmacological interventions for behavioural disorders in dementia.…”

“…In a comprehensive review, Opie, Doyle, and O'Connor (2002) concluded that there is evidence to support the efficacy of non-pharmacological interventions for behavioural disorders in dementia. In a recent review of non-pharmacological interventions for aggressive behavior in older adults in long-term care, Landreville et al (2006) found that 66% of the studies reviewed showed a statistically significant reduction of aggressive behavior.…”

“…Importantly, the causality-focused approach was found to have a lower financial cost (Bird et al, 2007). In addition to clinical interventions, research has shown that increased staff education and clinical supervision can lead to reductions in challenging behaviors and to positively altered staff perceptions of the problem (Hallberg & Norberg, 1993;Hallberg, Hansson, & Alexson, 1994;Landreville et al, 2006).…”