Simple Pleasures: A multilevel sensorimotor intervention for nursing home residents with dementia

Buettner, Linda L.

doi:10.1177/153331759901400103

Cited by 59 publications

(50 citation statements)

References 12 publications

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“…Sitting unoccupied for great parts of the day can make anybody sleepy, and may foster passivity and dependency. According to some estimates persons with dementia are inactive 60Á80% of their time (27,28). Passivity may occur due to organic brain changes or depression (1,29), and the need for rest and sleep can be a defence against overcharging a malfunctioning brain.…”

Section: Discussionmentioning

confidence: 99%

Occupational patterns of people with dementia in residential care: An ethnographic study

Holthe

Thorsen²,

Josephsson

2007

Scandinavian Journal of Occupational Therapy

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This paper describes an ethnographic study that sought to gain knowledge of the occupational patterns of persons with dementia in a care home and how the residents perceived the group activities in which they participated. The residents' ages ranged from 82 to 92 years. They were seven women and one man. Both participant observation and interviews were used to collect data. Data analysis resulted in an ethnographic story organised around two key themes: (1) the occupational patterns of the residents, and (2) the residents' perceptions of the activities offered. In this story residents appeared passive, playing the role of guests in the care home. Residents were dependent on staff to engage in daily occupations. Interviews revealed that residents perceived participation in activities as important to their mental and physical health and an advantage of living in the care home.

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Section: Discussionmentioning

confidence: 99%

Occupational patterns of people with dementia in residential care: An ethnographic study

Holthe

Thorsen²,

Josephsson

2007

Scandinavian Journal of Occupational Therapy

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“…Clinical practice and research were the basis for the recreational activities tested in this study (Buettner, 1999). These activities are age-appropriate and disease-stage-appropriate designed for NH residents with dementia.…”

Section: Interventionmentioning

confidence: 99%

Efficacy of Theory-Based Activities for Behavioral Symptoms of Dementia

2005

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Abstract:Background: Agitation and passivity are behavioral symptoms exhibited by 90% of nursing home residents with dementia. They account for many poor health outcomes, caregiver burden, and increased costs of longterm care. Objectives: This study tested the efficacy of recreational activities derived from the Need-driven Dementiacompromised Behavior (NDB) model: activities matched to skill level only; activities matched to style of interest only; and a combination of both (NDB-derived) for responding to the behavioral symptoms of dementia. Methods: Thirty participants were randomly assigned to 1 of 6 possible order-of-condition presentations in this crossover experimental design with repeated measures of dependent variables. Trained research assistants, blind to condition match, implemented each condition for 12 consecutive days. Measures of engagement (time on task and participation), affect, and behavioral symptoms (agitation and passivity) were taken from videotape recordings of each session. Mood was measured with the Dementia Mood Picture Test. The primary analysis method was mixed-model analysis of variance. Results: Significantly more time on task, greater participation, more positive affect, and less passivity were found under NDB-derived and matched to interest only treatments compared with the matched to skill level only treatment or baseline. Agitation and negative affect improved under all treatments compared with baseline. There was no significant change in mood. Discussion: The NDB-derived activities are tailored to meet individual needs and improve behavioral symptoms associated with dementia. These findings help to explain factors that produce behavioral symptoms and the mechanisms that underlie their successful treatment.

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“…Frequently, medication is used to treat agitation without considering these other factors. Through an interdisciplinary assessment, the team might find that earlier in the same day, the same resident spent hours sitting immobile with nothing to do and without meaningful experiences to provide an exercise outlet, social connections, or pleasure (Buettner & Ferrario, 1998). This scenario has been confirmed in several prior studies that indicate being occupied in the same pursuit for longer than 1.5 hours leads to becoming bored or being socially isolated and is a cause of agitation and distress (Cohen-Mansfield, Marx, & Werner, 1992a;Cohen-Mansfield, Werner, & Marx, 1990;Kovach & Schlidt, 2001;Ragneskog, Gerdner, Josefsson, & Kihlgren, 1998).…”

Section: Discussionmentioning

confidence: 54%

“…Specific physical activities such as the Simple Pleasures wandering cart, 2-foot × 2-foot wall hangings, table-ball, and tetherball were significantly (p < 0.05) helpful in alleviating restless behaviors (Buettner, 1999). The wandering cart allowed individuals who would not stay seated at mealtimes to take finger foods from the cart as they wandered, and it also helped with agitated wandering into other residents' rooms or into the housekeeping areas.…”

Section: Interdisciplinary Nonpharmacological Intervention Studiesmentioning

confidence: 93%

“…Despite low power, statistical and graphical comparisons suggested superiority of the intervention compared with treatment as usual. Buettner and Ferrario (1998) used a structured recreational therapy-nursing intervention program in a 30-week randomized controlled trial of 60 residents in a new longterm care Alzheimer's unit. The treatment group (n = 30) participated in recreational therapy group sessions tailored to engage participants and integrated these therapeutic activities into the nursing schedule.…”

Section: Interdisciplinary Nonpharmacological Intervention Studiesmentioning

confidence: 99%

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Impact of Underlying Depression on Treatment of Neuropsychiatric Symptoms in Older Adults with Dementia

Buettner¹,

Fitzsimmons²,

Dudley³

2010

Research in Gerontological Nursing

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Abstract:This article examines the moderating effect of depression on interdisciplinary treatment approaches for behaviors in dementia. A secondary analysis of data collected on tailored treatment of 105 long-term care residents with dementia found a significant relationship between treatment and passivity (p < 0.001), treatment and agitation (p = 0.001), and the mediating effect of change in passivity on change in agitation (p < 0.001). The moderating effect of depression was found as a significant factor. For participants with depression and agitation, a significant change in passive behavior was related to significant change in agitated behavior. Thus, by focusing treatment on passivity, both types of neuropsychiatric behaviors improved. The implications of thoroughly assessing not only a behavior problem such as agitation but also other neuropsychiatric symptoms that complicate the delivery of the intervention are discussed. Article:Approximately 5.2 million people in the United States have Alzheimer's disease or a related disorder (ADRD) (Alzheimer's Association, 2007). It is estimated that this number will grow to 7.7 million by the year 2030 and to 13.2 million by the year 2050 (Alzheimer's Association, 2007). The overall prevalence of ADRD doubles for every 5-year age group older than 65 (National Institute on Aging, 2010). It is well established that older adults with ADRD exhibit multiple behavioral and psychological symptoms such as agitation, passivity, and depression, which may decrease their levels of engagement in meaningful life experiences (Rabheru, 2004). Not only do these complex symptoms have an effect on engagement levels, they also increase patient and family distress and are difficult to manage across care settings (Harman et al., 2002; Janzing, Bouwens, Teunisse, Van't Hof, & Zitman, 1999).Older adults with multiple problems benefit from interdisciplinary person-centered approaches (Zimmerman et al., 2005). In this type of model, health care professionals from different disciplines are often cross trained and work together to provide integrated treatment approaches. Experts believe when professionals from different disciplinary backgrounds work together to combine their specialized disciplinary knowledge, concepts, and assessment tools for problem solving and decision making, the resulting outcome is much greater than the sum of the parts of any one discipline (Bermejo et al., 2009). Although there is some evidence (Callahan, 2006;Unutzer et al., 2002) that effective interdisciplinary teams are able to incorporate their collective discipline knowledge to problem solve in complex situations and produce better outcomes for patients in primary care, few studies exist that capture this in long-term care settings. It is unclear what the relationship is in individuals with depression and dementia experiencing neuropsychiatric behaviors.There is a dearth of research that examines the use of interdisciplinary intervention approaches to engage older adults with dementia, neuropsychiatric behaviors...

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Simple Pleasures: A multilevel sensorimotor intervention for nursing home residents with dementia

Cited by 59 publications

References 12 publications

Occupational patterns of people with dementia in residential care: An ethnographic study

Occupational patterns of people with dementia in residential care: An ethnographic study

Efficacy of Theory-Based Activities for Behavioral Symptoms of Dementia

Impact of Underlying Depression on Treatment of Neuropsychiatric Symptoms in Older Adults with Dementia

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