Use of Dolls as a Therapeutic Intervention: Relationship to Previous Negative Behaviors and Pro Re Nata (prn) Haldol Use Among Geropsychiatric Inpatients

Green, Lorna; Matos, Patrícia Teixeira de; Murillo, Illouise; Neushotz, Lori A.; Popeo, Dennis M.; Aloysi, Amy; Samuel, June; Craig, Elizabeth; Porter, Carol; Fitzpatrick, Joyce J.

doi:10.1016/j.apnu.2011.05.003

Cited by 15 publications

(22 citation statements)

References 2 publications

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“…Since the literature review on this topic by Mitchell, McCormack, and McCance (2016), 6 more recently published studies clearly confirmed that, after DT, people with dementia were more engaged in proposed activities, and more communicative with their caregivers . A reduction in wandering and in the need for neuroleptics has also been demonstrated …”

Section: Introductionmentioning

confidence: 93%

Using dolls for therapeutic purposes: A study on nursing home residents with severe dementia

Cantarella

Borella

Faggian

et al. 2018

Int J Geriat Psychiatry

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Section: Introductionmentioning

confidence: 93%

Using dolls for therapeutic purposes: A study on nursing home residents with severe dementia

Cantarella

Borella

Faggian

et al. 2018

Int J Geriat Psychiatry

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“…(Table 2) The studies were conducted in Australia 27 , United Kingdom 18,30,31 , Scotland 32 , and the USA. 33 The number of participants in the studies ranged from 1 27 -115. 33 Two studies 30,33 compared the use of dolls to no dolls, two were single arm studies, 18,31 one was a case study, 27 and the final a case series study.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…33 The number of participants in the studies ranged from 1 27 -115. 33 Two studies 30,33 compared the use of dolls to no dolls, two were single arm studies, 18,31 one was a case study, 27 and the final a case series study. 32 The mean age of participants in the studies ranged from 69 33 -85 30 years.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…In one study 32 the therapist walked around the ward carrying the doll or wheeling the doll in a pram and left it with interested residents for one hour /week. In three studies 18,30,31 dolls were introduced by placing them on a table or lounge and residents were free to pick them up and in the study by Green 33 residents were offered a doll. In these four studies residents could interact with the dolls as many times and for as long as they wanted.…”

Section: Description Of Studiesmentioning

confidence: 99%

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Effect of doll therapy in managing challenging behaviors in people with dementia: a systematic review

Fernandez

Arthur

Fleming³

2014

JBI Database of Systematic Reviews and Implementation Reports

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Background:Challenging behaviors among people with dementia are frequently treated with pharmacological interventions, with antipsychotic medications being the treatment of choice. Concerns with the use of these medications include the risk of mortality, their side effects and their effectiveness in managing the challenging behaviors. Various non-pharmacological approaches have been implemented to manage the challenging behaviors; however there has been no review undertaken to investigate the effects of doll therapy in the management of challenging behaviors among people with dementia. Objectives:The overall objective of this study was to undertake a systematic review of the effects of doll therapy on challenging behaviors (including agitation and verbal or physical aggression) in people with dementia. Inclusion criteria Types of participants:This review considered studies that included adults (age >18years) diagnosed with dementia and living in a community setting or residential accommodation. Types of intervention(s)/phenomena of interest The intervention of interest was the use of doll therapy compared to pharmacological and or other non-pharmacological interventions. Types of studies All randomized, quasi-randomized and cluster randomized controlled trials evaluating the effect of doll therapy in managing challenging behaviors in people with dementia were included in the review. In the absence of randomized controlled trials, cohort, case-control and descriptive studies were included. Types of outcomes The outcomes of interest were changes in challenging behaviors including agitation, verbal and physical aggression, as well as interaction with staff, other patients and residents, activity level and quality of life. Search strategy The search aimed to find published and unpublished studies through electronic databases, reference lists, key reports and the World Wide Web. An extensive search was undertaken for the following databases MEDLINE, CINAHL, EMBASE, and the Cochrane Central Register of Controlled Trials. Databases were searched up to February 2014.The search for unpublished studies included: Dissertation Abstracts International, ProQuest Dissertation & Theses and MedNar. Methodological quality Methodological quality was assessed independently by three reviewers using the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument checklists. Disagreements that arose between the reviewers were resolved through discussion. Data collection Quantitative data were extracted from papers included in the review using the standardized data extraction tool from the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument. The data was extracted by one reviewer and checked by a second reviewer. Disagreements that arose between the reviewers were resolved through discussion. All results were subject to double data entry. Data synthesis For this review statistical pooling of the data was not possible due to the heterogeneity of the studies, therefore, the finding...

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“…A significant reduction of antipsychotic drug dosage (e.g. haloperidol) has also been reported [11]. Furthermore, the benefits provided from DT fulfil the bioethics' concepts of beneficence (facilitates the promotion of well-being) and respect for autonomy (PWD can exercise their right to engage with dolls if they wish) [12].…”

Section: Introductionmentioning

confidence: 99%

Doll therapy intervention for women with dementia living in nursing homes: a randomized single-blind controlled trial protocol

Vaccaro

Ballabio

Molteni

et al. 2020

Trials

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Background: Doll therapy is a non-pharmacological intervention for people with dementia aimed to reduce distressing behaviours. Reliable results on the efficacy of Doll therapy for people with dementia are needed. The concept of attachment theorised by Bowlby has been proposed to explain the Doll therapy process, but it has not been proven to influence the response to doll presentation. Methods/design: This single-blind, randomised controlled trial will involve people with dementia living in nursing homes of the Canton Ticino (Switzerland). Participants will be randomised to one of two interventions: Doll Therapy Intervention or Sham Intervention with a non-anthropomorphic object, using a 1:1 allocation ratio. The two interventions will consist of 30 daily sessions lasting an hour at most, led by a trained nurse for an hour at most. We will enrol 64 participants per group, according to power analysis using an estimated medium effect size (f = 0.25), an alpha level of 0.05, and a power of 0.8. The primary goal is to test the efficacy of the Doll Therapy Intervention versus the Sham Intervention as the net change in the following measures from baseline to 30 days (blinded outcomes): the Neuropsychiatric Inventory-Nursing Home administered by a trained psychologist blinded to group assignment, the professional caregivers' perceived stress scale of the Neuropsychiatric Inventory-Nursing Home, patients' physiological indices of stress (salivary cortisol, blood pressure and heart rate) and interactive behaviours. The secondary goal is to assess the relationship between attachment styles of people with dementia (detected by means of the Adult Attachment Interview to the patients' offspring) and their caregiving behaviours shown during the Doll Therapy Intervention. Discussion: This is the first single-blind, randomised controlled trial on the efficacy of Doll therapy for dementia and an explanatory model of the response of people with dementia to doll presentation. Trial registration: ClinicalTrials.gov, ID: NCT03224143. Retrospectively registered on

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Use of Dolls as a Therapeutic Intervention: Relationship to Previous Negative Behaviors and Pro Re Nata (prn) Haldol Use Among Geropsychiatric Inpatients

Cited by 15 publications

References 2 publications

Using dolls for therapeutic purposes: A study on nursing home residents with severe dementia

Using dolls for therapeutic purposes: A study on nursing home residents with severe dementia

Effect of doll therapy in managing challenging behaviors in people with dementia: a systematic review

Doll therapy intervention for women with dementia living in nursing homes: a randomized single-blind controlled trial protocol

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