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Teaching and maintaining behavior management skills in the nursing home
Author(s)Louis D Burgio, Alan Stevens, Kathryn L Burgio
Journal titleThe Gerontologist, vol 42, no 4, August 2002
Pagespp 487-496
KeywordsBehaviour disorders ; Behaviour modification ; Nursing homes ; In-service training ; United States of America.
AnnotationThe efficacy of a comprehensive behaviour management skills training programme for improving assistants' skill performance in US nursing homes is examined, as is the effectiveness of a staff motivational system for maintaining newly acquired behaviour management skills over a 6-month period. The study used a randomised clinical trial of 88 Alabama residents with behaviour disturbances. 106 assistants who received the training and implemented formal staff management (FSM), and supervisory staff using conventional staff management (CSM, usual supervisory routine) were followed up at 4 weeks, and 3 and 6 months. During the immediate post-training period, both groups improved 5 out of 7 communication skills and the ability to delay physical assistance during care routines. Although assistants showed a reduction in the use of ineffective behaviour management strategies, they did not increase their use of effective behavioural strategies. Follow-up suggested that FSM was more effective than CSM for maintaining and even improving communication skills over time. Resident agitation was reduced during care interactions and maintained at follow-up. (RH).
Accession NumberCPA-021021205 A
ClassmarkEP: LODM: LHB: QWD: 7T

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