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Centre for Policy on Ageing | |
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| A randomized crossover trial to study the effect of personalized, one-to-one interaction using Montessori-based activities on agitation, affect, and engagement in nursing home residents with dementia | | Author(s) | Eva S van der Ploeg, Barbara Eppingstall, Cameron J Camp |
| Journal title | International Psychogeriatrics, vol 25, no 4, April 2013 |
| Publisher | Cambridge University Press, April 2013 |
| Pages | pp 565-575 |
| Source | journals.cambridge.org/ipg |
| Keywords | Dementia ; Aggression ; Nursing homes ; Residents [care homes] ; Therapy ; Engagement ; Person-centred care ; Clinical surveys. |
| Annotation | Increasingly more attention has been paid to non-pharmacological interventions as treatment of agitated behaviours that accompany dementia. The aim of the current study was to test whether personalised one-to-one interaction activities based on Montessori principles would improve agitation, affect and engagement more than a relevant control condition. The authors conducted a randomised crossover trial in nine residential facilities in metropolitan Melbourne, Australia. Personalised one-to-one activities that were delivered using Montessori principles were compared with a non-personalised activity to control for the non-specific benefits of one-to-one interaction. Participants were observed 30 minutes before, during and after the sessions. The presence or absence of a selected physically non-aggressive behaviour was noted in every minute, together with the predominant type of affect and engagement. Results showed that behaviour counts fell considerably during both the Montessori and control sessions relative to beforehand. During Montessori activities, the amount of time spent actively engaged was double compared to during the control condition and participants displayed more positive affect and interest as well. Participants with no fluency in English (all from non-English speaking backgrounds) showed a significantly larger reduction in agitation during the Montessori than control sessions. Overall these results show that even non-personalised social contact can assist in settling agitated residents. Tailoring activities to residents' needs and capabilities elicit more positive interactions and are especially suitable for people who have lost fluency in the language spoken predominantly in their residential facility. Future studies could explore implementation by family members and volunteers to avoid demands on facilities' resources. (JL). |
| Accession Number | CPA-130315218 A |
| Classmark | EA: EPB: LHB: KX: LO: DN: PAA: 3G |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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