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Centre for Policy on Ageing | |
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Nature of behaviours that challenge in residents living in aged care homes
— implications for psychosocial interventions and service development | | Author(s) | Ian A James, Ruth Watson, Chris J Whitaker |
| Journal title | Psychology of Older People: the FPOP Bulletin, no 138, April 2017 |
| Publisher | British Psychological Society, April 2017 |
| Pages | pp 19-29 |
| Source | http://www.bps.org.uk/networks-and-communities/mem... |
| Keywords | Behaviour disorders ; Evaluation ; Dementia ; Residents [care homes] ; Care homes ; Psychiatric treatment ; Evaluation. |
| Annotation | Competing theories exist regarding the causes and nature of behaviours that challenge (BC). This study attempts to provide better insight into these behaviours, and to determine whether there are any underlying relationships for people living in care homes with and without dementia. Cross sectional data were collected for 2185 residents living in 63 UK care homes using the Challenging Behaviour Scale (CBS). The incidence (i.e. presence or absence) of 25 commonly reported behaviours that challenge staff were determined using dichotomous scoring. Cluster analysis and Mokken scaling were used to examine underlying relationships. Mokken is a method of analysing data to determine whether there is a 'latent' structure within a data set. The prevalence of reported BC was 87.5%. Cluster analysis revealed three main clusters: apathy, agitation with internal focus, and agitation with active external focus. For seven of the 25 items a hierarchical model emerged, where behaviours at the bottom of the hierarchy tended to occur in the presence of those higher up. Behaviours at the bottom of the hierarchy (dangerous behaviour) were less frequently observed than the items at the top (lack of self-care, verbal aggression). Some common BC may occur in groups and themed clusters. This study shows that a hierarchical structure of BC in residents may be present. The findings testify to the complexity in the aetiology and treatment of BC, and hence the need for focused high intensity bio-psychosocial interventions to be targeted towards those with high levels of 'unmet need'. Implications for future research and practice are discussed. (RH). |
| Accession Number | CPA-170526202 A |
| Classmark | EP: 4C: EA: KX: KW: LP: 4C |
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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