Pragmatic Trial of Personalized Music for Agitation and Antipsychotic Use in Nursing Home Residents With Dementia

2022 ◽  
Author(s):  
Ellen M. McCreedy ◽  
Anthony Sisti ◽  
Roee Gutman ◽  
Laura Dionne ◽  
James L. Rudolph ◽  
...  
Keyword(s):  
Nursing Home ◽  
Pragmatic Trial ◽  
Nursing Home Residents

scholarly journals MEASURING EFFECT OF PERSONALIZED MUSIC TO REDUCE BEHAVIORS IN NURSING HOME RESIDENTS WITH DEMENTIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S52-S52
Author(s):  
Ellen McCreedy ◽  
Xiaofei Yang ◽  
Rosa Baier ◽  
Kali S Thomas ◽  
James Rudolph ◽  
...  
Keyword(s):  
Nursing Home ◽  
Pragmatic Trial ◽  
Nursing Home Residents ◽  
Program Music ◽  
Aggressive Behaviors ◽  
Severe Dementia ◽  
Data Set ◽  
Music Program ◽  
Direct Observations ◽  
Before And After

Abstract The purpose of this six-month pilot study was to identify an optimal measurement strategy for assessing the effects of a personalized music program, MUSIC & MEMORY, on agitated and aggressive behaviors among 45 nursing home residents with moderate to severe dementia. Dementia-related behaviors were measured before and after the intervention with three methods 1) observationally using the Agitation Behavior Mapping Instrument (ABMI); 2) staff report using the Cohen-Mansfield Agitation Inventory (CMAI); and 3) administratively using Minimum Data Set - Aggressive Behavior Scale (MDS-ABS). ABMI score was 4.4 (standard deviation, SD: 2.3) while not listening to the music and 1.6 (SD: 1.5) while listening to music (p<.01). CMAI score was 61.24 (SD: 16.32) before the music and 51.24 (SD: 16.05) after the music (p<.01). MDS-ABS score was .8 (SD: 1.6) before music and .7 (SD: 1.4) after music (p=.59). Direct observations were most likely to capture behavioral responses, followed by staff interviews. No effect was found using exclusively available administrative data. There is growing interest in identifying and testing non-pharmaceutical alternatives to managing agitated and aggressive behaviors in nursing home residents with dementia. Measurement occurring closest in time to the intervention was most likely to capture responses, but was also most costly, least pragmatic, and most subject to confirmation bias. These findings will inform a large pragmatic trial, beginning Spring 2019.

Erratum: Hearing Levels among Elderly Nursing Home Residents

1980 ◽  
Vol 45 (2) ◽  
Author(s):  
Ronald L. Schow ◽  
Michael A. Nerbonne
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Male And Female

In the February 1980 issue of this journal, the report by Ronald L. Schow and Michael A. Nerbonne ("Hearing Levels Among Elderly Nursing Home Residents") contains an error. On page 128, the labels "Male" and "Female" in Table 2 should be reversed.

Deficits in Selective Attention Alter Gait in Frail Older Adults

GeroPsych ◽  
2016 ◽  
Vol 29 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Véronique Cornu ◽  
Jean-Paul Steinmetz ◽  
Carine Federspiel
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Selective Attention ◽  
Dual Task ◽  
Nursing Home Residents ◽  
Gait Rehabilitation ◽  
Rehabilitation Programs ◽  
Gait Parameters ◽  
Growing Body ◽  
Task Conditions

Abstract. A growing body of research demonstrates an association between gait disorders, falls, and attentional capacities in older adults. The present work empirically analyzes differences in gait parameters in frail institutionalized older adults as a function of selective attention. Gait analysis under single- and dual-task conditions as well as selective attention measures were collected from a total of 33 nursing-home residents. We found that differences in selective attention performances were related to the investigated gait parameters. Poorer selective attention performances were associated with higher stride-to-stride variabilities and a slowing of gait speed under dual-task conditions. The present findings suggest a contribution of selective attention to a safe gait. Implications for gait rehabilitation programs are discussed.

Autobiographical Memory Among Nursing Home Residents With Dementia

2000 ◽  
Author(s):  
Katinka Dijkstra ◽  
Michelle S. Bourgeois ◽  
Lou Burgio ◽  
Rebecca Allen-Burge
Keyword(s):  
Nursing Home ◽  
Autobiographical Memory ◽  
Nursing Home Residents
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