Improving dressing behavior in cognitively impaired nursing home residents.
This study tested the extent to which a behavioral intervention, Strategies to Promote Independence in Dressing (SPID), improved dressing independence among 90 cognitively impaired nursing home residents (average score on Mini Mental Status Exam = 7.35 +/- .69). The effect of SPID on caregiving efficiency, the time required for nursing assistants to use the strategies, was also examined. The results showed improved independence (decrease in assistance) from 6.08 +/- .12 at baseline to 4.93 +/- .19 following 6 intervention weeks. This significant improvement in dressing independence occurred without a clinically relevant increase in caregiver time (less than 1 min). Seventy-five percent of the subjects improved one or more levels of dressing independence, and more than 20% achieved their maximum intervention effect during the first week of treatment.
Beck
C
C
Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, USA.
Heacock
P
P
Mercer
S O
SO
Walls
R C
RC
Rapp
C G
CG
Vogelpohl
T S
TS
D000203:Activities of Daily Living / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D001131:Arkansas; D001519:Behavior; D003020:Clothing; D003072:Cognition Disorders / Q000451:nursing* / Q000523:psychology; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009735:Nursing Homes; D011581:Psychological Tests / Q000706:statistics & numerical data