Effects of behavioral interventions on disruptive behavior and affect in demented nursing home residents.
BACKGROUND
Disruptive behaviors are prevalent in nursing home residents with dementia and often have negative consequences for the resident, caregiver, and others in the environment. Behavioral interventions might ameliorate them and have a positive effect on residents' mood (affect).


OBJECTIVE
This study tested two interventions-an activities of daily living and a psychosocial activity intervention-and a combination of the two to determine their efficacy in reducing disruptive behaviors and improving affect in nursing home residents with dementia.


METHODS
The study had three treatment groups (activities of daily living, psychosocial activity, and a combination) and two control groups (placebo and no intervention). Nursing assistants hired specifically for this study enacted the interventions under the direction of a master's prepared gerontological clinical nurse specialist. Nursing assistants employed at the nursing homes recorded the occurrence of disruptive behaviors. Raters analyzed videotapes filmed during the study to determine the interventions' influence on affect.


RESULTS
Findings indicated significantly more positive affect but not reduced disruptive behaviors in treatment groups compared to control groups.


CONCLUSIONS
The treatments did not specifically address the factors that may have been triggering disruptive behaviors. Interventions much more precisely designed than those employed in this study require development to quell disruptive behaviors. Nontargeted interventions might increase positive affect. Treatments that produce even a brief improvement in affect indicate improved quality of mental health as mandated by federal law.
Beck
Cornelia K
CK
Department of Geriatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock 72205, USA. BeckCornelia@uams.edu
Vogelpohl
Theresa S
TS
Rasin
Joyce H
JH
Uriri
Johannah Topps
JT
O'Sullivan
Patricia
P
Walls
Robert
R
Phillips
Regina
R
Baldwin
Beverly
B
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001521:Behavior Therapy / Q000379:methods*; D003704:Dementia; D005260:Female; D005851:Geriatric Nursing / Q000379:methods*; D006707:Homes for the Aged; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009735:Nursing Homes; D015399:Nursing Research; D012920:Social Behavior Disorders / Q000451:nursing / Q000628:therapy*; D014481:United States