Pilot testing of the restorative care intervention for the cognitively impaired.
OBJECTIVE
The objective of this study was to test the feasibility and impact of a 2-tiered motivational intervention, the Restorative Care Intervention for the Cognitively Impaired (Res-Care-CI), on nursing home residents with moderate to severe cognitive impairment.


METHODS
Single-group repeated measures study.


METHODS
Participants were 46 nursing home residents with moderate to severe cognitive impairment at a single nursing home designed for individuals with dementia.


METHODS
Descriptive data, the Barthel Index, the Physical Activity Survey in Long-Term Care, actigraphy, the Cornell Scale for Depression in Dementia, and the Cohen-Mansfield Agitation Inventory (short form).


RESULTS
There was significant improvement in resident mood (F = 3.26, P = .02) and behavioral symptoms (F = 3.21, P = .04), but no significant change in physical function (F = 0.897, P = .43) or overall reported physical activity (F = 0.931, P = .43). There was a significant decrease in physical activity measured by actigraphy in 35 participants (F = 4.93, P = .005).


CONCLUSIONS
Restorative care interventions were feasible to implement, and demonstrated improvements in mood and behavior, when used with nursing home residents with moderate to severe cognitive impairment.
Galik
Elizabeth M
EM
University of Maryland School of Nursing, Baltimore, MD 21201, USA. galik@son.umaryland.edu
Resnick
Barbara
B
Gruber-Baldini
Ann
A
Nahm
Eun-Shim
ES
Pearson
Karen
K
Pretzer-Aboff
Ingrid
I