title: Pilot testing of the restorative care intervention for the cognitively impaired.
abstract: 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.
authors.affiliation: University of Maryland School of Nursing, Baltimore, MD 21201, USA. galik@son.umaryland.edu
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Galik
authors.forename: Barbara
authors.initials: B
authors.lastname: Resnick
authors.forename: Ann
authors.initials: A
authors.lastname: Gruber-Baldini
authors.forename: Eun-Shim
authors.initials: ES
authors.lastname: Nahm
authors.forename: Karen
authors.initials: K
authors.lastname: Pearson
authors.forename: Ingrid
authors.initials: I
authors.lastname: Pretzer-Aboff