title: Individualized behavior management program for Alzheimer's/dementia residents using behavior-based ergonomic therapies.
abstract: Person-centered, nonpharmacological interventions for managing Alzheimer's/dementia-related behavioral disturbances have received significant attention. However, such interventions are quite often of a single type limiting their benefits. We develop a comprehensive nonpharmacological intervention, the Behavior-Based Ergonomic Therapy (BBET), which consists of multiple therapies. This low-cost, 24/7 program uses learning, personality, and behavioral profiles and cognitive function of each resident to develop a set of individualized therapies. These therapies are made available through an accessible resource library of music and video items, games and puzzles, and memory props to provide comfort or stimulation depending on an individual resident's assessment. The quantitative and qualitative benefits of the BBET were evaluated at the dementia care unit in a not-for-profit continuing care retirement community in west central Ohio. The 6-month pilot study reduced falls by 32.5% and markedly reduced agitation through increased resident engagement.
authors.affiliation: Nursing Institute of West Central Ohio, Wright State University, Dayton, OH, USA. govind.bharwani@wright.edu
authors.forename: Govind
authors.initials: G
authors.lastname: Bharwani
authors.forename: Pratik J
authors.initials: PJ
authors.lastname: Parikh
authors.forename: Larry W
authors.initials: LW
authors.lastname: Lawhorne
authors.forename: Eric
authors.initials: E
authors.lastname: VanVlymen
authors.forename: Meena
authors.initials: M
authors.lastname: Bharwani
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000628:therapy*; D001519:Behavior; D003704:Dementia / Q000628:therapy*; D006804:Ergonomics / Q000523:psychology; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D009735:Nursing Homes; D009820:Ohio; D018802:Patient-Centered Care; D010865:Pilot Projects; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome