title: Motor and multisensory care-based approach in dementia: long-term effects of a pilot study.
abstract: This study examined the short-, mid-, and long-term effects of a motor and multisensory care-based approach on (i) the behavior of institutionalized residents with dementia and (ii) care practices according to staff perspective. In all, 6 residents with moderate to severe dementia (mean age 80.83 ± 10.87 years) and 6 staff members (40 ± 10.87 years old) were recruited. Motor and multisensory stimulation strategies were implemented in residents' morning care. Data were collected with video recordings and focus-group interviews before, immediately after, at 3 months and 6 months after the intervention. The frequency and duration of each resident's behavior were analyzed. Content analysis was also performed. Results showed short-term improvements in residents' communication and engagement, followed by a sustained decline over time. Staff reported to change their practices; however, difficulties related to the institution organization were identified. There is a need to implement long-term strategies and involve institutions at different organizational levels to sustain the results.
authors.affiliation: School of Health Sciences, University of Aveiro (ESSUA), Aveiro, Portugal. amarques@ua.pt
authors.forename: Alda
authors.initials: A
authors.lastname: Marques
authors.forename: Joana
authors.initials: J
authors.lastname: Cruz
authors.forename: Ana
authors.initials: A
authors.lastname: Barbosa
authors.forename: Daniela
authors.initials: D
authors.lastname: Figueiredo
authors.forename: Liliana X
authors.initials: LX
authors.lastname: Sousa
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000193:education / Q000458:organization & administration*; D003704:Dementia / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007326:Institutionalization / Q000379:methods* / Q000458:organization & administration; D008134:Long-Term Care / Q000379:methods* / Q000458:organization & administration; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011613:Psychotherapy / Q000193:education / Q000379:methods*; D012112:Residential Facilities / Q000379:methods* / Q000458:organization & administration; D013995:Time; D000078329:Workforce; D055815:Young Adult