title: Using positive images to manage resistance-to-care and combative behaviors in nursing home residents with dementia: A pilot study.
abstract: This pilot study attempted to reduce resistance-to-care (RTC) and combative behaviors in nursing home residents with dementia by eliciting their positive affect. Four female residents with dementia were recruited from a nursing facility. Each resident was involved in one intervention trial and one control trial. The response of the residents was assessed by the Agitated Behavior Scale and the Observational Measurement of Engagement Tool. The distress level of the certified nursing assistants (CNAs) delivering the care was reported through the Distress Thermometer. Results showed that the residents displayed fewer behavioral symptoms in the intervention trial than in the control trial. The CNAs reported less distress in the intervention trial than in the control trial. These preliminary findings suggest that it might be feasible to use positive images to reduce residents' behavioral symptoms and decrease the distress of CNAs.
authors.affiliation: Engineering Design Centre, Department of Engineering, University of Cambridge, Trumpington Street, Cambridge CB2 1PZ, UK. Electronic address: wyc32@cam.ac.uk.
authors.forename: Wei-Ying
authors.initials: WY
authors.lastname: Chou
authors.affiliation: Geriatrics Program, Hartford Hospital, 80 Seymour St, Hartford, CT 06102, USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Waszynski
authors.affiliation: Geriatrics Program, Hartford Hospital, 80 Seymour St, Hartford, CT 06102, USA.
authors.forename: Jeanne
authors.initials: J
authors.lastname: Kessler
authors.affiliation: Geriatrics Program, Hartford Hospital, 80 Seymour St, Hartford, CT 06102, USA.
authors.forename: Yu-Ching
authors.initials: YC
authors.lastname: Chiang
authors.affiliation: Engineering Design Centre, Department of Engineering, University of Cambridge, Trumpington Street, Cambridge CB2 1PZ, UK.
authors.forename: P John
authors.initials: PJ
authors.lastname: Clarkson
mesh_terms: D000369:Aged, 80 and over; D003704:Dementia / Q000451:nursing* / Q000523:psychology; D004644:Emotions; D005260:Female; D006801:Humans; D009728:Nursing Assistants / Q000523:psychology*; D009735:Nursing Homes; D010865:Pilot Projects; D011595:Psychomotor Agitation
keywords: Aggression; Combative; Dementia; Emotion regulation; Non-pharmacological interventions; Positive affect; Positive emotion; Resistance-to-care