title: [Study of engagement in a group of people with dementia in traditional care settings and a group with person centred care].
abstract: BACKGROUND
  People with dementia in the residential care setting have a high level of apathy and disengagement. The lack of stimulation and customised activities, a common aspect in residential centres, could be contextual elements that promote these behaviours. The person-centred care model (PCCM) promotes the participation of people in their daily activities in relation to their resources, interests, and needs. The aim of this study is to compare the frequency of engagement behaviours in the daily activities in two groups of users residing in Psychogeriatric Units, one receiving a traditional care model and the other assisted under PCCM.
  
  
  METHODS
  The study involved 28 patients with cognitive impairment in Psychogeriatric Units, 14 of whom were in a traditional unit (control group), and 14 were in a unit where PCCM (experimental group) was implemented. Groups were equivalent in cognitive impairment, functional capabilities, and years in the long-term care institution. The Registering Engagement Instrument (REI) was used to observe the frequency of 12 categories of engagement behaviour in two distinct periods in both groups: before the interventions associated with PCCM, and 18 months after starting them.
  
  
  RESULTS
  Both groups increased the frequency of their engagement behaviours in the post-evaluation, but the experimental group decreased their disengagement behaviours while the control group increased them.
  
  
  CONCLUSIONS
  According to the data, PCCM interventions could reduce disengagement behaviours in the residential context, and could facilitate the participation and involvement in the activities of daily living.
authors.affiliation: Matia Instituto Gerontológico, Madrid, España. Electronic address: agarciasoler@gmail.com.
authors.forename: Álvaro
authors.initials: Á
authors.lastname: García-Soler
authors.affiliation: Matia Instituto Gerontológico, Madrid, España.
authors.forename: Pura
authors.initials: P
authors.lastname: Díaz-Veiga
authors.affiliation: Fundación Matia, Centro Argixao, Zumárraga, Guipúzcoa, España.
authors.forename: Nerea
authors.initials: N
authors.lastname: Suárez Pérez de Eulate
authors.affiliation: Fundación Matia, Lahar Elkargoa, Centro Fraisoro, Zizurkil, Guipúzcoa, España.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Mondragón
authors.affiliation: Matia Instituto Gerontológico, Madrid, España.
authors.forename: Mayte
authors.initials: M
authors.lastname: Sancho
mesh_terms: D000368:Aged; D003704:Dementia / Q000523:psychology* / Q000628:therapy; D005260:Female; D006126:Group Processes; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D009735:Nursing Homes; D009629:Person-Centered Psychotherapy; D058992:Social Participation
keywords: Atención centrada en la persona; Calidad de vida; Engagement; Implicación; Observación sistemática; Person-centred care; Quality of life; Residence Settings; Residencia; Systematic observation