ENGAGEMENT OF PERSONS WITH DEMENTIA

痴呆症患者的参与

• 批准号: 6781454
• 负责人: Jiska Cohen-Mansfield
• 金额: $ 31.92万
• 依托单位: HEBREW HOME OF GREATER WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6781454
• 关键词: anxiety; attention; attitude; behavior therapy; behavioral /social science research tag; clinical research; data collection methodology /evaluation; dementia; depression; emotions; functional ability; human old age (65+); human subject; human therapy evaluation; interpersonal relations; medical complication; mental disorder diagnosis; music therapy; nursing homes; outcomes research; play; psychotherapy; quality of life; questionnaires; recreation; social behavior

DESCRIPTION (provided by applicant): The proposed study aims to examine the factors affecting engagement of demented, elderly nursing home residents with a range of stimuli. While apathy, boredom, depression, and loneliness frequently accompany the progression of dementia, engagement of the demented nursing home residents in constructive, meaningful activities creates a possibility for enhancing the level of their daily functioning, and preventing the manifestation of problem behaviors associated with dementia. The study will clarify how elderly nursing home residents that suffer from dementia become engaged in appropriate activities, ascertain different kinds of responses of older demented persons to various objects/stimuli, and compare the engagement value of different stimuli used during stimulation session. The study will involve a repeated-measures design in which 158 nursing home residents will be presented with 22 stimuli, which vary along dimensions specified below, in different, random orders. Attention, attitude, and length of engagement will be measured, as well as background variables that capture the person, the stimulus and the environment. The stimuli will vary on several dimensions: life-like vs. not life-like, social vs. non-social, requiring manipulative vs. passive interaction, and eliciting past meaningful work or leisure roles vs. general stimuli not eliciting those roles. The proposed study opens a new field of systematic exploration of the engagement of nursing home residents suffering from dementia in appropriate activities. The strategy chosen provides a basic body of knowledge necessary for the development of engagement theory in persons with cognitive disabilities. This will also help to elaborate interventions to reduce inappropriate behaviors, boredom and depression in this population. It involves a complex yet replicable manner for analyzing engagement, and thereby identifies straightforward plans for tailoring appropriate activities to individuals. In that way, it presents an exciting prospect for improving the quality of life in demented persons, thereby reducing their caregivers' burden.

描述（由申请人提供）：拟议的研究旨在检查影响痴呆的老年养老院居民参与的因素。尽管痴呆症的进展经常伴随着痴呆症的养老院居民参与建设性，有意义的有意义的活动，但冷漠，无聊，沮丧和孤独经常伴随着痴呆症的互动，从而有可能提高其日常运作水平，并防止与痴呆症相关的问题行为的表现。 这项研究将阐明患有痴呆症的老年养老院居民如何从事适当的活动，确定老年痴呆症患者对各种物体/刺激的各种反应，并比较刺激过程中使用的不同刺激的参与价值。 这项研究将涉及重复测量设计，其中158名疗养院居民将有22种刺激，这些刺激符合下面指定的不同阶段，以不同的随机订单不同。将衡量注意力，态度和参与时间，以及捕获人，刺激和环境的背景变量。刺激在几个方面会有所不同：像生活一样与不生活般的生活，社会与非社交，需要操纵与被动互动，并引起过去有意义的工作或休闲角色与一般刺激，而不是引起这些角色。 拟议的研究开辟了一个系统的系统探索领域，探索患有痴呆症的疗养院居民参与适当的活动。所选择的策略为在认知障碍者中发展参与理论的发展提供了基本的知识。这也将有助于阐述干预措施，以减少该人群中不适当的行为，无聊和抑郁症。它涉及一种复杂但可复制的方式来分析参与度，从而确定了为个人量身定制适当活动的直接计划。这样，它为改善痴呆症患者的生活质量提供了令人兴奋的前景，从而减轻了护理人员的负担。