A Randomized Controlled Trial of a Therapeutic Intervention for Nursing Home Residents With Dementia and Depressive Symptoms
| العنوان: | A Randomized Controlled Trial of a Therapeutic Intervention for Nursing Home Residents With Dementia and Depressive Symptoms |
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| المؤلفون: | Alan B. Stevens, Michael A. LaRocca, Elaine M. Bailey, Forrest Scogin |
| المصدر: | Journal of Applied Gerontology. 36:895-908 |
| بيانات النشر: | SAGE Publications, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, law.invention, Treatment and control groups, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Reminiscence, Intervention (counseling), medicine, Homes for the Aged, Humans, Dementia, Depressive symptoms, Depression (differential diagnoses), Aged, Aged, 80 and over, Cognitive Behavioral Therapy, 030214 geriatrics, Depression, business.industry, Social Support, medicine.disease, Nursing Homes, Alabama, Psychotherapy, Group, Quality of Life, Physical therapy, Female, Geriatrics and Gerontology, Nursing homes, business, Gerontology, 030217 neurology & neurosurgery, Clinical psychology |
| الوصف: | Objective: The purpose of this study was to conduct a randomized controlled trial of a nursing home intervention to reduce depressive symptoms in residents with dementia. Method: The multicomponent intervention included group activity sessions, which used question-asking-reading (QAR), reminiscence, and cognitive-behavioral therapy techniques, as well as environmental supports and individualized behavioral activity programs. Fifty-one residents from five nursing homes participated in the study. Results: A significant difference in depressive symptoms was found, with residents in the QAR-Depression condition showing improvement compared with those in the treatment as usual condition. Residents in the treatment group also exhibited significantly higher levels of expressive verbalizations, engagement with materials, and laughter. Few differences in resident behavior occurring outside of the group activities were noted. Discussion: Findings suggest that structured group activities can positively impact a resident’s psychological well-being. In addition, the QAR structure may be suitable for older adults with cognitive impairment by distributing group tasks and providing external cognitive supports. |
| تدمد: | 1552-4523 0733-4648 |
| DOI: | 10.1177/0733464815627956 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::876c2af3857f4a9abdadc3c8d5b55057 https://doi.org/10.1177/0733464815627956 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....876c2af3857f4a9abdadc3c8d5b55057 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15524523 07334648 |
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| DOI: | 10.1177/0733464815627956 |