Effect of animal-assisted therapy on engagement of rural nursing home residents

2008 ◽  
Vol 7 (4) ◽  
pp. 45-53 ◽  
Author(s):  
Brianne P. Martindale
Keyword(s):  
Nursing Home ◽  
Functional Decline ◽  
Nursing Home Residents ◽  
Animal Assisted Therapy ◽  
Control Group ◽  
Therapy Control ◽  
Recreation Therapy ◽  
Rural Nursing ◽  
Quasi Experimental ◽  
Therapy Interventions

Passivity is a major debilitating problem for nursing home residents. Reports show that anywhere from 24 to 90 percent of residents living in nursing homes exhibit passive behaviors, apathy, and functional decline due to inactivity. The purpose of this study was to examine the effects that animal-assisted therapy (AAT) has on the passivity, engagement, and mood of rural nursing home residents. Using a quasi-experimental design, researchers assigned 10 rural nursing home residents to AAT and 10 rural nursing home residents to traditional recreation therapy interventions. Each group received five, one- hour sessions during a span of six weeks. AAT was shown to significantly decrease passive behaviors and significantly improve mood. The traditional recreation therapy control group did show improvements but none were significant.

Dance as Prevention of Late Life Functional Decline Among Nursing Home Residents

2015 ◽  
Vol 36 (12) ◽  
pp. 1453-1470 ◽  
Author(s):  
Katerina Machacova ◽  
Hana Vankova ◽  
Ladislav Volicer ◽  
Petr Veleta ◽  
Iva Holmerova
Keyword(s):  
Nursing Home ◽  
Activities Of Daily Living ◽  
Functional Status ◽  
Daily Living ◽  
Functional Decline ◽  
Nursing Home Residents ◽  
Late Life ◽  
Cost Of Care ◽  
Control Group ◽  
Adverse Health Outcomes

Late life deterioration of functional status is associated with adverse health outcomes and increased cost of care. This trial was conducted to determine whether dance-based intervention could reverse functional decline among nursing home (NH) residents. A total of 189 residents of seven NHs in the Czech Republic were randomly assigned to intervention and control groups. More detailed data were collected in a subsample of 52 participants. Intervention consisted of 3-month dance-based exercise. Functional status was assessed by the get-up-and-go test, basic activities of daily living (ADL), instrumental activities of daily living (IADL), and senior fitness tests (SFTs). Participants in the control group experienced a significant decline in get-up-and-go test, IADL, and in four of the six SFTs. The intervention proved to be effective in preventing this deterioration and improved chair stand test and chair sit-and-reach test. The findings indicate that a relatively simple dance-based exercise can slow down deterioration of functional status in NH residents.

Walking for Better Outcomes and Recovery: The Effect of WALK-FOR in Preventing Hospital-Associated Functional Decline Among Older Adults

2019 ◽  
Vol 74 (10) ◽  
pp. 1664-1670 ◽  
Author(s):  
Yaniv Cohen ◽  
Anna Zisberg ◽  
Yehudit Chayat ◽  
Nurit Gur-Yaish ◽  
Efrat Gil ◽  
...  
Keyword(s):  
Older Adults ◽  
Group Intervention ◽  
Functional Decline ◽  
Intervention Group ◽  
Control Group ◽  
Community Mobility ◽  
Steps Per Day ◽  
Quasi Experimental ◽  
Activity Survey

Abstract Background In-hospital immobility of older adults is associated with hospital-associated functional decline (HAFD). This study examined the WALK-FOR program’s effects on HAFD prevention. Methods A quasi-experimental pre-post two-group (intervention group [IG] n = 188, control group [CG] n = 189) design was applied in two hospital internal medical units. On admission, patients reported pre-hospitalization functional status, which was assessed again at discharge and 1-month follow-up. Primary outcome was decline in basic activities of daily living (BADL), using the Modified Barthel Index. Secondary outcomes were decline in instrumental ADL (Lawton’s IADL scale) and community mobility (Yale Physical Activity Survey). All participants (75.1 ± 7 years old) were cognitively intact and ambulatory at admission. The WALK-FOR included a unit-tailored mobility program utilizing patient-and-staff education with a specific mobility goal (900 steps per day), measured by accelerometer. Results Decline in BADL occurred among 33% of the CG versus 23% of the IG (p = .02) at discharge, and among 43% of the CG versus 30% in the IG (p = .01) at 1-month follow-up. Similarly, 26% of the CG versus 15% of the IG declined in community mobility at 1-month follow-up (p = .01). Adjusted for major covariates, the intervention reduced the odds of decline in BADL by 41% (p = .05) at discharge and by 49% at 1-month follow-up (p = .01), and in community mobility by 63% (p = .02). There was no significant effect of the intervention on IADL decline (p = .19). Conclusions The WALK-FOR intervention is effective in reducing HAFD.

scholarly journals Improving Quality of Life in Nursing Homes: The Structured Resident Interview Approach

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Howard B. Degenholtz ◽  
Abby L. Resnick ◽  
Natalie Bulger ◽  
Lichun Chia
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Nursing Homes ◽  
Planning Process ◽  
Intervention Group ◽  
Nursing Home Residents ◽  
Care Plan ◽  
Control Group ◽  
Improvement Programs

The quality of life (QOL) of the approximately 1.5 million nursing facility (NF) residents in the US is undoubtedly lower than desired by residents, families, providers, and policy makers. Although there have been important advances in defining and measuring QOL for this population, there is a need for interventions that are tied to standardized measurement and quality improvement programs. This paper describes the development and testing of a structured, tailored assessment and care planning process for improving the QOL of nursing home residents. The Quality of Life Structured Resident Interview and Care Plan (QOL.SRI/CP) builds on a decade of research on measuring QOL and is designed to be easily implemented in any US nursing home. The approach was developed through extensive and iterative pilot testing and then tested in a randomized controlled trial in three nursing homes. Residents were randomly assigned to receive the assessment alone or both the assessment and an individualized QOL care plan task. The results show that residents assigned to the intervention group experienced improved QOL at 90- and 180-day follow-up, while QOL of residents in the control group was unchanged.

scholarly journals Effectiveness of Spiritual Therapy on Loneliness Feeling in the Seniors Present at Nursing Homes

2020 ◽  
Author(s):  
Batol Ramazani ◽  
Foroogh Bakhtiari
Keyword(s):  
Nursing Home ◽  
Elderly People ◽  
The Elderly ◽  
Analysis Of Covariance ◽  
Therapeutic Interventions ◽  
Control Group ◽  
Spiritual Therapy ◽  
Quasi Experimental ◽  
Research Findings ◽  
And Control

Background: Moving away from family can cause psychological and emotional trauma for the elderly. Accordingly, the present study aimed to evaluate the effectiveness of spiritual therapy on loneliness feeling among the elderly in a nursing home in Isfahan. Methods: The method was quasi-experimental with a pretest-posttest design and a control group. The population of this study included all of the elderly in Sadeghieh nursing home in Isfahan in 2018. The sample of this study included 30 elderly people being selected by purposive sampling and then randomly included in the experimental and control groups (15 elderly people in each group). The experimental group received the therapeutic interventions related to spiritual therapy at eight sessions of 90 minutes every week for two months. Then, the subjects in both groups were re-tested. The used instruments included Russell’s loneliness questionnaire (1996). After collecting the questionnaires and extracting the raw data, the data analysis was conducted using descriptive statistics and analysis of covariance by SPSS23 statistical software at 0.05 error level. Results: spiritual therapy had a significant effect on loneliness among the elderly in the nursing home (p < 0.001). In this regard, this therapy could reduce loneliness among the elderly in the nursing home. The effect of spiritual therapy on loneliness among the elderly in the nursing home was 53%. Conclusion: Based on the research findings, spiritual therapy can reduce loneliness among the elderly by the techniques such as taking responsibility, assigning cases to God, strengthening the intention, and deleting negative thoughts.

scholarly journals The Effect of Ultraviolet B Irradiation Compared with Oral Vitamin D Supplementation on the Well-being of Nursing Home Residents with Dementia: A Randomized Controlled Trial

2020 ◽  
Vol 17 (5) ◽  
pp. 1684
Author(s):  
Bistra I. Veleva ◽  
Monique A. A. Caljouw ◽  
Jenny T. van der Steen ◽  
Bart J. A. Mertens ◽  
Victor G. M. Chel ◽  
...  
Keyword(s):  
Vitamin D ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Well Being ◽  
Vitamin D Supplementation ◽  
Mean Difference ◽  
Ultraviolet B ◽  
Control Group ◽  
Bone Homeostasis ◽  
Randomized Controlled

There are indications that ultraviolet B (UVB) exposure has beneficial effects on well-being through mechanisms other than vitamin D synthesis alone. We conducted a randomized controlled multicenter trial to compare the effects of UVB light and vitamin D supplementation (VD) in terms of the well-being of nursing home residents with dementia. Participants were randomly assigned to the intervention group (UVB group, n = 41; half-body UVB irradiation, twice weekly over 6 months, with 1 standard erythema dose (SED)) or to the control group (VD group, n = 37; 5600 International units (IU) cholecalciferol supplementation once a week). The main outcome was well-being, measured by the Cohen-Mansfield Agitation Inventory (CMAI) and the Cornell scale for depression in dementia at 0, 3, and 6 months. Secondary outcomes were QUALIDEM quality of life domains and biochemical parameters of bone homeostasis. Intention-to-treat analysis with linear mixed modeling showed no significant between-group differences on agitation (p = 0.431) or depressive symptoms (p = 0.982). At six months, the UVB group showed less restless/tense behavior compared to the VD group (mean difference of the mean change scores 2.2, 95% CI 0.8 to 3.6; p = 0.003 for group x time interaction) and lower serum 25(OH)D3 concentration (estimated mean difference - 21.9, 95% CI −32.6 to −11.2; p = 0.003 for group difference). The exposure of nursing home residents with dementia to UVB light showed no positive benefits in terms of wellbeing. UVB treatment may have a positive effect on the restless/tense behavior characteristic of advanced dementia but more research is needed to confirm this finding.

scholarly journals Glycemic Control and Functional Decline in Nursing Home Residents With Diabetes

2017 ◽  
Vol 177 (1) ◽  
pp. 130 ◽  
Author(s):  
Amy Hsu ◽  
Siqi Gan ◽  
Irena Cenzer-Stijacic ◽  
Sei J. Lee
Keyword(s):  
Nursing Home ◽  
Glycemic Control ◽  
Functional Decline ◽  
Nursing Home Residents

scholarly journals A randomized controlled trial of a specific reminiscence approach to promote the well-being of nursing home residents with dementia

2004 ◽  
Vol 16 (1) ◽  
pp. 33-49 ◽  
Author(s):  
Claudia K. Y. Lai ◽  
Iris Chi ◽  
Jeanie Kayser-Jones
Keyword(s):  
Randomized Controlled Trial ◽  
Nursing Home ◽  
Repeated Measures ◽  
Comparison Group ◽  
Controlled Trial ◽  
Intervention Group ◽  
Nursing Home Residents ◽  
Well Being ◽  
Control Group ◽  
Randomized Controlled

Background: To date, no firm conclusions can be reached regarding the effectiveness of reminiscence for dementia. Researchers have emphasized that there is an urgent need for more systematic research in the area.Objective and Method: A single-blinded, parallel-groups (one intervention, one comparison, and one no-intervention group) randomized controlled trial (RCT) was adopted to investigate whether a specific reminiscence program leads to higher levels of psychosocial well-being in nursing home residents with dementia. The intervention adopted a life-story approach, while the comparison group provided friendly discussions to control for any changes in outcome as a result of social contacts and attention. The Social Engagement Scale (SES) and Well-being/Ill-being Scale (WIB) were the outcome measures used. The outcomes of the groups were examined with reference to the baseline (T0), immediately (T1), and six weeks (T2) after intervention. The final sample had 101 subjects (control group: n=30; comparison group: n=35; intervention group: n=36). Using multivariate analysis with repeated measures, no significant differences in outcome were found between groups at either T1 or T2. Wilcoxon signed rank tests were performed for each group comparing outcomes between T1 and T0, T2 and T1, and T2 and T0. Significant differences were observed in the intervention group when comparing T1 and T0 WIB (p=.014), but not for the other groups.Conclusion: Although the intervention did not lead to significant differences between the three groups over time, there was a significant improvement in psychosocial well-being for the intervention group.

Can leisure activities slow dementia progression in nursing home residents? A cluster-randomized controlled trial

2014 ◽  
Vol 26 (4) ◽  
pp. 637-643 ◽  
Author(s):  
Sheung-Tak Cheng ◽  
Pizza K. Chow ◽  
You-Qiang Song ◽  
Edwin C. S. Yu ◽  
John H. M. Lam
Keyword(s):  
Nursing Home ◽  
Tai Chi ◽  
Controlled Trial ◽  
Nursing Home Residents ◽  
Control Group ◽  
Multilevel Regression ◽  
Global Functioning ◽  
Gradual Improvement ◽  
Cluster Randomized ◽  
Functional Components

ABSTRACTBackground:To examine the effects of complex cognitive (mahjong) and physical (Tai Chi) activities on dementia severity in nursing home residents with dementia.Methods:Cluster-randomized open-label controlled design. 110 residents were randomized by nursing home into three conditions: mahjong, Tai Chi, and simple handicrafts (control). Activities were conducted three times a week for 12 weeks. Clinical Dementia Rating (CDR) was taken at 0 (baseline), 3 (post-treatment), 6, and 9 months. The outcome measure was CDR sum-of-box, which is a composite measure of both cognitive and functional deterioration in dementia.Results:Intent-to-treat analyses were performed using multilevel regression models. Apolipoprotein E ε4 allele and education were included as covariates. Neither treatments had effects on the cognitive and functional components of the CDR, but mahjong had a significant interaction with time on the CDR sum-of-box total, suggesting a slower rate of global deterioration in the mahjong group as compared with the control group.Conclusions:Mahjong led to a gradual improvement in global functioning and a slightly slower rate of dementia progression over time. The effect was generalized and was not specific to cognition or daily functioning.

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