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- Title
Using Acupressure and Montessori-Based Activities to Decrease Agitation for Residents with Dementia: A Cross-Over Trial.
- Authors
Li-Chan Lin; Man-Hua Yang; Chieh-Chun Kao; Shiao-Chi Wu; Sai-Hung Tang; Jaung-Geng Lin
- Abstract
OBJECTIVES: To explore the effectiveness of acupressure and Montessori-based activities in decreasing the agitated behaviors of residents with dementia. DESIGN: A double-blinded, randomized (two treatments and one control; three time periods) cross-over design was used. SETTING: Six special care units for residents with dementia in long-term care facilities in Taiwan were the sites for the study. PARTICIPANTS: One hundred thirty-three institutionalized residents with dementia. INTERVENTION: Subjects were randomized into three treatment sequences: acupressure-presence-Montessori methods, Montessori methods-acupressure-presence and presence-Montessori methods-acupressure. All treatments were done once a day, 6 days per week, for a 4-week period. MEASUREMENT: The Cohen-Mansfield Agitation Inventory, Ease-of-Care, and the Apparent Affect Rating Scale. RESULTS: After receiving the intervention, the acupressure and Montessori-based-activities groups saw a significant decrease in agitated behaviors, aggressive behaviors, and physically nonaggressive behaviors than the presence group. Additionally, the ease-of-care ratings for the acupressure and Montessori-based-activities groups were significantly better than for the presence group. In terms of apparent affect, positive affect in the Montessori-based-activities group was significantly better than in the presence group. CONCLUSION: This study confirms that a blending of traditional Chinese medicine and a Western activities program would be useful in elderly care and that in-service training for formal caregivers in the use of these interventions would be beneficial for patients.
- Subjects
ACUPRESSURE; MONTESSORI method of education; MANIPULATIVE materials (Education); MENTAL health of older people; GERIATRIC psychiatry; TREATMENT of dementia; LONG-term care facilities
- Publication
Journal of the American Geriatrics Society, 2009, Vol 57, Issue 6, p1022
- ISSN
0002-8614
- Publication type
Article
- DOI
10.1111/j.1532-5415.2009.02271.x