A cluster-randomized crossover trial of Montessori activities delivered by family carers to nursing home residents with behavioral and psychological symptoms of dementia

Mbakile-Mahlanza, Lingani, van der Ploeg, Eva S., Busija, Lucy, Camp, Cameron, Walker, Helen and O'Connor, Daniel W. 2020, A cluster-randomized crossover trial of Montessori activities delivered by family carers to nursing home residents with behavioral and psychological symptoms of dementia, International psychogeriatrics, vol. 32, no. 3, Issue Theme: Improving Healthcare in Long-Term and Nursing Homes, pp. 347-358, doi: 10.1017/S1041610219001819.

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Title A cluster-randomized crossover trial of Montessori activities delivered by family carers to nursing home residents with behavioral and psychological symptoms of dementia
Author(s) Mbakile-Mahlanza, Lingani
van der Ploeg, Eva S.
Busija, Lucy
Camp, Cameron
Walker, Helen
O'Connor, Daniel W.
Journal name International psychogeriatrics
Volume number 32
Issue number 3
Season Issue Theme: Improving Healthcare in Long-Term and Nursing Homes
Start page 347
End page 358
Total pages 12
Publisher Cambridge University Press
Place of publication Cambridge, Eng.
Publication date 2020-03
ISSN 1041-6102
1741-203X
Keyword(s) Social Sciences
Science & Technology
Life Sciences & Biomedicine
Psychology, Clinical
Geriatrics & Gerontology
Gerontology
Psychiatry
Psychology
dementia
behavior
psychosocial care
NONPHARMACOLOGICAL INTERVENTIONS
AGITATION
FEASIBILITY
VOLUNTEERS
ENGAGEMENT
CAREGIVER
DISEASE
PEOPLE
STAGE
Summary Objectives: One-on-one structured Montessori-based activities conducted with people with dementia can improve agitation and enhance engagement. These activities may however not always be implemented by nursing home staff. Family members may present an untapped resource for enabling these activities. This study aimed to evaluate the impact of the Montessori activities implemented by family members on visitation experiences with people who have dementia.Design: Cluster-randomized crossover design.Setting: General and psychogeriatric nursing homes in the state of Victoria, Australia.Participants: Forty participants (20 residents and 20 carers) were recruited.Intervention: During visits, family members interacted with their relative either through engaging in Montessori-based activities or reading a newspaper (the control condition) for four 30-minute sessions over 2 weeks.Measurements: Residents' predominant affect and engagement were rated for each 30-second interval using the Philadelphia Geriatric Center Affect Rating Scale and the Menorah Park Engagement Scale. The Pearlin Mastery Scale was used to rate carers satisfaction with visits. The 15-item Mutuality Scale measured the carers quality of their relationship with the resident. Carers' mood and overall quality of life were measured using the Center for Epidemiological Studies Depression Scale and Carer-QoL questionnaires, respectively.Results: Linear regressions within the generalized estimating equations approach assessed residents' and carers' outcomes. Relative to the control condition, the Montessori condition resulted in more positive engagement (b = 13.0, 95%CI 6.3-19.7, p < 0.001) and affect (b = 0.4, 95%CI 0.2-0.6, p < 0.001) for the residents and higher satisfaction with visits for carers (b = 1.7, 95%CI 0.45-3.00, p = 0.008). No correction was applied to p-values for multiple comparisons.Conclusion: This study strengthens the evidence base for the use of the Montessori programs in increasing well-being in nursing home residents. The findings also provide evidence that family members are an additional valuable resource in implementing structured activities such as the Montessori program with residents.
Language eng
DOI 10.1017/S1041610219001819
Indigenous content off
Field of Research 17 Psychology and Cognitive Sciences
11 Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30137064

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