Person centered dementia activities reduce agitation in those with dementia

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NEW YORK --  -- Both person-centred care and dementia-care mapping reduce agitation in people with dementia in residential care. In addition, person-centred approaches can be taught quickly and should be introduced as standard practice in residential care homes, according to a study released early online and appearing in the April issue of The Lancet Neurology.

Two individually tailored behavioural interventions already used widely in clinical practice, person-centred care and dementia-care mapping, have been shown to improve outcomes for people with dementia, but the evidence is mainly descriptive and observational.

To provide further evidence, Lynn Chenoweth, University of Technology Sydney, Sydney, Australia, and colleagues conducted the Caring for Aged Dementia Care Resident Study (CADRES) to examine the effectiveness of these interventions and whether they could improve quality of life, decrease need-driven dementia-compromised behaviours, or reduce the use of psychotropic drugs and rates of accidents and injuries.

The study included 15 residential care sites in Sydney involving 289 residents with dementia aged 60 years or older. Patients were randomly assigned to person-centred care, dementia-care mapping, or usual care,

Carers received training and support in the relevant intervention or continued usual care. The Cohen-Mansfield agitation inventory (CMAI) was used to measure 29 behaviours of agitation including biting, scratching, and hiding things. Patients were assessed before the intervention, after 4 months of the intervention, and then at 4 months' follow-up.

Findings showed that.....read the whole post