|Titre||A pragmatic trial testing a tailored non pharmacologic therapies on nocturnal behavioral and psychological symptoms associated with dementia.|
|Publication Type||Journal Article|
|Year of Publication||2022|
|Authors||Bautrant T, Franqui C, Clément H, Rabault M, Masseboeuf F, Pastore M, Pardo M, Brandi Y, Drouin N, Brice A-D, Grino M|
|Date Published||2022 Jan-Feb|
|Mots-clés||Aggression, Anxiety, Behavioral Symptoms, Cognitive Behavioral Therapy, Dementia, Humans, Retrospective Studies|
We compared the efficacy of tailored non pharmacological therapies (NPT) on specific nocturnal behavioral and psychological symptoms of dementia (BPSD). This retrospective 1-year study included 84 older dependent patients institutionalized in 7 long-term care home. Dedicated assistants, who were taught by experts how to use NPT, were asked to record the occurrence of each BPSD episode, to choose a given NPT on the basis of their knowledge of the patient and the type of BPSD and to estimate its efficacy. Wandering was the most prevalent BPSD followed by agitation/aggression and screaming. The most used therapy was cognitive stimulation, followed by multisensory stimulation, reminiscence and Montessori-based. Regarding wandering, multisensory stimulation was found to be the most efficacious NPT significantly different from Montessori-based, cognitive stimulation or reminiscence. With regards to agitation/aggression or screaming, Montessori-based was found to be the most efficacious NPT significantly different from multisensory stimulation, reminiscence and cognitive stimulation.
|Alternate Journal||Geriatr Nurs|