View in EDS

Environmental Correlates to Behavioral Health Outcomes in Alzheimer's Special Care Units

Saved in:
Bibliographic Details
Title: Environmental Correlates to Behavioral Health Outcomes in Alzheimer's Special Care Units
Language: English
Authors: Zeisel, John, Silverstein, Nina M., Hyde, Joan
Source: Gerontologist. Oct 2003 43(5):697-711.
Availability: Gerontological Society of America. 1030 15th Street NW Suite 250, Washington, DC 20005. Tel: 202-842-1275; Fax: 202-842-1150; e-mail: geron@geron.org; Web site: http://www.geron.org/journals/gsapub.htm
Peer Reviewed: Y
Physical Description: PDF
Page Count: 15
Publication Date: 2003
Document Type: Journal Articles
Reports - Research
Descriptors: Alzheimers Disease, Quality of Life, Nursing Homes, Health Facilities, Depression (Psychology), Correlation, Interior Design, Environmental Influences, Aggression, Antisocial Behavior, Withdrawal (Psychology), Psychological Patterns, Mental Disorders, Patients, Cognitive Ability, Daily Living Skills, Drug Therapy, Caregivers, Symptoms (Individual Disorders), Older Adults
ISSN: 0016-9013
Abstract: Purpose: We systematically measured the associations between environmental design features of nursing home special care units and the incidence of aggression, agitation, social withdrawal, depression, and psychotic problems among persons living there who have Alzheimer's disease or a related disorder. Design and Methods: We developed and tested a model of critical health-related environmental design features in settings for people with Alzheimer's disease. We used hierarchical linear modeling statistical techniques to assess associations between seven environmental design features and behavioral health measures for 427 residents in 15 special care units. Behavioral health measures included the Cohen-Mansfield physical agitation, verbal agitation, and aggressive behavior scales, the Multidimensional Observation Scale for Elderly Subjects depression and social withdrawal scales, and BEHAVE-AD (psychotic symptom list) misidentification and paranoid delusions scales. Statistical controls were included for the influence of, among others, cognitive status, need for assistance with activities of daily living, prescription drug use, amount of Alzheimer's staff training, and staff-to-resident ratio. Although hierarchical linear modeling minimizes the risk of Type II--false positive--error, this exploratory study also pays special attention to avoiding Type I error--the failure to recognize possible relationships between behavioral health characteristics and independent variables. Results: We found associations between each behavioral health measure and particular environmental design features, as well as between behavioral health measures and both resident and nonenvironmental facility variables. Implications: This research demonstrates the potential that environment has for contributing to the improvement of Alzheimer's symptoms. A balanced combination of pharmacologic, behavioral, and environmental approaches is likely to be most effective in improving the health, behavior, and quality of life of people with Alzheimer's disease.
Abstractor: As Provided
Entry Date: 2009
Access URL: https://gerontologist.gerontologyjournals.org/cgi/content/abstract/43/5/697
Accession Number: EJ824308
Database: ERIC
FullText Text:
  Availability: 0
Header DbId: eric
DbLabel: ERIC
An: EJ824308
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Environmental Correlates to Behavioral Health Outcomes in Alzheimer's Special Care Units
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Zeisel%2C+John%22">Zeisel, John</searchLink><br /><searchLink fieldCode="AR" term="%22Silverstein%2C+Nina+M%2E%22">Silverstein, Nina M.</searchLink><br /><searchLink fieldCode="AR" term="%22Hyde%2C+Joan%22">Hyde, Joan</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="SO" term="%22Gerontologist%22"><i>Gerontologist</i></searchLink>. Oct 2003 43(5):697-711.
– Name: Avail
  Label: Availability
  Group: Avail
  Data: Gerontological Society of America. 1030 15th Street NW Suite 250, Washington, DC 20005. Tel: 202-842-1275; Fax: 202-842-1150; e-mail: geron@geron.org; Web site: http://www.geron.org/journals/gsapub.htm
– Name: PeerReviewed
  Label: Peer Reviewed
  Group: SrcInfo
  Data: Y
– Name: PhysDesc
  Label: Physical Description
  Group: PhysDesc
  Data: PDF
– Name: Pages
  Label: Page Count
  Group: Src
  Data: 15
– Name: DatePubCY
  Label: Publication Date
  Group: Date
  Data: 2003
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: Journal Articles<br />Reports - Research
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Alzheimers+Disease%22">Alzheimers Disease</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+Life%22">Quality of Life</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+Homes%22">Nursing Homes</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Facilities%22">Health Facilities</searchLink><br /><searchLink fieldCode="DE" term="%22Depression+%28Psychology%29%22">Depression (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Correlation%22">Correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Interior+Design%22">Interior Design</searchLink><br /><searchLink fieldCode="DE" term="%22Environmental+Influences%22">Environmental Influences</searchLink><br /><searchLink fieldCode="DE" term="%22Aggression%22">Aggression</searchLink><br /><searchLink fieldCode="DE" term="%22Antisocial+Behavior%22">Antisocial Behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Withdrawal+%28Psychology%29%22">Withdrawal (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+Patterns%22">Psychological Patterns</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Disorders%22">Mental Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+Ability%22">Cognitive Ability</searchLink><br /><searchLink fieldCode="DE" term="%22Daily+Living+Skills%22">Daily Living Skills</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Therapy%22">Drug Therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms+%28Individual+Disorders%29%22">Symptoms (Individual Disorders)</searchLink><br /><searchLink fieldCode="DE" term="%22Older+Adults%22">Older Adults</searchLink>
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 0016-9013
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: We systematically measured the associations between environmental design features of nursing home special care units and the incidence of aggression, agitation, social withdrawal, depression, and psychotic problems among persons living there who have Alzheimer's disease or a related disorder. Design and Methods: We developed and tested a model of critical health-related environmental design features in settings for people with Alzheimer's disease. We used hierarchical linear modeling statistical techniques to assess associations between seven environmental design features and behavioral health measures for 427 residents in 15 special care units. Behavioral health measures included the Cohen-Mansfield physical agitation, verbal agitation, and aggressive behavior scales, the Multidimensional Observation Scale for Elderly Subjects depression and social withdrawal scales, and BEHAVE-AD (psychotic symptom list) misidentification and paranoid delusions scales. Statistical controls were included for the influence of, among others, cognitive status, need for assistance with activities of daily living, prescription drug use, amount of Alzheimer's staff training, and staff-to-resident ratio. Although hierarchical linear modeling minimizes the risk of Type II--false positive--error, this exploratory study also pays special attention to avoiding Type I error--the failure to recognize possible relationships between behavioral health characteristics and independent variables. Results: We found associations between each behavioral health measure and particular environmental design features, as well as between behavioral health measures and both resident and nonenvironmental facility variables. Implications: This research demonstrates the potential that environment has for contributing to the improvement of Alzheimer's symptoms. A balanced combination of pharmacologic, behavioral, and environmental approaches is likely to be most effective in improving the health, behavior, and quality of life of people with Alzheimer's disease.
– Name: AbstractInfo
  Label: Abstractor
  Group: Ab
  Data: As Provided
– Name: DateEntry
  Label: Entry Date
  Group: Date
  Data: 2009
– Name: URL
  Label: Access URL
  Group: URL
  Data: <link linkTarget="URL" linkTerm="https://gerontologist.gerontologyjournals.org/cgi/content/abstract/43/5/697" linkWindow="_blank">http://gerontologist.gerontologyjournals.org/cgi/content/abstract/43/5/697</link>
– Name: AN
  Label: Accession Number
  Group: ID
  Data: EJ824308
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ824308
RecordInfo BibRecord:
  BibEntity:
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 697
    Subjects:
      – SubjectFull: Alzheimers Disease
        Type: general
      – SubjectFull: Quality of Life
        Type: general
      – SubjectFull: Nursing Homes
        Type: general
      – SubjectFull: Health Facilities
        Type: general
      – SubjectFull: Depression (Psychology)
        Type: general
      – SubjectFull: Correlation
        Type: general
      – SubjectFull: Interior Design
        Type: general
      – SubjectFull: Environmental Influences
        Type: general
      – SubjectFull: Aggression
        Type: general
      – SubjectFull: Antisocial Behavior
        Type: general
      – SubjectFull: Withdrawal (Psychology)
        Type: general
      – SubjectFull: Psychological Patterns
        Type: general
      – SubjectFull: Mental Disorders
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Cognitive Ability
        Type: general
      – SubjectFull: Daily Living Skills
        Type: general
      – SubjectFull: Drug Therapy
        Type: general
      – SubjectFull: Caregivers
        Type: general
      – SubjectFull: Symptoms (Individual Disorders)
        Type: general
      – SubjectFull: Older Adults
        Type: general
    Titles:
      – TitleFull: Environmental Correlates to Behavioral Health Outcomes in Alzheimer's Special Care Units
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Zeisel, John
      – PersonEntity:
          Name:
            NameFull: Silverstein, Nina M.
      – PersonEntity:
          Name:
            NameFull: Hyde, Joan
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 10
              Type: published
              Y: 2003
          Identifiers:
            – Type: issn-print
              Value: 0016-9013
          Numbering:
            – Type: volume
              Value: 43
            – Type: issue
              Value: 5
          Titles:
            – TitleFull: Gerontologist
              Type: main
ResultId 1