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Using Acupressure and Montessori-Based Activities to Decrease Agitation for Residents with Dementia: A Cross-Over Trial.

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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
Source: Journal of the American Geriatrics Society. Jun2009, Vol. 57 Issue 6, p1022-1029. 8p. 1 Diagram, 4 Charts.
Subjects: Acupressure, Montessori method of education, Manipulative materials (Education), Mental health of older people, Geriatric psychiatry, Treatment of dementia, Long-term care facilities
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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Text:
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DbLabel: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
PubTypeId: academicJournal
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  Data: Using Acupressure and Montessori-Based Activities to Decrease Agitation for Residents with Dementia: A Cross-Over Trial.
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  Data: <searchLink fieldCode="AR" term="%22Li-Chan+Lin%22">Li-Chan Lin</searchLink><br /><searchLink fieldCode="AR" term="%22Man-Hua+Yang%22">Man-Hua Yang</searchLink><br /><searchLink fieldCode="AR" term="%22Chieh-Chun+Kao%22">Chieh-Chun Kao</searchLink><br /><searchLink fieldCode="AR" term="%22Shiao-Chi+Wu%22">Shiao-Chi Wu</searchLink><br /><searchLink fieldCode="AR" term="%22Sai-Hung+Tang%22">Sai-Hung Tang</searchLink><br /><searchLink fieldCode="AR" term="%22Jaung-Geng+Lin%22">Jaung-Geng Lin</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+the+American+Geriatrics+Society%22">Journal of the American Geriatrics Society</searchLink>. Jun2009, Vol. 57 Issue 6, p1022-1029. 8p. 1 Diagram, 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Acupressure%22">Acupressure</searchLink><br /><searchLink fieldCode="DE" term="%22Montessori+method+of+education%22">Montessori method of education</searchLink><br /><searchLink fieldCode="DE" term="%22Manipulative+materials+%28Education%29%22">Manipulative materials (Education)</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+of+older+people%22">Mental health of older people</searchLink><br /><searchLink fieldCode="DE" term="%22Geriatric+psychiatry%22">Geriatric psychiatry</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+of+dementia%22">Treatment of dementia</searchLink><br /><searchLink fieldCode="DE" term="%22Long-term+care+facilities%22">Long-term care facilities</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=40642042
RecordInfo BibRecord:
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        Value: 10.1111/j.1532-5415.2009.02271.x
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        Text: English
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      – SubjectFull: Acupressure
        Type: general
      – SubjectFull: Montessori method of education
        Type: general
      – SubjectFull: Manipulative materials (Education)
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      – SubjectFull: Mental health of older people
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      – SubjectFull: Geriatric psychiatry
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      – SubjectFull: Treatment of dementia
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      – SubjectFull: Long-term care facilities
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      – TitleFull: Using Acupressure and Montessori-Based Activities to Decrease Agitation for Residents with Dementia: A Cross-Over Trial.
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            NameFull: Li-Chan Lin
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            NameFull: Man-Hua Yang
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            NameFull: Shiao-Chi Wu
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              Text: Jun2009
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              Y: 2009
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