Journal article
A non-pharmacological intervention to manage behavioral and psychological symptoms of dementia and reduce caregiver distress: Design and methods of project ACT(3)
Clinical interventions in aging, v 2(4), pp 695-703
01 Jan 2007
PMID: 18225471
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Project ACT is a randomized controlled trial designed to test the effectiveness of a non-pharmacological home-based intervention to reduce behavioral and psychological symptoms of dementia (BPSD) and caregiver distress. The study targets 272 stressed racially diverse family caregivers providing in-home care to persons with moderate stage dementia with one or more behavioral disturbances. All participants are interviewed at baseline, 4-months (main trial endpoint), and 6-months (maintenance). The four-month intervention involves up to 13 visits from an occupational therapist who works with families to problem-solve potential triggers (communication style, environmental clutter) contributing to behaviors, and instruct in strategies to reduce caregiver stress and manage targeted behaviors. To rule out infection or other potential medical contributors to behaviors, a nurse obtains blood and urine samples from the dementia patient, and conducts a medication review. Participants in the no-treatment control group are offered the nurse arm and one in-home session following trial completion at 6-months. This paper describes the research methods, theoretical and clinical aspects of this multi-component, targeted psycho-social treatment approach, and the measures used to evaluate quality of life improvements for persons with dementia and their families.
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Details
- Title
- A non-pharmacological intervention to manage behavioral and psychological symptoms of dementia and reduce caregiver distress: Design and methods of project ACT(3)
- Creators
- Laura N. Gitlin - Thomas Jefferson UniversityLaraine Winter - Thomas Jefferson UniversityMarie P. Dennis - Thomas Jefferson UniversityWalter W. Hauck - Thomas Jefferson University
- Publication Details
- Clinical interventions in aging, v 2(4), pp 695-703
- Publisher
- Dove Medical Press Ltd
- Number of pages
- 9
- Grant note
- R01 AG22254; R01 AG022254-02; R01 AG022254-04S1; R01 AG022254-05; R01 AG022254-03; R01 AG022254-04; R01 AG022254; R01 AG022254-01 / NIA NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) R01AG022254 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Web of Science ID
- WOS:000208238600023
- Other Identifier
- 991020100047204721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Geriatrics & Gerontology