Het effect van belevingsgerichte zorg op ouderen met cognitieve stoornissen en gedragsproblemen in verzorgingshuizen

Translated title of the contribution: Effects of emotion-oriented care on elderly people with cognitive impairment and behavioral problems in residential homes

Veron J Schrijnemaekers, Erik van Rossum, Math Candel, Carla M Frederiks, Mayke M Derix, Hilde Sielhorst, Piet A van den Brandt

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

This study investigates the effects of emotion-oriented care on the behavior of elderly people with cognitive impairment and behavioral problems. This approach is mainly based on the validation approach, but uses also insights from other approaches like reminiscence and sensory stimulation. Sixteen homes for the aged with structured day care units were randomly allocated to an intervention or control group. 151 Residents with cognitive impairment and behavioral problems were included in the study. The eight intervention homes received a training program with regard to emotion-oriented care. In the eight control homes usual care was continued. Measurements were performed at baseline and after three, six and twelve months of follow-up (assessment by caregivers and relatives). The primary outcome measure was the change in behavior of the residents. The results of multilevel analyses (overall, subgroup and per protocol) showed no statistically significant, nor clinically relevant effects in favor of the intervention group on the behavioral outcome measures. A possible reason for this is that the intervention did not result in significant contrast between the study groups. There is insufficient scientific evidence yet to justify the implementation of emotion-oriented care in residential homes, for residents with moderate to severe cognitive impairment and behavioral problems, on a large scale. Additional studies are needed in which special attention should be given to the implementation process.

Translated title of the contributionEffects of emotion-oriented care on elderly people with cognitive impairment and behavioral problems in residential homes
Original languageDutch
Pages (from-to)151-61
Number of pages11
JournalTijdschrift voor Gerontologie en Geriatrie
Volume34
Issue number4
Publication statusPublished - Aug 2003

Keywords

  • Aged
  • Aged, 80 and over
  • Cognition Disorders/therapy
  • Emotions
  • Female
  • Follow-Up Studies
  • Health Services for the Aged/organization & administration
  • Homes for the Aged
  • Humans
  • Male
  • Mental Disorders/therapy
  • Treatment Outcome

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