Engagement in purposeful activities and social interactions amongst persons with dementia in special care units compared to traditional nursing homes: An observational study.
activities
dementia
nursing homes
programme evaluation
social interaction
special care unit
Journal
Scandinavian journal of caring sciences
ISSN: 1471-6712
Titre abrégé: Scand J Caring Sci
Pays: Sweden
ID NLM: 8804206
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
revised:
05
06
2021
received:
22
12
2020
accepted:
27
06
2021
pubmed:
23
7
2021
medline:
19
8
2022
entrez:
22
7
2021
Statut:
ppublish
Résumé
Persons with dementia spend most time of their day not engaging in activities or social interactions. A care concept of a dementia special care unit that promotes activities and social interaction through a household-like design and individualised stimuli is studied. To evaluate the main outcomes of the care concept of a dementia special care unit, namely, engagement in activities and social interactions. We conducted an observational study as part of a theory-driven evaluation. The Maastricht Daily Life Observation Tool was used to collect momentary assessments multiple times per participant, including engagement in activity, type of activity, engagement in social interaction, interaction partners, location, agitation and mood. Thirty-three residents of the dementia special care units that implemented the care concept and 54 residents with dementia of two traditional nursing homes participated in the study, resulting in 2989 momentary assessments. Residents of both settings did not engage in activities or social interaction in approximately half of the observations. Compared to residents of traditional nursing homes, residents of special care units had a significantly higher chance for engagement in activities and social interaction in the afternoon but not in the morning or evening. The care concept of the special care unit facilitated engagement but had its limitations. Further research is needed to develop and evaluate appropriate interventions to enhance engagement of persons with dementia.
Sections du résumé
BACKGROUND
BACKGROUND
Persons with dementia spend most time of their day not engaging in activities or social interactions. A care concept of a dementia special care unit that promotes activities and social interaction through a household-like design and individualised stimuli is studied.
AIM
OBJECTIVE
To evaluate the main outcomes of the care concept of a dementia special care unit, namely, engagement in activities and social interactions.
METHODS
METHODS
We conducted an observational study as part of a theory-driven evaluation. The Maastricht Daily Life Observation Tool was used to collect momentary assessments multiple times per participant, including engagement in activity, type of activity, engagement in social interaction, interaction partners, location, agitation and mood. Thirty-three residents of the dementia special care units that implemented the care concept and 54 residents with dementia of two traditional nursing homes participated in the study, resulting in 2989 momentary assessments.
RESULTS
RESULTS
Residents of both settings did not engage in activities or social interaction in approximately half of the observations. Compared to residents of traditional nursing homes, residents of special care units had a significantly higher chance for engagement in activities and social interaction in the afternoon but not in the morning or evening.
CONCLUSION
CONCLUSIONS
The care concept of the special care unit facilitated engagement but had its limitations. Further research is needed to develop and evaluate appropriate interventions to enhance engagement of persons with dementia.
Identifiants
pubmed: 34291489
doi: 10.1111/scs.13017
pmc: PMC9540018
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Pagination
650-662Subventions
Organisme : SeneCura Kliniken und Heimebetriebsgesellschaft m.b.H
Informations de copyright
© 2021 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.
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