PMID- 23909969
OWN - NLM
STAT- MEDLINE
DCOM- 20140212
LR  - 20191210
IS  - 1479-8301 (Electronic)
IS  - 1346-3500 (Linking)
VI  - 13
IP  - 2
DP  - 2013 Jun
TI  - Care staff training in residential homes for managing behavioural and 
      psychological symptoms of dementia based on differential reinforcement procedures 
      of applied behaviour analysis: a process research.
PG  - 108-17
LID - 10.1111/psyg.12006 [doi]
AB  - Previous studies of care staff training programmes for managing behavioural and 
      psychological symptoms of dementia (BPSD) based on the 
      antecedent-behaviour-consequence analysis of applied behaviour analysis have not 
      included definite intervention strategies. This case study examined the effects 
      of such a programme when combined with differential reinforcement procedures. We 
      examined two female care home residents with dementia of Alzheimer's type. One 
      resident (C) exhibited difficulty in sitting in her seat and made frequent visits 
      to the restroom. The other resident (D) avoided contact with others and insisted 
      on staying in her room. These residents were cared for by 10 care staff trainees. 
      Using an original workbook, we trained the staff regarding the 
      antecedent-behaviour-consequence analysis with differential reinforcement 
      procedures. On the basis of their training, the staff implemented individual care 
      plans for these residents. This study comprised a baseline phase and an 
      intervention phase (IN) to assess the effectiveness of this approach as a process 
      research. One month after IN ended, data for the follow-up phase were collected. 
      In both residents, the overall frequency of the target behaviour of BPSD 
      decreased, whereas the overall rate of engaging in leisure activities as an 
      alternative behaviour increased more during IN than during the baseline phase. In 
      addition, the overall rate of staff actions to support residents' activities 
      increased more during IN than during the baseline phase. However, the frequency 
      of the target behaviour of BPSD gradually increased during IN and the follow-up 
      phase in both residents. Simultaneously, the rate of engaging in leisure 
      activities and the staff's treatment integrity gradually decreased for C. The 
      training programme was effective in decreasing BPSD and increasing prosocial 
      behaviours in these two cases. However, continuous support for the staff is 
      essential for maintaining effects.
CI  - (c) 2013 The Authors. Psychogeriatrics (c) 2013 Japanese Psychogeriatric Society.
FAU - Noguchi, Dai
AU  - Noguchi D
AD  - Medical Care Court Clinic, Yokohama; Institute of Disability Sciences, University 
      of Tsukuba, Tsukuba, Japan. noguti@ywi.jp
FAU - Kawano, Yoshiyuki
AU  - Kawano Y
FAU - Yamanaka, Katsuo
AU  - Yamanaka K
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - England
TA  - Psychogeriatrics
JT  - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
JID - 101230058
SB  - IM
MH  - Aged, 80 and over
MH  - Behavioral Symptoms/*therapy
MH  - Dementia/psychology/*therapy
MH  - Female
MH  - Health Personnel/*education/psychology
MH  - *Homes for the Aged
MH  - Humans
MH  - *Nursing Homes
MH  - Process Assessment, Health Care
MH  - Reinforcement, Psychology
MH  - Workforce
OTO - NOTNLM
OT  - applied behaviour analysis
OT  - behavioural and psychological symptoms of dementia
OT  - care staff training
OT  - differential reinforcement procedures
EDAT- 2013/08/06 06:00
MHDA- 2014/02/13 06:00
CRDT- 2013/08/06 06:00
PHST- 2012/02/23 00:00 [received]
PHST- 2012/10/25 00:00 [revised]
PHST- 2012/12/27 00:00 [accepted]
PHST- 2013/08/06 06:00 [entrez]
PHST- 2013/08/06 06:00 [pubmed]
PHST- 2014/02/13 06:00 [medline]
AID - 10.1111/psyg.12006 [doi]
PST - ppublish
SO  - Psychogeriatrics. 2013 Jun;13(2):108-17. doi: 10.1111/psyg.12006.