PMID- 38148667
OWN - NLM
STAT- MEDLINE
DCOM- 20240304
LR  - 20240304
IS  - 1479-8301 (Electronic)
IS  - 1346-3500 (Linking)
VI  - 24
IP  - 2
DP  - 2024 Mar
TI  - A short staff training system for behavioural and psychological symptoms of 
      dementia in care facilities, based on functional analysis and positive behaviour 
      support: a single-arm pre- and post-comparative study.
PG  - 233-241
LID - 10.1111/psyg.13066 [doi]
AB  - BACKGROUND: Work schedules can make it challenging for professional care workers 
      to participate in long-term training programs on managing behavioural and 
      psychological symptoms of dementia (BPSD). Simultaneously, it is necessary to 
      prevent caregivers' negative responses to BPSD, provide a positive environment 
      for people with dementia, and create a system for new management plans, since the 
      initial one is often unsuccessful. Therefore, we developed a short manual-based 
      training system for functional analysis including positive behaviour support and 
      strategies when management plans do not function well. This study aimed to 
      preliminarily examine the usefulness of this system. METHODS: Thirty-five staff 
      members from 12 care facilities participated in the training. For each facility, 
      off-the-job training was performed in two 120-min sessions held over 2 days. 
      Then, care plans were implemented by staff members for a month, during which 
      on-the-job training was provided. The study included 14 people with dementia and 
      BPSD. This was a single-arm study without a control group. Pre- and post-tests 
      were conducted to examine the effects of the training system using the 
      Neuropsychiatric Inventory-Nursing Home Version. RESULTS: The results of the pre- 
      and post-tests for the total scores on severity and occupational disruptiveness 
      significantly improved, with large effect sizes. Regarding symptom domains, 
      delusions, agitation/aggression, and aberrant motor behaviour significantly 
      improved in both severity and occupational disruptiveness. Depression/dysphoria 
      and anxiety significantly improved in severity; however, there were trends of 
      improvement in occupational disruptiveness. In addition, the effect sizes for 
      severity and occupational disruptiveness of delusions and agitation/aggression 
      were large. CONCLUSIONS: This preliminary study suggests that the training system 
      is promising. A randomised controlled trial with a larger sample size is 
      necessary to confirm the findings.
CI  - (c) 2023 Japanese Psychogeriatric Society.
FAU - Noguchi, Dai
AU  - Noguchi D
AUID- ORCID: 0000-0002-1613-966X
AD  - Department of Social Care, Higashiosaka Junior College, Osaka, Japan.
FAU - Kazui, Hiroaki
AU  - Kazui H
AUID- ORCID: 0000-0002-6838-8406
AD  - Department of Neuropsychiatry, Kochi Medical School, Kochi University, Kochi, 
      Japan.
FAU - Yamanaka, Katsuo
AU  - Yamanaka K
AD  - Institute of Human Sciences, University of Tsukuba, Tsukuba, Japan.
LA  - eng
GR  - Japan Agency for Medical Research and Development/
PT  - Journal Article
DEP - 20231226
PL  - England
TA  - Psychogeriatrics
JT  - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
JID - 101230058
SB  - IM
MH  - Humans
MH  - *Dementia/diagnosis
MH  - Nursing Homes
MH  - Health Personnel
MH  - Caregivers/psychology
MH  - Anxiety
OTO - NOTNLM
OT  - behavioural and psychological symptoms of dementia
OT  - functional analysis
OT  - positive behaviour support
OT  - staff training
OT  - treatment integrity
EDAT- 2023/12/27 06:41
MHDA- 2024/03/04 06:48
CRDT- 2023/12/27 02:33
PHST- 2023/11/21 00:00 [revised]
PHST- 2023/07/19 00:00 [received]
PHST- 2023/12/11 00:00 [accepted]
PHST- 2024/03/04 06:48 [medline]
PHST- 2023/12/27 06:41 [pubmed]
PHST- 2023/12/27 02:33 [entrez]
AID - 10.1111/psyg.13066 [doi]
PST - ppublish
SO  - Psychogeriatrics. 2024 Mar;24(2):233-241. doi: 10.1111/psyg.13066. Epub 2023 Dec 
      26.