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Comparative Study
. 2012 Oct;5(4):251-63.
doi: 10.3928/19404921-20120906-01. Epub 2012 Sep 17.

Comparison of the effectiveness of two protocols for treating nursing home residents with advanced dementia

Christine R Kovach  1 , Michelle R Simpson, Laura Joosse, Brent R Logan, Patricia E Noonan, Sheila A Reynolds, Diana Lynn Woods, Hershel Raff
Affiliations
Comparative Study

Comparison of the effectiveness of two protocols for treating nursing home residents with advanced dementia

Christine R Kovach et al. Res Gerontol Nurs. 2012 Oct.

Abstract

The Serial Trial Intervention (STI) is a decision support tool to address the problem of underassessment and undertreatment of pain and other unmet needs of people with dementia. This study compared the effectiveness of the 5-step and 9-step versions of the STI using a two-group repeated measures quasi-experimental design with randomization of 12 matched nursing homes. The sample consisted of 125 residents with moderate to severe dementia. Both the 5- and 9-step STIs significantly decreased discomfort and agitation from pre- to posttest (effect sizes = 0.45 to 0.90). The 9-step version was more effective for comorbid burden and increased cortisol slope (effect sizes = 0.50 and 0.49). Process variables were all statistically significantly improved using the 9-step STI. Nurse time was not different between the two groups. The clinical decision support rules embedded in the STI, particularly the 9-step version, helped nurses change practice and improved resident outcomes.

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Figures

Figure 1
Figure 1
Consequences of the Need-Driven Behavior Model
Figure 2
Figure 2
Study Participants Progress in Study
Figure 2
Figure 2
Study Participants Progress in Study
See this image and copyright information in PMC

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