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. 2022 Jan;35(1):38-46.
doi: 10.1177/0891988720978816. Epub 2020 Dec 4.

Barriers to the Success of Recreational Groups for Persons With Dementia

Jiska Cohen-Mansfield  1 , Barbara Jensen  2
Affiliations

Barriers to the Success of Recreational Groups for Persons With Dementia

Jiska Cohen-Mansfield et al. J Geriatr Psychiatry Neurol. 2022 Jan.

Abstract

Background: This paper describes barriers to engagement in the context of group activities attended by nursing home residents with dementia.

Objective: The goal is to clarify the presence and types of barriers to group activities for persons with dementia.

Methods: Therapeutic recreation staff (TRs) who conducted the group activities, and trained research observers (ROs) independently identified barriers occurring during group activity sessions through ratings and open-ended comments, which were analyzed via a mixed-method approach.

Results: Barriers were related to specific participant, environmental, and group session characteristics. Most frequently noted barriers were participant-related, pertaining to apathy and challenging behavior. Noise was the most frequent environmental barrier. Overall, ROs reported more barriers than TRs, yet TRs reported the barrier of inappropriate topic more frequently than ROs.

Conclusions: The study suggests that the number and specific types of barriers are associated with negative engagement outcomes. Insight into these barriers is the first step toward addressing them and minimizing their effects.

Keywords: activity groups; apathy; barriers; dementia; engagement; nursing home.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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References

    1. Kovach CR, Henschel H. Planning activities for patients with dementia: a descriptive study of therapeutic activities on special care units. J Gerontol Nurs. 1996;22(9):33–38. - PubMed
    1. Brooker D, Duce L.Wellbeing and activity in dementia: a comparison of group reminiscence therapy, structured goal-directed group activity and unstructured time. Aging Ment Health. 2000;4(4):354–358.
    1. Cohen-Mansfield J. The impact of group activities and their content on persons with dementia attending them. Alzheimers Res Ther. 2018;10(1):37. - PMC - PubMed
    1. Phillips LJ, Reid-Arndt SA, Pak Y. Effects of a creative expression intervention on emotions, communication, and quality of life in persons with dementia. Nurs Res. 2010;59(6):417–425. - PMC - PubMed
    1. Cohen-Mansfield J, Hai T, Comishen M. Group engagement in persons with dementia: the concept and its measurement. Psychiatry Res. 2017;251:237–243. - PubMed

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