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Randomized Controlled Trial
. 2021 Jul;22(7):1421-1428.e4.
doi: 10.1016/j.jamda.2020.12.020. Epub 2021 Jan 15.

A Cluster Randomized Controlled Trial Testing the Impact of Function and Behavior Focused Care for Nursing Home Residents With Dementia

Elizabeth M Galik  1 , Barbara Resnick  2 , Sarah D Holmes  2 , Erin Vigne  2 , Karen Lynch  2 , Jeanette Ellis  2 , Shijun Zhu  2 , Erik Barr  2
Affiliations
Randomized Controlled Trial

A Cluster Randomized Controlled Trial Testing the Impact of Function and Behavior Focused Care for Nursing Home Residents With Dementia

Elizabeth M Galik et al. J Am Med Dir Assoc. 2021 Jul.

Abstract

Objective: The purpose of this study was to test the effectiveness of the Function and Behavior Focused Care for the Cognitively Impaired (FBFC-CI) intervention on function, physical activity, and behavioral symptoms among nursing home residents with dementia, and to explore the adoption of the intervention at the facility level.

Design: This study was a clustered, randomized controlled trial with a repeated measures design that was implemented in 12 nursing homes randomized to either treatment (FBFC-CI) or educational control [Function and Behavior Focused Care Education (FBFC-ED)].

Setting and participants: Twelve nursing homes (6 treatment and 6 control) and 336 residents (173 treatment and 163 control) with moderate to severe cognitive impairment.

Measures: Outcomes included functional ability (Barthel Index), physical activity (actigraphy and survey), behavioral symptoms (Resistiveness to Care Scale, Cohen-Mansfield Agitation Inventory, Cornell Scale for Depression in Dementia), and psychotropic medication use.

Results: The participants were 82.6 (SD = 10.1) years of age, mostly female, and were moderate to severely cognitively impaired (Mini-Mental State Exam of 7.8, SD = 5.1). There was a significantly greater increase in time spent in total activity (P = .004), moderate activity (P = .012), light activity (P = .002), and a decrease in resistiveness to care (P = .004) in the treatment versus control group at 4 months. There was no change in mood, agitation, and the use of psychotropic medications. There was some evidence of adoption of the intervention at treatment sites.

Conclusions and implications: This study provides some support for the use of the FBFC-CI Intervention to increase time spent in physical activity and decrease resistive behaviors during care commonly noted among nursing home residents with moderate to severe cognitive impairment.

Keywords: Dementia; behavior; function; nursing home; physical activity.

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Conflict of interest statement

Conflicts of Interest: The authors have no financial or personal conflicts of interest.

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References

    1. Alzheimer’s Association. 2019 Alzheimer’s Disease Facts and Figures. Alzheimers Dement J Alzheimers Assoc. 2019;15(3):321–387.
    1. Morley JE. Behavioral management in the person with dementia. J Nutr Health Aging. 2013;17(1):35–38. doi:10.1007/s12603-012-0406-4 - DOI - PubMed
    1. Galik E, Resnick B. Psychotropic medication use and association with physical and psychosocial outcomes in nursing home residents. J Psychiatr Ment Health Nurs. Published online April 15, 2012. doi:10.1111/j.1365-2850.2012.01911.x - DOI - PubMed
    1. Sturm AS, Trinkley KE, Porter K, Nahata MC. Efficacy and safety of atypical antipsychotics for behavioral symptoms of dementia among patients residing in long-term care. Int J Clin Pharm. 2018;40(1):135–142. doi:10.1007/s11096-017-0555-y - DOI - PubMed
    1. Alzheimer’s Association National Plan Milestone Workgroup, Fargo KN, Aisen P, et al. 2014 Report on the Milestones for the US National Plan to Address Alzheimer’s Disease. Alzheimers Dement J Alzheimers Assoc. 2014;10(5 Suppl):S430–452. doi:10.1016/j.jalz.2014.08.103 - DOI - PubMed

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