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Montessori-Based Activities Among Persons with Late-Stage Dementia: Evaluation of Mental and Behavioral Health Outcomes.
- Source :
- Dementia (14713012); May2019, Vol. 18 Issue 4, p1373-1392, 20p
- Publication Year :
- 2019
-
Abstract
- Objectives: Literature regarding Montessori-based activities with older adults with dementia is fairly common with early stages of dementia. Conversely, research on said activities with individuals experiencing late-stage dementia is limited because of logistical difficulties in sampling and data collection. Given the need to understand risks and benefits of treatments for individuals with late-stage dementia, specifically regarding their mental and behavioral health, this study sought to evaluate the effects of a Montessori-based activity program implemented in a long-term care facility. Method: Utilizing an interrupted time series design, trained staff completed observation-based measures for 43 residents with late-stage dementia at three intervals over six months. Empirical measures assessed mental health (anxiety, psychological well-being, quality of life) and behavioral health (problem behaviors, social engagement, capacity for activities of daily living). Results: Group differences were observed via repeated measures ANOVA and paired-samples t -tests. The aggregate, longitudinal results—from baseline to final data interval—for the psychological and behavioral health measures were as follows: problem behaviors diminished though not significantly; social engagement decreased significantly; capacities for activities of daily living decreased significantly; quality of life increased slightly but not significantly; anxiety decreased slightly but not significantly; and psychological well-being significantly decreased. Conclusion: Improvements observed for quality of life and problem behaviors may yield promise for Montessori-based activities and related health care practices. The rapid physiological and cognitive deterioration from late-stage dementia should be considered when interpreting these results. [ABSTRACT FROM AUTHOR]
- Subjects :
- COMPETENCY assessment (Law)
ANALYSIS of variance
ANXIETY
COGNITIVE therapy
DEMENTIA
DEMENTIA patients
NURSING care facilities
QUALITY of life
SOCIAL participation
SOCIAL skills education
T-test (Statistics)
TIME series analysis
ACTIVITIES of daily living
WELL-being
BEHAVIOR disorders
TREATMENT effectiveness
Subjects
Details
- Language :
- English
- ISSN :
- 14713012
- Volume :
- 18
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Dementia (14713012)
- Publication Type :
- Academic Journal
- Accession number :
- 136767600
- Full Text :
- https://doi.org/10.1177/1471301217703242