Feasibility Study of a Digital Screen-Based Calming Device for Managing BPSD During Care

Gutman, Gloria; Vashisht, Avantika; Kaur, Taranjot; Churchill, Ryan; Moztarzadeh, Amir; Karbakhsh, Mojgan

doi:10.1093/geroni/igaa057.2722

Cited by 2 publications

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“…This study is part of a larger feasibility trial of MindfulGarden conducted in 2018-2020 at a 210 bed LTC facility in British Columbia, Canada. Another part of the study focused on morning and evening personal care, two activities that like bathing, are commonly reported to be problematic both for PwD and for LTC facility staff assisting them (Gutman et al, 2020a). Additionally, the larger study examined MindfulGarden as a tool for calming residents exhibiting BPSD in common areas of the LTC facility (Gutman et al, 2020b).…”

Section: Introductionmentioning

confidence: 99%

Feasibility study of a digital screen-based calming device (MindfulGarden) for bathing-related agitation among LTC residents with dementia

Gutman¹,

Karbakhsh²,

Vashisht³

et al. 2021

Gerontechnology

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Background: Behavioural and psychological symptoms of dementia (BPSD) are common and disturbing and can deter or disrupt the care process. Bathing is associated with the highest frequency of BPSD, triggering a fear response in dementia patients. As part of a larger feasibility/pilot study, this investigation explored whether exposure to MindfulGarden (MG), a digital screen-based calming device, can minimize BPSD during bathing -an activity well-documented to be problematic for both residents and staff. Objective: To determine outcome trends of exposure to MG on number and type of BPSD exhibited by residents with dementia during bathing and on staff time to undress, shower and re-dress them. Method: 8 long-term care home residents (5F, 3M) mean age 86.00±8.16, diagnosed with dementia and reported by care staff as exhibiting BPSD were observed while being showered in their en-suite bathroom. On Days 1 and 2 staff followed the usual bathing procedure; on Day 3 exposure to MG was added. A 26-item checklist developed in a previous study, based on the Cohen-Mansfield Agitation Inventory and the work of Gutman, Mac-Fadgen and Killam, was used to record type and frequency of BPSD, time of staff entry and exit from the resident's room was recorded, and on Day 3 staff rated MG exposure as having a positive, neutral or negative effect. Results: Days 1 -2 yielded highly similar results -an average of 4 BPSD per resident and an average bathing time of 13-14 minutes, with the most common BPSD on both days being physical resistance, verbal resistance, screaming, complaining, and strange noises. Subsequent to exposure to MG (Day 3) trends were observed towards reduction in number of BPSD and bathing duration. Conclusion: MG shows some promise in calming residents, reducing resistance to care, and allowing bathing to proceed more quickly.

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Section: Introductionmentioning

confidence: 99%

Feasibility study of a digital screen-based calming device (MindfulGarden) for bathing-related agitation among LTC residents with dementia

Gutman¹,

Karbakhsh²,

Vashisht³

et al. 2021

Gerontechnology

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“…This study is part of a larger feasibility trial conducted there in 2018–2020. Other parts of the study examined MG as a tool for calming residents during morning and evening personal care [ 7 ] and during bathing [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

A Novel Intervention for Management of Behavioral and Psychological Symptoms of Dementia in Nursing Home Communal Areas: Results of a Small-Scale Pilot Trial

Gutman

Vashisht

Kaur

et al. 2021

ADR

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Background: Behavioral and psychological symptoms of dementia (BPSD) exhibited by persons with dementia (PwD) in nursing home communal areas are generally managed by segregation and/or pharmacological interventions. Objective: This study trialed MindfulGarden (MG), a novel digital calming device, in a Canadian nursing home. Methods: Participants were 15 PwD (mean age = 87.67; 5m,10f; mean MMSE = 11.64±7.85). Each was observed by a research assistant (RA) for an average of 8–10 hours on two separate days. The RA followed them during time spent in communal areas of the nursing home including their unit’s dining space, lounges, and corridors and spaces shared with other units (e.g., gym and gift shop) and documented any BPSD exhibited. Day-1 provided baseline data; on Day-2, residents were exposed to MG if nursing staff considered their BPSD were sufficiently intense or sustained to warrant intervention. Staff rated the impact as positive, neutral, or negative. Results: On Day-1, 9 participants exhibited both aggressive and non-aggressive behaviors, 4 non-aggressive behaviors only, and 2 no BPSD. On Day-2, 7 exhibiting aggressive behaviors were exposed to MG. Staff reported MG as having distracting/calming effects and gave positive impact ratings to 6/13 exposures; there were no negative ratings. The most common aggressive BPSD on days of observation were pushing/shoving and screaming. Conclusion: MG may have value as a “psychiatric crash cart” in de-escalating agitation and aggression in care home settings.

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Feasibility Study of a Digital Screen-Based Calming Device for Managing BPSD During Care

Cited by 2 publications

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Feasibility study of a digital screen-based calming device (MindfulGarden) for bathing-related agitation among LTC residents with dementia

Feasibility study of a digital screen-based calming device (MindfulGarden) for bathing-related agitation among LTC residents with dementia

A Novel Intervention for Management of Behavioral and Psychological Symptoms of Dementia in Nursing Home Communal Areas: Results of a Small-Scale Pilot Trial

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