Increasing Activity Attendance and Engagement in Individuals With Dementia Using Descriptive Prompts

Brenske, Shasta; Rudrud, Eric; Schulze, Kimberly A.; Rapp, John T.

doi:10.1901/jaba.2008.41-273

Cited by 28 publications

(24 citation statements)

References 6 publications

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“…For instance, antecedent events such as prompts to engage in an activity (Brenske, Rudrud, Schulze, & Rapp, 2008;Engelman, Altus, & Mathews, 1999), activity prompts that include positive social attention (Polenick & Flora, 2011), or the presentation of activity materials in a salient location may momentarily establish the reinforcing effectiveness of activity engagement or social interaction, and may evoke behaviors associated with these events (Michael, 1993). Positive staff engagement has been significantly correlated with levels of interest, pleasure, and participation during activities for older nursing home residents (Meeks & Looney, 2011); thus, the social engagement of caregivers or family members may further increase activity participation and enjoyment.…”

Section: Directions For Future Investigationmentioning

confidence: 99%

Behavioral activation for depression in older adults: Theoretical and practical considerations

Polenick

Flora

2013

BEHAV ANALYST

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Late-life depression (LLD) is a major public health concern that can have devastating effects on older individuals and their families. Behavioral theories predict that decreases in responsecontingent positive reinforcement and increases in negatively reinforced avoidance behaviors, often accompanied by aversive life events, result in the selection and maintenance of depression. Based on these theories, behavioral activation treatments for depression are designed to facilitate structured increases in enjoyable activities that increase opportunities for contact with positive reinforcement. We discuss the applicability of behavioral models for LLD, and we briefly review current behavioral activation interventions for LLD with an emphasis on implications for future behavior-analytic research. Behavioral activation has been demonstrated to be effective in reducing depression and increasing healthy behavior in older adults. Potential challenges and considerations for future research are discussed. We suggest that applied behavior analysts and clinical behavior analysts are particularly well suited to improve and expand on the knowledge base and practical application of behavioral activation interventions with this population.

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Section: Directions For Future Investigationmentioning

confidence: 99%

Behavioral activation for depression in older adults: Theoretical and practical considerations

Polenick

Flora

2013

BEHAV ANALYST

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“…Dementia is a cluster of behavioral deficits secondary to neurological degeneration and is associated with deterioration in verbal, social, and daily living skills (Maj & Sartorious, 2002). Several studies have demonstrated the success of behavioral interventions in maintaining adaptive skills in elderly individuals; however, many were multicomponent interventions that relied on participants' ability to respond to instructions (e.g., Bourgeois, 1990; Brenske, Rudrud, Schulze, & Rapp, 2008). Direct, differential reinforcement may be required with individuals who no longer respond to instructions.…”

mentioning

confidence: 99%

Assessment of Preference for Edible and Leisure Items in Individuals With Dementia

Ortega

Iwata

Nogales-González

et al. 2012

J of App Behav Analysis

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We conducted 2 studies on reinforcer preference in patients with dementia. Results of preference assessments yielded differential selections by 14 participants. Unlike prior studies with individuals with intellectual disabilities, all participants showed a noticeable preference for leisure items over edible items. Results of a subsequent analysis with 3 participants showed reinforcement effects when highly preferred items were delivered as consequences.

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“…There is evidence for some cognitive, occupational therapy and psychotherapy approaches, for example (Brenske et al 2008;Joosten-Weyn Banningh et al 2008;Angevaren et al 2008), support groups (Snyder et al 2007), relaxation, and memory training (Rapp et al 2002). The limited research suggests that self-management programmes could be beneficial to people with dementia for developing physical and emotional self-management strategies (Mountain 2006).…”

Section: Introductionmentioning

confidence: 99%

Conceptualisation of self-management intervention for people with early stage dementia

et al. 2012

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Dementia is a major challenge for health and social care services. People living with dementia in the earlier stages experience a ''care-gap''. Although they may address this gap in care, self-management interventions have not been provided to people with dementia. It is unclear how to conceptualise self-management for this group and few published papers address intervention design. Initial focusing work used a logic mapping approach, interviews with key stakeholders, including people with dementia and their family members. An initial set of self-management targets were identified for potential intervention. Self-management for people living with dementia was conceptualised as covering five targets: (1) relationship with family, (2) maintaining an active lifestyle, (3) psychological wellbeing, (4) techniques to cope with memory changes, and (5) information about dementia. These targets were used to focus literature reviewing to explore an evidence base for the conceptualisation. We discuss the utility of the Corbin and Strauss (Unending work and care: managing chronic illness at home. JosseyBass, Oxford, 1988) model of self-management, specifically that self-management for people living with dementia should be conceptualised as emphasising the importance of ''everyday life work'' (targets 1 and 2) and ''biographical work'' (target 3), with inclusion of but less emphasis on specific ''illness work'' (targets 4, 5). We argue that selfmanagement is possible for people with dementia, with a strengths focus and emphasis on quality of life, which can be achieved despite cognitive impairments. Further development and testing of such interventions is required to provide much needed support for people in early stages of dementia.

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Increasing Activity Attendance and Engagement in Individuals With Dementia Using Descriptive Prompts

Cited by 28 publications

References 6 publications

Behavioral activation for depression in older adults: Theoretical and practical considerations

Behavioral activation for depression in older adults: Theoretical and practical considerations

Assessment of Preference for Edible and Leisure Items in Individuals With Dementia

Conceptualisation of self-management intervention for people with early stage dementia

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