Intervention of companion clowns in a special care unit: a 1-year pilot study

Mauléon, Adélaïde De; Lelièvre, Anne; Hermabessière, Sophie; Rolland, Yves

doi:10.1007/s40520-021-01916-w

Cited by 2 publications

(4 citation statements)

References 10 publications

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“…Studies from eight other international countries examined resident quality of life, 35–39 behavior, 40,41 social connectedness, 42 neuropsychiatric symptoms, 43 and staff transfer behaviors 44 and learning outcomes 45,46 using interventions ranging from horticultural therapy and staff clothing attire to counseling techniques. Two natural experiments examined resident quality of life in relation to staff behaviors of wearing street clothes versus uniforms when caring for residents with ADRD 35 and staff sharing lunchtime meals with residents 36 .…”

Section: Resultsmentioning

confidence: 99%

“…Acupressure and Montessori‐based methods, 41 and companion clowns were used to examine associations with resident behaviors 40 . Physically nonaggressive behaviors, agitated behaviors, and aggressive behaviors were improved among residents with dementia receiving acupressure and Montessori‐based methods, as were ease‐of‐care ratings and affect.…”

Section: Resultsmentioning

confidence: 99%

“…regarding environmental design and small-scale homelike settings housing 7-8 residents were inconclusive but trended towards positive associations. [31][32][33] Studies from eight other international countries examined resident quality of life, [35][36][37][38][39] behavior, 40,41 social connectedness, 42 neuropsychiatric symptoms, 43 and staff transfer behaviors 44 and learning outcomes 45,46 Acupressure and Montessori-based methods, 41 and companion clowns were used to examine associations with resident behaviors. 40 Physically nonaggressive behaviors, agitated behaviors, and aggressive behaviors were improved among residents with dementia receiving acupressure and Montessori-based methods, as were easeof-care ratings and affect.…”

Section: International Countriesmentioning

confidence: 99%

“…[31][32][33] Studies from eight other international countries examined resident quality of life, [35][36][37][38][39] behavior, 40,41 social connectedness, 42 neuropsychiatric symptoms, 43 and staff transfer behaviors 44 and learning outcomes 45,46 Acupressure and Montessori-based methods, 41 and companion clowns were used to examine associations with resident behaviors. 40 Physically nonaggressive behaviors, agitated behaviors, and aggressive behaviors were improved among residents with dementia receiving acupressure and Montessori-based methods, as were easeof-care ratings and affect. Use of companion clowns was not associated with significant improvements in neuropsychiatric symptoms, but residents did experience improved aberrant motor behavior, euphoria, hallucinations, and delusions with companion clowns; however, companion clowns were associated with increased disinhibition, apathy, depression, and appetite disorders.…”

Section: International Countriesmentioning

confidence: 99%

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A systematic review of specialty dementia care units in long‐term care settings

Orth

Flowers

Betz

et al. 2023

Int J Geriat Psychiatry

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Background Alzheimer's disease and related dementias (ADRD) are common among nursing home residents. Yet, conclusive evidence regarding best care practices among this population is lacking. Objectives of this systematic review were to explore features of dementia specialty care units (DSCUs) in long‐term care settings and examine benefits for residents, staff, families, and facilities. Methods PubMed, CINAHL, and PsychINFO were searched to identify articles involving DSCUs in long‐term care settings published in English with full text available between 01.01.2008 and 06.03.2022. Articles containing empirical data about ADRD special care in long‐term care settings were included in the review. Articles focused on clinic‐based or out‐patient dementia care programs (e.g., adult day care) were excluded. Articles were categorized based on geography (U.S. vs. international) and study design: interventions, descriptive studies, or comparison studies (traditional vs. specialty ADRD care). Results Our review included 38 U.S. articles and 54 articles from 15 international countries. In the U.S., 12 intervention, 13 descriptive, and 13 comparison studies met the inclusion criteria. Articles from international countries included 22 intervention, 20 descriptive, and 12 comparison studies. Results were mixed in terms of the efficacy of DSCUs. Promising DSCU features include small‐scale settings, dementia‐educated staff, and multidisciplinary approaches to care. Conclusion Overall, our review did not find conclusive evidence regarding the benefits of DSCUs in long‐term care settings. No rigorous study designs were found examining ‘special’ features of DSCUs and associations with outcomes among residents, family, staff, and the facility. Randomized clinical trials are needed to disentangle the ‘special’ features of DSCUs.

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