The Breakfast Club: A multi-modal language stimulation program for nursing home residents with Alzheimer's disease

Boczko, Faerella

doi:10.1177/153331759400900407

Cited by 8 publications

(3 citation statements)

References 2 publications

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“…Moreover, positive effects of active stimulation more commonly emerge from studies in which individual treatment sessions were provided, as contrasted to the group intervention for this study (Arkin, 1996(Arkin, , 1999(Arkin, , 2000(Arkin, , 2001Arkin & Mahendra, 2001;Arkin et al, 2000;Quayhagen, Quayhagen, Corbeil, Hendrix, et al, 2000;Quayhagen, Quayhagen, Corbeil, Roth, & Rodgers, 1995). We chose group stimulation because of preliminary evidence that adults with mild AD benefit from group interaction (Boczko & Santo Pietro, 1994) and because of its reduced cost in comparison with individual treatment. A combination of group and individualized treatment sessions may prove to be more effective than group sessions alone.…”

Section: Discussionmentioning

confidence: 99%

Effects of Cognitive-Communication Stimulation for Alzheimer’s Disease Patients Treated With Donepezil

Chapman

Weiner

Rackley

et al. 2004

J Speech Lang Hear Res

126

113

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This randomized study evaluated the combined effect of a cognitive-communication program plus an acetylcholinesterase inhibitor (donepezil; donepezil-plus-stimulation group; n = 26), as compared with donepezil alone (donepezil-only group; n = 28) in 54 patients with mild to moderate Alzheimer's disease (AD; Mini-Mental Status Examination score of 12- 28) ranging in age from 54 to 91 years. It was hypothesized that cognitive-communication stimulation in combination with donepezil would positively affect the following: (a) relevance of discourse, (b) performance of functional abilities, (c) emotional symptoms, (d) quality of life, and (e) overall global function, as measured by caregiver and participant report and standardized measures. Cognitive-communication, neuropsychiatric, functional performance, and quality of life evaluations were conducted at baseline and Month 4, the month after the 2-month active stimulation period. Follow-up evaluations were performed at Months 8 and 12. The stimulation program consisted of 12 hr of intervention over an 8-week period and involved participant-led discussions requiring homework, interactive sessions about AD, and discussions using salient life stories. Additive effects of active stimulation with donepezil were examined in 2 ways: (1) comparing mean group performance over time and (2) evaluating change scores from baseline. A Group x Time interaction was found for the donepezil-plus-stimulation group in the emotional symptoms of apathy and irritability as compared with the donepezil-only group. Evaluation of change scores from baseline to 12 months revealed a positive effect for the donepezil-plus-stimulation group on discourse and functional abilities with a trend on apathy, irritability, and patient-reported quality of life. In sum, the research revealed benefits to the donepezil-plus-stimulation group in the areas of discourse abilities, functional abilities, emotional symptoms, and overall global performance. This study adds to growing evidence that active cognitive stimulation may slow the rate of verbal and functional decline and decrease negative emotional symptoms in AD when combined with acetylcholinesterase inhibitors, indicating a need to advance research in the area of cognitive treatments. The fact that AD is a progressive brain disease should not preclude ameliorative treatment.

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Section: Discussionmentioning

confidence: 99%

Effects of Cognitive-Communication Stimulation for Alzheimer’s Disease Patients Treated With Donepezil

Chapman

Weiner

Rackley

et al. 2004

J Speech Lang Hear Res

126

113

View full text Add to dashboard Cite

show abstract

“…By promoting the integrity of nursing home residents and including them in their care, members were less agitated and were perceived by other residents on the unit as less agitated. Boczko (1994) designed a multi-modal language stimulation program to increase communication in demented nursing home residents which was reported to promote social connections and decision-making. Most recently, the "habilitation" movement has focused on maximizing the functional independence and morale of Alzheimer's patients in six domains-physical, social, functional, communication, perceptual, and behavioral-using human emotions to improve quality of life (New AD, 2001).…”

Section: Journal Of Social Work In Long-term Carementioning

confidence: 99%

The Feelings Art Group

Csw

et al. 2002

Journal of Social Work in Long-Term Care

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“…Speech therapy research not only has provided caregivers with a better understanding of how to communicate successfully with dementia residents, but also that behaviors themselves are a form of communication that express both the contentedness as well as the distress experienced by dementia persons. 14,15 The success in caregiving, brought on by this early research, has spurred myriad additional research by other caregiving disciplines, culminating in a radical change in perception regarding the role activities and therapeutic recreation should play in the lives of dementia persons. One key element has become clear.…”

mentioning

confidence: 99%

Today, tomorrow

Lucero¹

2000

Am J Alzheimers Dis Other Demen

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An interesting thing happened to long term care during the past two decades-persons with dementia replaced physically frail but cognitively intact residents as the majority population in our facilities. Current estimates are 65 to 75 percent of all nursing home residents have a dementia diagnosis. While this statistic went relatively unnoticed, the challenge of caring for these dementia residents did not, particularly with the advent of the OBRA regulations (Nursing Home Reform Act, 1987) requiring significant reductions in restraint use. Under OBRA, our dementia residents made it known very quickly that they could not function well within our conventional medical-model style of caregiving once they were untethered and undrugged.We caregivers were not fairing much better either, frantically struggling to "manage" the "difficult/disruptive" behaviors of this seemingly perplexing population. Frustrated, we began chiding our activity and recreational professions with what was to become a universal mantra: "Do something with these people! They are driving us crazy!" My experiences with this national scenario were not much different, but they occurred much earlier. As the administrator of Florida's first restraint-free nursing facility in 1983 (well before OBRA), I, too, took a single-minded, single-discipline approach to keep our dementia residents out of trouble by tasking the activity department with "entertaining" them all day. Unfortunately, the beleaguered activity staff pointed out that their traditional activity approaches were no more successful than the traditional caregiving approaches the other disciplines were using. Thus began my odyssey in finding more appropriate ways to give care to residents with dementia.Many of my fellow professional caregivers soon began questioning the traditional medical-model approaches and care practices as well, that were clearly setting both residents and staff up for failure, constant confrontation, and tremendous frustration and stress. One of the first books raising the issue of the inappropriateness of medical-model practices with dementia residents, because of their irreversible and progressive brain damage, was published in the mid-1980s. 1 It called for use of the more appropriate, realistic, and compassionate psychosocial model of care. Nurse researchers also began to publish articles addressing a phenomenon referred to as "excess disability," where dementia residents' disabilities were increased or enhanced by using traditional medicalmodel nursing care practices. 2,3 Fortunately, as research expanded, our knowledge regarding the pathopsychology of Alzheimer's disease

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The Breakfast Club: A multi-modal language stimulation program for nursing home residents with Alzheimer's disease

Cited by 8 publications

References 2 publications

Effects of Cognitive-Communication Stimulation for Alzheimer’s Disease Patients Treated With Donepezil

Effects of Cognitive-Communication Stimulation for Alzheimer’s Disease Patients Treated With Donepezil

The Feelings Art Group

Today, tomorrow

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