The Effect of Doll Therapy on Agitation and Cognitive State in Institutionalized Patients With Moderate-to-Severe Dementia: A Randomized Controlled Study

Yılmaz, Cemile Kütmeç; Aşiret, Güler Duru

doi:10.1177/0891988720933353

Cited by 13 publications

(18 citation statements)

References 32 publications

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“…The randomized-controlled clinical trials agree on the efficacy of DT in ameliorating BPSD in nursing home residents. In particular Ylmaz & Asiret show a reduction in the agitation and others BPSD and an increase in the patients' cognitive performance [47]. Here we show that DT was even more effective than ST in reducing agitation and aggressiveness.…”

Section: Discussionsupporting

confidence: 61%

“…The lack of solid scientific evidences on DT is mainly due to the difficult in standardization of nonpharmacologic intervention; some attempt towards standardization of DT have been done with welldesigned randomized controlled clinical trials [20,[45][46][47]. The randomized-controlled clinical trials agree on the efficacy of DT in ameliorating BPSD in nursing home residents.…”

Section: Discussionmentioning

confidence: 99%

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The doll therapy as a first line treatment for behavioral and psychologic symptoms of dementia in nursing homes residents: a randomized, controlled study

Santagata

Massaia

2021

BMC Geriatr

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Background Patients living with dementia are severely affected by the development of behavioral and psychologic symptoms (BPSD) which represent a burden for patients and caregivers. The use of psychotropic drugs in the control of BPSD is widely diffused, however the use of a first line non-pharmacologic approach is highly recommended. Here we evaluate the effect of doll therapy (DT) in the management of BPSD, on the reduction of caregiver burden and delirium incidence in nursing home residents by a randomized controlled trial. Methods We enrolled fifty-two nursing homes residents living with dementia and BPSD. Subjects were randomized to DT (26) or standard treatment (ST, 26), we measured BPSD, caregiver burden and delirium with standard clinical scales at baseline, after 45 and 90 days. In order to evaluate the presence of BPSD we used Neuropsychiatric Inventory (NPI) scale and the A.Di.CO scale, the caregiver burden was measured by the Greutzner scale and delirium by the Confusion Assessment Method (CAM) scale. Results DT was more effective in reducing agitation and aggressiveness as respect to ST. Moreover DT globally reduced the presence of BPSD as dysphoria, wandering and apathy. We observed a significant reduction of the professional caregiver burden and the incidence of delirium was significantly reduced in subjects treated with DT. Conclusions We show that DT is more effective that ST in the control of BSPD in patients affected by moderate to severe dementia. Moreover we suggest that DT may effective in reducing the incidence of delirium. Trial registration Retrospectively registered in ClinicalTrials.gov the 10th June 2, 2021 trial registration number NCT04920591.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

The doll therapy as a first line treatment for behavioral and psychologic symptoms of dementia in nursing homes residents: a randomized, controlled study

Santagata

Massaia

2021

BMC Geriatr

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show abstract

“…The randomized-controlled clinical trials agree on the e cacy of DT in ameliorating BPSD in nursing home residents. In particular Ylmaz & Asiret shown a reduction in the agitation and others BPSD and an increase in the patients' cognitive performance [49]. Here we show that DT was even more effective than ST in reducing agitation and aggressiveness.…”

Section: Discussionsupporting

confidence: 62%

“…The lack of solid scienti c evidences is mainly due to the di cult in standardization of nonpharmacologic intervention; as regards DT some attempt towards standardization have been done with well-designed randomized controlled clinical trials [20,[47][48][49]. The randomized-controlled clinical trials agree on the e cacy of DT in ameliorating BPSD in nursing home residents.…”

Section: Discussionmentioning

confidence: 99%

The Doll Therapy as a First Line Treatment for Behavioral and Psychologic Symptoms of Dementia in Nursing Homes Residents: A Randomized, Controlled Study

Santagata

Massaia

2021

Preprint

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Background. Patients affected by dementia are severely affected by the development of behavioral and psychologic symptoms (BPSD) which represent a burden for patients and caregivers. The use of psychotropic drugs in the control of BPSD is widely diffused, however the use of a first line non-pharmacologic approach is highly recommended. Here we evaluate the effect of doll therapy (DT) in the management of BPSD, on the reduction of caregiver burden and delirium incidence in nursing home residents by a randomized controlled trial.Methods. We enrolled fifty-two nursing homes residents living with dementia and BPSD. Subjects were randomized to DT (26) or standard treatment (ST, 26), we measured BPSD, caregiver burden and delirium with standard clinical scales at baseline, after 45 and 90 days. In order to evaluate the presence of BPSD we used Neuropsychiatric Inventory (NPI) scale and the A.Di.CO scale, the caregiver burden was measured by the Greutzner scale and delirium by the Confusion Assessment Method (CAM) scale.Results. DT was more effective in reducing agitation and aggressiveness as respect to ST. Moreover DT globally reduced the presence of BPSD as dysphoria, wandering and apathy. We observed a significant reduction of the professional caregiver burden and the incidence of delirium was significantly reduced in subjects treated with DT.Conclusions. We show that DT is more effective that ST in the control of BSPD in patients affected by moderate to severe dementia. Moreover we suggest that DT may effective in reducing the incidence of delirium.Trial Registration: Retrospectively registered in ClinicalTrials.gov the 02nd June 2, 2021 trial registration number NCT04920591

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“…In a study where doll therapy was applied to advanced and middle-stage dementia patients living in nursing homes for eight weeks, it was found that patients had a decrease in their agitation level and behavioural problems. 18 In a systematic review of ten randomized controlled trials in which aromatherapy was applied to dementia patients living in nursing homes, this was reported to have a positive effect on the agitation level of the patients. 31 In Maji c et al's study, animal-assisted therapy was provided for patients with dementia, and it was reported that the agitation and depression level of dementia patients decreased and that the animal-assisted therapy could delay the progression of neuropsychiatric symptoms of these patients residing in nursing homes.…”

Section: Discussionmentioning

confidence: 99%

Investigation of the effects of interventions made according to the Progressively Lowered Stress Threshold Model on the care outcomes of Alzheimer patients and their families: a randomized clinical trial

2021

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Background: One of the non-pharmacological methods used to reduce behavioural problems of Alzheimer's patients and the negative emotions accordingly experienced by caregivers consists of interventions performed according to the Progressively Lowered Stress Threshold (PLST) model. Methods: This randomized controlled study aimed to determine the effect of interventions performed according to PLST on the care burden, care satisfaction, and life satisfaction of caregivers of middle and advanced stage Alzheimer's disease patients, and on the neuropsychiatric symptoms and agitation levels of these patients. The research was conducted with a total of 29 caregivers divided into intervention (15) and control ( 14) groups. Data were collected using an Introductory Information Form, plus the Standardised Mini-Mental State Examination, Neuropsychiatric Inventory, Cohen-Mansfield Agitation Inventory, Carer's Assessment of Satisfaction Index, and Life Satisfaction Scale. Three home visits were made to the caregivers by the researchers in the first, second, and twelfth weeks of the intervention. During the home visits, face-to-face training was given as necessary to the individual caring for problems identified in the nursing care plan according to PLST. Results: As a result of the PLST training, there was a decrease in the behavioural problems of Alzheimer's patients, along with a decrease in the care burden of the caregivers and an increase in their care satisfaction. When the scale total scores of the individuals in the intervention and control groups were compared, it was found that only caregivers' care satisfaction increased at a statistically significant level (P < 0.05). Conclusion: At the end of the training given according to PLST, it was found that behavioural problems of Alzheimer's patients and the care burden of caregivers had decreased, and the care satisfaction of caregivers increased. It is recommended that Alzheimer's patients and their caregivers be given training and interventions according to PLST.

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The Effect of Doll Therapy on Agitation and Cognitive State in Institutionalized Patients With Moderate-to-Severe Dementia: A Randomized Controlled Study

Cited by 13 publications

References 32 publications

The doll therapy as a first line treatment for behavioral and psychologic symptoms of dementia in nursing homes residents: a randomized, controlled study

The doll therapy as a first line treatment for behavioral and psychologic symptoms of dementia in nursing homes residents: a randomized, controlled study

The Doll Therapy as a First Line Treatment for Behavioral and Psychologic Symptoms of Dementia in Nursing Homes Residents: A Randomized, Controlled Study

Investigation of the effects of interventions made according to the Progressively Lowered Stress Threshold Model on the care outcomes of Alzheimer patients and their families: a randomized clinical trial

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