Evidence map›Paper›PMID 20306565›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2010

Can persons with dementia be engaged with stimuli?

Jiska Cohen-Mansfield, Marcia S Marx, Maha Dakheel-Ali, Natalie G Regier, Khin Thein

Abstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Trial
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  3. The impact of stimuli on affect in persons with dementia.The Journal of clinical psychiatry · 2011
    Trial
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  7. Review
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  11. Beyond reminiscence: using generic video to elicit conversational language.American journal of Alzheimer's disease and other dementias · 2015
    Article
  12. The use and utility of specific nonpharmacological interventions for behavioral symptoms in dementia: an exploratory study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2015
    Article
  13. Article
  14. Article
  15. Article
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  17. The comprehensive process model of engagement.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2011
    Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jiska Cohen-MansfieldResearch Institute on Aging of Charles E. Smith Life Communities, Rockville, MD 20852, USA. Cohen-mansfield@hebrew-home.org
Marcia S Marx
Maha Dakheel-Ali
Natalie G Regier
Khin Thein

Funding

ENGAGEMENT OF PERSONS WITH DEMENTIAR01AG021497 · NIA · HEBREW HOME OF GREATER WASHINGTON · PI COHEN-MANSFIELD, JISKA · 2004 to 2006
$920k
NIA NIH HHS R01 AG021497
6 · The paper itself

Abstract

objectivesTo determine which stimuli are 1) most engaging 2) most often refused by nursing home residents with dementia, and 3) most appropriate for persons who are more difficult to engage with stimuli.

methodsParticipants were 193 residents of seven Maryland nursing homes. All participants had a diagnosis of dementia. Stimulus engagement was assessed by the Observational Measure of Engagement.

resultsThe most engaging stimuli were one-on-one socializing with a research assistant, a real baby, personalized stimuli based on the person's self-identity, a lifelike doll, a respite video, and envelopes to stamp. Refusal of stimuli was higher among those with higher levels of cognitive function and related to the stimulus' social appropriateness. Women showed more attention and had more positive attitudes for live social stimuli, simulated social stimuli, and artistic tasks than did men. Persons with comparatively higher levels of cognitive functioning were more likely to be engaged in manipulative and work tasks, whereas those with low levels of cognitive functioning spent relatively more time responding to social stimuli. The most effective stimuli did not differ for those most likely to be engaged and those least likely to be engaged.

conclusionNursing homes should consider both having engagement stimuli readily available to residents with dementia, and implementing a socialization schedule so that residents receive one-on-one interaction. Understanding the relationship among type of stimulus, cognitive function, and acceptance, attention, and attitude toward the stimuli can enable caregivers to maximize the desired benefit for persons with dementia.

Indexed as

AttentionAgedAged, 80 and overAttitudeCognitionDementiaFemaleGeriatric AssessmentHumansMaleMiddle AgedNursing HomesSocialization

Identifiers

PMID20306565
PMCPMC3142782

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.