ArticlePsychiatry research2010
The underlying meaning of stimuli: Impact on engagement of persons with dementia.
Article in Psychiatry research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of strategies to foster activity engagement in persons with dementia.Health education & behavior : the official publication of the Society for Public Health Education · 2014Pooled it
- Dog visits in nursing homes - increase complexity or keep it simple? A randomised controlled study.PloS one · 2021Trial
- Transformative Namaste Care: An Intervention Study Enhancing Quality of Life for People Living With Advanced Dementia.Dementia (London, England) · 2026Article
- Supporting Social Engagement in Long-Term Care Through Paired Socially Assistive Robot-Virtual Reality Activities for Older Adults with Cognitive Impairment and Apathy.Clinical interventions in aging · 2026Article
- Horticultural therapy impact on people with dementia.BMC geriatrics · 2024Article
- Measuring engagement among older adults using a multidimensional approach to communication.Frontiers in psychology · 2022Article
- What are the elements needed to create an effective visual art intervention for people with dementia? A qualitative exploration.Dementia (London, England) · 2021Article
- Namaste care in the home setting: developing initial realist explanatory theories and uncovering unintended outcomes.BMJ open · 2020Article
- Predictors of activity involvement in dementia care homes: a cross-sectional study.BMC geriatrics · 2017Article
- A Feasibility Study with Image-Based Rendered Virtual Reality in Patients with Mild Cognitive Impairment and Dementia.PloS one · 2016Article
- The comprehensive process model of engagement.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2011Article
- The impact of past and present preferences on stimulus engagement in nursing home residents with dementia.Aging & mental health · 2010Article
- Qualitative study of affective identities in dementia patients for the design of cognitive assistive technologies.Journal of rehabilitation and assistive technologies engineeringArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
In a previous article, we discussed a theoretical framework asserting that a combination of stimulus attributes, personal attributes and environmental attributes as well as interactions among these affects engagement with stimuli by persons with dementia [Cohen-Mansfield, J., Dakheel-Ali, M., Marx, M.S., 2009. Engagement in persons with dementia: The concept and its measurement. American Journal of Geriatric Psychiatry 7, 299-307]. Based on this framework, we tested the impact on engagement of the personal meaning of stimuli, specifically examining work-like stimuli, stimuli based on the person's identity, and gender role-based activities. We hypothesized that having such meanings will render stimuli more engaging than stimuli without these meanings. Participants were 193 residents of 7 Maryland nursing homes. All participants had a diagnosis of dementia. Results confirmed the hypotheses, demonstrating that the meaning of the stimulus impacts engagement shown by persons with dementia. Interventions that involve objects or tasks with meaning specific to the person with dementia will be more likely to engage that person. Future research could explore more identity roles as well as other mechanisms affecting engagement.
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