Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2020
Aggression Prevention Training for Individuals With Dementia and Their Caregivers: A Randomized Controlled Trial.
Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of interventions to prevent abuse in people living with dementia in community settings: A systematic review.Dementia (London, England) · 2024Pooled it
- The Effect of a Theory-Based Educational Intervention on Reducing Aggressive Behavior among Male Students: A Randomized Controlled Trial Study.BioMed research international · 2022Trial
- Low Dose Lithium Treatment of Behavioral Complications in Alzheimer's Disease: Lit-AD Randomized Clinical Trial.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022Trial
- An Examination of Positive and Negative Dementia Caregiving Experiences.Clinical gerontologistTrial
- Training Programs for Dementia Care Staff and Aggression in Nursing Homes: Secondary Analysis of a Cross-Sectional Online Survey.JMIR nursing · 2026Article
- Identifying central behavioral and psychological symptoms associated with care time in older adults with dementia: a network analysis.Frontiers in public health · 2026Article
- Nonpharmacological Pain Management for People With Dementia: A Scoping Review Mapping Research Gaps From a Pragmatic Lens.Journal of the American Geriatrics Society · 2025Article
- Review
- Supporting the couple relationship following dementia diagnosis: A scoping review.Health & social care in the community · 2022Article
- Aggression Towards Caregivers in Parkinson's Disease and Related Disorders: A Mixed Methods Study.Movement disorders clinical practice · 2022Article
- Validation of a Brief Screen to Identify Persons With Dementia at Risk for Behavioral Problems.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021Article
- Examining Depression Symptoms With/Without Coexisting Anxiety Symptoms in Community-Dwelling Persons With Dementia.American journal of Alzheimer's disease and other dementiasArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
objectiveInternational appeals call for interventions to prevent aggression and other behavioral problems in individuals with dementia (IWD). Aggression Prevention Training (APT), based on intervening in three contributors to development of aggression (IWD pain, IWD depression, and caregiver-IWD relationship problems) aims to reduce incidence of aggression in IWD over 1 year.
designRandomized, controlled trial.
settingThree clinics that assess, diagnose, and treat dementia.
participantsTwo hundred twenty-eight caregiver-IWD dyads who screened positive for IWD pain, IWD depression, or caregiver-IWD relationship problems randomized to APT or Enhanced Usual Primary Care (EU-PC).
interventionAPT, a skills-based intervention delivered over 3 months to address pain/depression/caregiver-IWD relationship issues. EU-PC included printed material on dementia and community resources; and eight brief, weekly support calls. MEASUREMENTS: The primary outcome was incidence of aggression over 1 year, determined by the Cohen Mansfield Agitation Inventory-Aggression Subscale. Secondary outcomes included pain, depression, caregiver-IWD relationship, caregiver burden, positive caregiving, behavior problems, and anxiety.
resultsAggression incidence and secondary outcomes did not differ between groups. However, in those screening positive for IWD depression or caregiver-IWD relationship problems, those receiving EU-PC had significant increases in depression and significant decreases in quality of the caregiver-IWD relationship, whereas those receiving APT showed no changes in these outcomes over time.
conclusionThe cost to patients, family, and society of behavioral problems in IWD, along with modest efficacy of most pharmacologic and nonpharmacologic interventions, calls for more study of novel preventive approaches.
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