ArticleCanadian geriatrics journal : CGJ2021
A Non-Pharmacologic Approach to Manage Behaviours in Confused Medically Ill Older Adults in Acute Care.
Article in Canadian geriatrics journal : CGJ, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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Who cites it
3 citing papers in PubMed.
- A Multifaceted Nursing Practice Bundle for the Management of Changed Behaviour in Hospitalised Adults With Cognitive Impairment: A Pre-/Poststudy.Australasian journal on ageing · 2026Article
- The Effectiveness and Feasibility of Non-Pharmacological Interventions for Reducing Behavioural and Psychosocial Symptoms of Dementia and Improving Patient Experience in Acute Care Settings: A Systematic Review.Behavioral sciences (Basel, Switzerland) · 2026Review
- A quasi-experimental evaluation of the association between implementation of Quality-Based Procedures funding for hip fractures and improvements in processes and outcomes for hip fracture patients in Ontario: an interrupted time series analysis.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNon-pharmacological interventions are recommended to manage challenging behaviours among cognitively impaired older adults, however few studies have enrolled patients in acute care. This study aimed to determine the feasibility of implementing non-pharmacological interventions to manage behaviours in hospitalized older adults.
methodA self-identity approach was used to identify potentially engaging activities for 13 older medically ill adults admitted to acute hospital; these activities were trialed for a two-week period. Data were collected on frequency of intervention administration and assistance required, as well as frequency of behaviours and neuroleptic use in the seven days prior to and following the trial of activities.
resultsPer participant, 5-11 interventions were prescribed. Most frequently interventions were tried two or more times (46%); 9% were not tried at all. Staff or family assistance was not required for 27% of activities. The mean number of documented behaviours across participants was 4.8 ± 2.3 in the pre-intervention period and 2.1 ± 1.9 in the post-intervention period. Overall the interventions were feasible and did not result in increasing neuroleptic use.
conclusionNon-pharmacologic interventions may be feasible to implement in acute care. More research in this area is justified.
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Registered trials
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