31 August 2017
Article publication on the effectiveness of psychosocial intervention programme for challenging behaviour of people with dementia. Miharu Nakanishi (Mental Health and Nursing Research Team)
People with dementia may exhibit behaviour that challenges caregivers, leading to caregiver burden and subsequent nursing home placement. Several countries including Japan have developed national demented plans and prioritize psychosocial interventions aimed at addressing challenging behaviour. However, the evidence concerning individual treatment strategies such as physical activity and music is limited. Treatment should be tailored to individual needs of persons with dementia.
The Mental Health Promotion Project in the Tokyo Metropolitan Institute of Medical Science developed a dementia care programme to enable care managers and professional caregivers of home care services to identify unmet needs, to explore and implement an action plan, and to evaluate the efficacy of the intervention. The development of the programme was delegated by the Tokyo Metropolitan government. A cluster-randomized controlled trial was conducted to compare the change in challenging behaviour from baseline to follow-up (6 months after the baseline) between an intervention group and control group. Implementation of the programme resulted in a significant reduction of challenging behaviours of people with dementia after 6 months. There was no significant change from baseline in challenging behaviours in the control group.
With Mr.Atsushi Nishida, Project Leader (the person in the centre)
and Dr.Katarina Nägga, Associate Professor (right side)
at Lund University on November 2015