A pragmatic trial testing a tailored non pharmacologic therapies on nocturnal behavioral and psychological symptoms associated with dementia
|Titre||A pragmatic trial testing a tailored non pharmacologic therapies on nocturnal behavioral and psychological symptoms associated with dementia|
|Type de publication||Article|
|Année de publication||2022|
|Titre de la revue||Geriatric Nursing|
|Auteur(s)||Bautrant, T., Franqui C., Clément H., Rabault M., Masseboeuf F., Pastore M., Pardo M., Brandi Y., Drouin N., Brice A-D. et Grino M.|
|Mots-clés||Behavioral and psychological symptoms of dementia; Montessori-based therapy; Multisensory stimulation, Cognitive stimulation; Non-pharmacological therapies; Reminiscence therapy.|
We compared the efficacy of tailored non pharmacological therapies (NPT) on specific nocturnal behavioral and psychological symptoms of dementia (BPSD). This retrospective 1-year study included 84 older dependent patients institutionalized in 7 long-term care home. Dedicated assistants, who were taught by experts how to use NPT, were asked to record the occurrence of each BPSD episode, to choose a given NPT on the basis of their knowledge of the patient and the type of BPSD and to estimate its efficacy. Wandering was the most prevalent BPSD followed by agitation/aggression and screaming. The most used therapy was cognitive stimulation, followed by multisensory stimulation, reminiscence and Montessori-based. Regarding wandering, multisensory stimulation was found to be the most efficacious NPT significantly different from Montessori-based, cognitive stimulation or reminiscence. With regards to agitation/aggression or screaming, Montessori-based was found to be the most efficacious NPT significantly different from multisensory stimulation, reminiscence and cognitive stimulation.