Gwi-Ryung Son Hong

doi:10.4040/jkan.2011.41.4.528

Articles

Page Path: HOME > J Korean Acad Nurs > Volume 41(4); 2011 > Article

Original Article
Effects of Multisensory Stimulation Using Familiarity: Persons with Dementia in Long-term Care Facility in Korea: Gwi-Ryung Son Hong; Journal of Korean Academy of Nursing 2011;41(4):528-538.
DOI: https://doi.org/10.4040/jkan.2011.41.4.528
Published online: August 31, 2011

Associate Professor, Department of Nursing, College of Medicine, Hanyang University, Seoul, Korea.

Address reprint requests to: Hong, Gwi-Ryung Son. Department of Nursing, College of Medicine, Hanyang University, 17 Haengdang-dong, Seongdong-gu, Seoul 133-070, Korea. Tel: +82-2-2220-0701, Fax: +82-2-2295-2074, grson@hanyang.ac.kr

• Received: December 6, 2010 • Accepted: August 4, 2011

14 Views
1 Download
8 Scopus

prev next

Full Article

Download PDF

Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of the study was to examine the effects of multisensory stimulation (MSS) using familiarity on persons with dementia (PWDs) residing in nursing homes in Korea.
Methods
A nonequivalent control group with pre and posttests was used. Fifty one PWDs were included if they: 1) were over 65 yr old, 2) were diagnosed with dementia, 3) had no visual or speech impairments, 4) were able to communicate, and 5) had spent more than one month in a nursing home. The experimental group (n=25) received a 55 min MSS program twice a week for 10 weeks. The outcome variables included were cognition, activities of daily living, grip strength, depression, wandering, and aggressive behaviors. Repeated ANOVA was used for data analysis.
Results
There were no significant differences in demographics or the main variables at pretest. Cognition, depression, wandering, and aggressive behaviors were significant over time between the two groups. Grip strength was only significant when accounting for interaction between group and time.
Conclusion
An intervention of MSS using familiarity was marginally effective in improving cognition, depression, wandering, and aggression. Future study is suggested with a larger sample and longer treatment to retest the effects of MSS.
Keywords: Environment; Multisensory stimulation; Dementia; Long-term care; Intervention

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (KRF-313-2008-2-E00693).

REFERENCES

1. Alexopoulos GS, Abrams RC, Young RC, Shamoian CA. Cornell scale for depression in dementia. Biological Psychiatry. 1988;23:271–284.Article PubMed
2. Baker R, Bell S, Baker E, Gibson S, Holloway J, Pearce R, et al. A randomized controlled trial of the effects of multi-sensory stimulation (MSS) for people with dementia. The British Journal of Clinical Psychology. 2001;40:81–96.Article PubMed
3. Cho MJ, Kim KW, Kim MH, Kim MD, Kim SK, Kim JR, et al. Nationwide study on the prevalence of dementia in Korean elders. 2008;Seoul, Ministry for Health, Welfare and Family Affairs.
4. Cohen J. Statistical power analysis for the behavioral sciences. 1988;2nd ed. Hillsdale, NJ, Lawrence Erlbaum Associates.
5. Cooler CY. Behavioral and psychological sign and symptoms of dementia: Implications for research and treatment what aspects of behavioral disturbances are important of caregivers? International Psychogeriatrics. 1997;8:S3. 465–468.
6. Han L, Cole M, Bellavance F, McCusker J, Primeau F. Tracking cognitive decline in Alzheimer's disease using the Mini-Mental State Examination: A meta-analysis. International Psychogeriatrics. 2000;12:231–247. doi: 10.1017/S1041610200006359.Article PubMed
7. Harrison B, Son GR, Kim J, Whall AL. Preserved implicit memory in dementia: A potential model for care. American Journal of Alzheimer's Disease and Other Dementias. 2007;22:286–293. doi: 10.1177/1533317507303761.Article PDF
8. Hong GR, Song J. Relationship between familiar environment and wandering behavior among Korean elders with dementia. Journal of Clinical Nursing. 2009;18:1365–1373. doi: 10.1111/j.1365-2702.2008.02566.x.Article PubMed
9. Kaplan S, Kaplan R. Cognition and environment: Functioning in an uncertain world. 1982;New York, NY, Praeger.
10. Kim JS, Jung JS. The effects of a folk play program on cognition, ADL, and problematic behavior in the elderly with dementia. Journal of Korean Academy of Nursing. 2005;35:1153–1162.Article PubMed PDF
11. Kim SY, Won CW, Rho YG. The validity and reliability of Korean version of Barthel ADL index. Journal of the Korean Academy of Family Medicine. 2004;25:534–541.
12. Küller R. Hoogdalem HV, Prak NL, van der Voordt TJ, van Wegen HBR. Environmental activation of old persons suffering from senile dementia. In: Looking back to the future. 1988;Vol. II: Symposia and Papers/Symposiums et Communications:Delft University Press. 133–139.
13. Lee DY, Lee KU, Lee JH, Kim KW, Jhoo JH, Youn JC, et al. A normative study of the Mini-Mental State Examination in the Korean elderly. Journal of Korean Neuropsychiatric Association. 2002;41:508–525.
14. Lee YJ, Kim SM. The effect of horticultural program on cognitive function, activities of daily living (ADL) and hand grip strength of institutionalized dementia patients. Journal of Korean Academy of Adult Nursing. 2004;16:123–134.
15. Margallo-Lana M, Swann A, O'Brien J, Fairbair A, Reichelt K, Potkins D, et al. Prevalence and pharmacological management of behavioural and psychological symptoms amongst dementia sufferers living in care environments. International Journal of Geriatric Psychiatry. 2001;16:39–44. doi: 10.1002/1099-1166(200101)16:11<39::AID-GPS269>3.0.CO;2-F.Article PubMed
16. Milev RV, Kellar T, McLean M, Mileva V, Luthra V, Thompson S, et al. Multisensory stimulation for elderly with dementia: A 24-week single-blind randomized controlled pilot study. American Journal of Alzheimer's Disease and Other Dementias. 2008;23:372–376. doi: 10.1177/1533317508316681.Article PDF
17. Park AJ. A study on development and effects of an activation program for use of senile dementia people's residual functions and reduction of their problematic behaviors. 2004;Seoul, Hanyang University. Unpublished master's thesis.
18. Park MW, Ha JC, Kim HG, Lee SY, Cho J.H., Kim HR, et al. 2008 National survey on older adults. 2009;Seoul, Ministry for Health, Welfare and Family Affairs.
19. Randolph C, Tierney MC, Chase TN. Implicit memory in Alzheimer's disease. Journal of Clinical and Experimental Neuropsychology. 1995;17:343–351.Article PubMed
20. Roselli F, Tartaglione B, Federico F, Lepore V, Defazio G, Livrea P. Rate of MMSE score change in Alzheimer's disease: Influence of education and vascular risk factors. Clinical Neurology and Neurosurgery. 2009;111:327–330. doi: 10.1016/j.clineuro.2008.10.006.Article PubMed
21. Schacter DL. Schacter DL, Tulving E. Priming and multiple memory systems: Perceptual mechanisms of implicit memory. In: Memory systems. 1994;Cambridge, MA, MIT Press. 233–268.Article
22. Son GR, Kim HR. Culturally familiar environment among immigrant Korean elders. Research and Theory for Nursing Practice. 2006;20:159–171.Article PubMed
23. Son GR, Therrien B, Whall A. Implicit memory and familiarity among elders with dementia. Journal of Nursing Scholarship. 2002;34:263–267. doi: 10.1111/j.1547-5069.2002.00263.x.Article PubMed
24. Song JA, Hong GR, Lim YM. Validation of the Revised Algase Wandering Scale-Nursing Home Version (RAWS-NH) among Korean elders with dementia. Paper presented at the meeting of the National Gerontological Nursing Association Annual Convention. 2008;Albuquerque, NM.
25. Song JH. Effects of a robot pet-assisted program for elderly people with dementia. Journal of Korean Academy of Nursing. 2009;39:562–573. doi: 10.4040/jkan.2009.39.4.562.Article
26. Spaull D, Leach C, Frampton I. An evaluation of the effects of sensory stimulation with people who have dementia. Behavioral and Cognitive Psychotherapy. 1998;26:77–86. doi: 10.1017/S1352465898000083.Article
27. Suh GH. Agitated behaviours among the institutionalized elderly with dementia: Validation of the Korean version of the Cohen-Mansfield Agitation Inventory. International Journal of Geriatric Psychiatry. 2004;19:378–385. doi: 10.1002/gps.1097.Article PubMed
28. Talerico KA, Evans LK, Strumpf NE. Mental health correlates of aggression in nursing home residents with dementia. The Gerontologist. 2002;42:169–177. doi: 10.1093/geront/42.2.169.Article PubMed
29. van Weert JC, van Dulmen AM, Spreenwenberg P, Ribbe MW, Bensing JM. Behavioral and mood effects of snoezelen integrated into 24-hour dementia care. Journal of the American Geriatrics Society. 2005;53:24–33. doi: 10.1111/j.1532-5415.2005.53006.x.Article PubMed
30. Voyer P, Verreault R, Azizah GM, Desrosiers J, Champoux N, Bédard A. Prevalence of physical and verbal aggressive behaviours and associated factors among older adults in long-term care facilities. BMC Geriatrics. 2005;5:13. doi: 10.1186/1471-2318-5-13.PubMed PMC

Figure 1

Conceptual model of familiarity in elders with dementia or AD.

Table 1

Content and Activities of Multisensory Stimulation Program

Table 2

Homogeneity Test for General Characteristics between Groups (N=51)

Table 3

Homogeneity Test for Measurement Variables between Groups at Pre Test (N=51)

MMSE-KC=Mini Mental State Examination-Korean Version; CSDD=Cornell Scale for Depression in Dementia; RAWS=Revised Algase Wandering Scale; CMAI=Cohen-Mansfield Agitation Inventory.

Table 4

Mean (SD) of Measurement Variables at Pretest, 5 weeks, and 10 weeks Posttest (N=51)

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Effects of Multisensory Stimulation Using Familiarity: Persons with Dementia in Long-term Care Facility in Korea

J Korean Acad Nurs. 2011;41(4):528-538. Published online August 31, 2011

DOI: https://doi.org/10.4040/jkan.2011.41.4.528

XML Download

Figure

We recommend

Effects of Multisensory Stimulation Using Familiarity: Persons with Dementia in Long-term Care Facility in Korea

Figure 1 Conceptual model of familiarity in elders with dementia or AD.

Figure 1

Effects of Multisensory Stimulation Using Familiarity: Persons with Dementia in Long-term Care Facility in Korea

Table 1

Content and Activities of Multisensory Stimulation Program

Table 2

Homogeneity Test for General Characteristics between Groups (N=51)

Table 3

Homogeneity Test for Measurement Variables between Groups at Pre Test (N=51)

MMSE-KC=Mini Mental State Examination-Korean Version; CSDD=Cornell Scale for Depression in Dementia; RAWS=Revised Algase Wandering Scale; CMAI=Cohen-Mansfield Agitation Inventory.

Table 4

Mean (SD) of Measurement Variables at Pretest, 5 weeks, and 10 weeks Posttest (N=51)

Table 1 Content and Activities of Multisensory Stimulation Program

Table 2 Homogeneity Test for General Characteristics between Groups (N=51)

Table 3 Homogeneity Test for Measurement Variables between Groups at Pre Test (N=51)

MMSE-KC=Mini Mental State Examination-Korean Version; CSDD=Cornell Scale for Depression in Dementia; RAWS=Revised Algase Wandering Scale; CMAI=Cohen-Mansfield Agitation Inventory.

Table 4 Mean (SD) of Measurement Variables at Pretest, 5 weeks, and 10 weeks Posttest (N=51)