Effects of a Multidisciplinary Intervention on the Presence of Neuropsychiatric Symptoms and Psychotropic Drug Use in Nursing Home Residents WithYoung-Onset Dementia: Behavior and Evolution of Young-Onset Dementia Part 2 (BEYOND-II) Study

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
B AppelhofRaymond T C M Koopmans

Abstract

The effect of an intervention on neuropsychiatric symptoms (NPS), particularly agitation and aggression, and psychotropic drug use (PDU) in institutionalized people with young-onset dementia (YOD) was evaluated. A randomized controlled trial was conducted using a stepped wedge design. Thirteen YOD special care units were randomly assigned to three groups, which received the intervention at different time points. Four assessments took place every 6 months during a period of 18 months. Two hundred seventy-four people with YOD who resided in YOD special care units participated, of whom 131 took part in all assessments. The intervention consisted of an educational program combined with a care program, which structured the multidisciplinary process of managing NPS. The care program included the following five steps: evaluation of psychotropic drug prescription, detection, analysis, treatment, and evaluation of treatment of NPS. The Cohen-Mansfield Agitation Inventory and the Neuropsychiatric Inventory-Nursing Home version were used to assess NPS. Data on PDU were retrieved from residents' medical files. Multilevel models were used to evaluate the effect of the intervention, which accounted for clustering of measurements in clients w...Continue Reading

Citations

May 17, 2019·Scandinavian Journal of Caring Sciences·Anne EbenauBert Garssen
Oct 28, 2019·International Journal of Geriatric Psychiatry·Jeannette C L van Duinen-van den IJsselRaymond T C M Koopmans
Apr 2, 2020·International Psychogeriatrics·Claire V BurleyHenry Brodaty
Feb 19, 2021·International Journal of Geriatric Psychiatry·Anne LaybourneGill Livingston

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