PMID: 9549590Apr 29, 1998Paper

Efficacy of psychosocial treatments for noisemaking in severe dementia

International Psychogeriatrics
C DoyleS Runci

Abstract

Noisemaking is one of the most disturbing behavior disorders associated with dementia. Standard management practices, including pharmacological interventions, are not very successful in treating the behavior. Very little research has been carried out to evaluate innovative treatments or to determine the etiology of noisemaking. In this article, we report on a series of 12 case studies in which we tested the efficacy of some psychosocial interventions in reducing the frequency of noisemaking in long-term-care residents with severe dementia. Interventions were contingent reinforcement of quiet behavior and environmental stimulation tailored to individual preferences. Of the 12 patients recruited into the study, 2 died during the course of observations, 3 were not observed to be as noisy as reported by staff, and 3 showed a clear reduction in noise during the intervention period. Four patients did not show any overall reduction in noisemaking during psychosocial interventions. Future research could differentiate between types of interventions in successful cases and attempt to control further for the consistent application of interventions by long-term-care staff.

Citations

Jan 26, 2002·Journal of Clinical Epidemiology·Robert L KaneKirkham Wood
May 11, 1999·Journal of Clinical Epidemiology·J Cohen-MansfieldP Werner
Jan 26, 2010·International Psychogeriatrics·Serge GauthierConstantine Lyketsos
Feb 4, 2010·International Psychogeriatrics·Anne Bourbonnais, Francine Ducharme
Jan 1, 2008·Research in Gerontological Nursing·Kim J CurytoDeedre K Vriesman
Dec 12, 2001·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·J Cohen-Mansfield
Jan 5, 2000·The Australian and New Zealand Journal of Psychiatry·J OpieD W O'Connor
Jan 22, 2002·International Journal of Geriatric Psychiatry·Janet OpieDaniel W O'Connor
Jul 14, 2009·American Journal of Alzheimer's Disease and Other Dementias·Philippe Landreville, Valérie Leblanc
Sep 2, 2003·International Journal of Geriatric Psychiatry·David MillichapScott Hall
Apr 15, 1999·International Journal of Geriatric Psychiatry·R Allen-BurgeL D Burgio
Jan 1, 2011·JBI Library of Systematic Reviews·Cindy Stern, Heather Gibb
Mar 1, 2006·Journal of Gerontological Nursing·Meghan L McGonigal-Kenny, Debra L Schutte

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