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Étude préliminaire d'une intervention non-pharmacologique pour réduire l'agitation verbale chez les personnes atteintes de démence*

Published online by Cambridge University Press:  31 March 2010

Annick Bédard  and
Philippe Landreville
Annick Bédard*
Affiliation:
Université Laval, Québec
Philippe Landreville
Affiliation:
Université Laval, Québec
*
Les demandes de tirés-à-part doivent être addressées à : / Requests for offprints should be sent to: Annick Bédard, École de psychologie, Université Laval, Québec, Québec G1K 7P4. ([email protected])
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Abstract

Verbally agitated behaviours are among the behavioural symptoms of dementia most commonly encountered in long-term care facilities. These behaviours may be related to unmet needs that cannot be expressed adequately because of cognitive impairment. The objective of this preliminary study is to assess an intervention, based on the needs of social attention, sensory stimulation, and comfort, for managing verbally agitated behaviours in long-term care demented patients. A multiple baseline case study design was used, with two participants.

Résumé

Parmi les symptômes comportementaux associés à la démence, l'agitation verbale (AV) est l'un des plus répandus en centre d'hébergement et de soins de longue durée (CHSLD) et pourrait, entre autres, résulter de besoins insatisfaits qui ne peuvent être exprimés adéquatement. Cette étude préliminaire a pour objectif d'évaluer l'efficacité d'une intervention basée sur les besoins d'attention, de stimulation sensorielle et de confort pour réduire l'AV auprès de personnes âgées atteintes de démence sévère résidant en CHSLD. Un protocole à cas unique à niveaux de base multiples a été utilisé auprès de deux participants.

Keywords

Agitationdisturbing behaviorsvocalizationsdementiainterventionattentionelderlyAgitationcomportements perturbateursvocalisationsdémenceinterventionaînés
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 24 , Issue 4 , Winter/Hiver 2005 , pp. 319 - 328
Copyright
Copyright © Canadian Association on Gerontology 2005

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Footnotes

*

Cette étude est financée en partie par une bourse de formation de deuxième cycle de recherche en santé humaine du Fonds de la recherche en santé du Québec (FRSQ) accordée au premier auteur ainsi que par une bourse de stage de recherche d'été de premier cycle du FRSQ accordée à madame Guylaine Belzil qui a participé à l'expérimentation. Les auteurs remercient Jean Vézina, Ph.D., pour son aide quant à l'utilisation du logiciel The Observer.

References

Références

Algase, D.L., Beck, C., Kolanowski, A., Whall, A., Berent, S., Richards, K. et al. (1996). Need-driven dementia-compromised behavior: An alternative view of disruptive behavior. American Journal of Alzheimer's Disease, 11, 1–19.CrossRefGoogle Scholar
Beck, C.K. et Vogelpohl, T.S. (1999). Problematic vocalizations in institutionalized individuals with dementia. Journal of Gerontological Nursing, 25(9), 17–26.CrossRefGoogle ScholarPubMed
Bélanger, M. (1993). Agitation et atteinte cognitive. Étude transversale en établissement d'hébergement. Mémoire de maîtrise non publié, Université Laval, Québec, Québec, Canada.Google Scholar
Buchanan, J.A. et Fisher, J.E. (2002). Functional assessment and noncontingent reinforcement in the treatment of disruptive vocalization in elderly dementia patients. Journal of Applied Behavior Analysis, 35, 99–103.CrossRefGoogle ScholarPubMed
Burgio, L., Scilley, K., Hardin, M., Hsu, C. et Yancey, J. (1996). Environmental « white noise »: An intervention for verbally agitated nursing home residents. Journal of Gerontology: Psychological Sciences, 51B, 364–373.CrossRefGoogle Scholar
Burgio, L., Scilley, K., Hardin, M., Janosky, J., Bonino, P., Slater, S.C. et al. (1994). Studying disruptive vocalization and contextual factors in the nursing home using computer-assisted real-time observation. Journal of Gerontology, 49(5), 230–239.CrossRefGoogle ScholarPubMed
Cariaga, J., Burgio, L., Flynn, W. et Martin, D. (1991). A controlled study of disruptive vocalizations among geriatric residents in nursing homes. Journal of the American Geriatrics Society, 39, 501–507.CrossRefGoogle ScholarPubMed
Casby, J.A. et Holm, M.B. (1994). The effect of music on repetitive disruptive vocalizations of persons with dementia. The American Journal of Occupational Therapy, 48, 883–889.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J. (2000). Use of patient characteristics to determine non-pharmacologic interventions for behavioral and psychological symptoms of dementia. International Psychogeriatrics, 12(Suppl. 1), 373–380.CrossRefGoogle Scholar
Cohen-Mansfield, J. (2001, May/June). Managing agitation in elderly patients with dementia [Rapport special]. Geriatric Times, 2, disponible au http://www.geriatrictimes.com/g010533.htmlGoogle Scholar
Cohen-Mansfield, J., Marx, M.S. et Rosenthal, A.S. (1990). A description of agitation in nursing home. Journal of Gerontology: Medical Sciences, 44, M77–M84.CrossRefGoogle Scholar
Cohen-Mansfield, J. et Werner, P. (1994). Verbally disruptive behaviors in elderly persons: A Review. Dans Vellas, B.J., Albarede, J.L. et Garry, P.J. (Éds.), Facts and research in Gerontology: Dementia and cognitive impairments (p. 73–89). New York: Springer.Google Scholar
Cohen-Mansfield, J. et Werner, P. (1995). Environmental influences on agitation: an integrative summary of an observational study. American Journal of Alzheimer's Care and Related Disorders and Research, 10, 32–39.Google Scholar
Cohen-Mansfield, J. et Werner, P. (1997a). Management of verbally disruptive behaviors in nursing home residents. Journal of Gerontology: Medical Sciences, 52A, M369–M377.Google Scholar
Cohen-Mansfield, J. et Werner, P. (1997b). Typology of disruptive vocalizations in older persons suffering from dementia. International Journal of Geriatric Psychiatry, 12, 1079–1091.3.0.CO;2-P>CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J. et Werner, P. (1998). Determinants of the effectiveness of one to one social interactions for treating verbally disruptive behaviors. Journal of Mental Health and Aging, 4, 323–334.Google Scholar
Cohen-Mansfield, J. et Werner, P. (1999). Longitudinal predictors of non-aggressive agitated behaviors in the elderly. International Journal of Geriatric Psychiatry, 14, 831–844.3.0.CO;2-A>CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J., Werner, P. et Marx, M.S. (1990). Screaming in nursing home residents. Journal of the American Geriatrics Society, 38, 785–792.CrossRefGoogle ScholarPubMed
Doyle, C., Zapparoni, T., O'Connor, D. et Runci, S. (1997). Efficacy of psychosocial treatments for noismaking in severe dementia. International Psychogeriatrics, 9, 405–422.CrossRefGoogle ScholarPubMed
Doyon, J., Lazure, H. et Lévesque, L. (1993). Les cris répétés. l'infirmière canadienne, 89, 42–44.Google Scholar
Everitt, D.E., Fields, D.R., Soumerai, S.S. et Avorn, J. (1991). Resident behavior and staff distress in the nursing home. Journal of the American Geriatrics Society, 39, 792–798.CrossRefGoogle ScholarPubMed
Foster, S.L. et Mash, E.J. (1999). Assessing social validity in clinical treatment research: Issues and procedures. Journal of Consulting and Clinical Psychology, 67, 308–319.CrossRefGoogle ScholarPubMed
Friedman, R., Gryfe, C.I., Tal, D.T. et Freedman, M. (1992). The noisy elderly patient: Prevalence, assessment, and response to the antidepressant doxepin. Journal of Geriatric Psychiatry and Neurology, 5, 187–191.CrossRefGoogle Scholar
Goddaer, J. et Abraham, I.L. (1994). Effects of relaxing music on agitation during meals among nursing home residents with severe cognitive impairment. Archives of Psychiatric Nursing, 8, 150–158.CrossRefGoogle ScholarPubMed
Gorman, B.S. et Allison, D.B. (1996). Statistical alternatives for single-case designs. Dans Franklin, P.D. et Allison, D.B. (Éds.), Design and analysis of single-case research (p. 159–214). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
Hallberg, I.R., Norberg, A. et Eriksson, S. (1989). A comparison between the care of vocally disruptive patients and that of other residents at psychogeriatric wards. Journal of Advanced Nursing, 15, 410–416.CrossRefGoogle Scholar
Lai, C.K.Y. (1999). Vocally disruptive behaviors in people with cognitive impairment: Current knowledge and future research directions. American Journal of Alzheimer's Disease, 14, 172–180.CrossRefGoogle Scholar
Meares, S. et Draper, B. (1999). Treatment of vocally disruptive behaviour of multifactorial aetiology. International Journal of Geriatric Psychiatry, 14, 285–290.3.0.CO;2-2>CrossRefGoogle ScholarPubMed
Noldus Information Technology (1995). The Observer, base package for the Macintosh, (Version 3.0) [Logiciel informatique et manuel de référence]. Wageningen, The Netherlands.Google Scholar
Ottenbacher, K.J. (1986). Evaluating clinical change strategies for occupational and physical therapist. Baltimore: Williams et Wilkins.Google Scholar
Reisberg, B., Ferris, S.H. et Franssen, E. (1985). An ordinal functional assessment tool for Alzheimer's-type dementia. Hospital and Community Psychiatry, 36, 593–595.Google ScholarPubMed
Reisberg, B. (1988). Functional assessment staging (FAST). Psychopharmacology Bulletin, 24, 653–659.Google ScholarPubMed
Sloane, P.D., Davidson, S., Knight, N., Tangen, C. et Mitchell, C.M. (1999). Severe disruptive vocalizers. Journal of the American Geriatric Society, 47, 439–445.CrossRefGoogle ScholarPubMed
Stelmach, L., Konnert, C. et Dobson, K. (2001). Obtaining informed consent from continuing care residents: Issues and recommendations. Canadian Journal on Aging, 20(3), 385–406.CrossRefGoogle ScholarPubMed
Toseland, R.W. et McCallion, P. (1998). Maintaining communication with persons with dementia. New York: Springer.Google Scholar
Wanlass, W. et Culver, S. (1990). Behavior modification in a demented nursing home patient. Communication présentée au congrès annuel de l'American Geriatric Society/American Federation for Aging Research, Atlanta, GA.Google Scholar
Zachow, K.M. (1984). Helen, can you hear me? Journal of Gerontological Nursing, 10, 18–22.CrossRefGoogle ScholarPubMed