Source: Int J Geriatr Psychiatry. 2009 Jan 20. The impact of personal characteristics on engagement in nursing home residents with dementia.Cohen-Mansfield J, Marx MS, Regier NG, Dakheel-Ali M. Research Institute on Aging, Charles E. Smith Life Communities, Rockville, MD, USA.
This study was designed to examine the impact of personal attributes on engagement in persons with dementia. 193 residents of seven Maryland nursing homes participated. All participants had a diagnosis of dementia. Cognitive functioning was assessed via the Mini-Mental State. The average MMSE score was 7.2. Examination and engagement was assessed via the Observational Measure of Engagement. Data pertaining to activities of daily living were obtained from the Minimum Data Set.
Some study results:
Greater ADL independence was linked to longer engagement times, greater attention, more positive attitudes, and a higher refusal rate.
The better an individual’s clarity of speech and ability to make his or herself understood, the longer the engagement time and attentiveness, as well as a more positive attitude and higher refusal rate.
Study participants with longer activity engagement durations tended to be female, with greater speech clarity, more ADL independence, and a greater number of activities of past interest.
Residents with a positive attitude tended to be female with higher cognitive functioning and more ADL independence.
Loss of hearing appeared to impact activity refusal rate.
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