Back to Browse Journals » Clinical Interventions in Aging » Volume 2 » Issue 4

A non-pharmacological intervention to manage behavioral and psychological symptoms of dementia and reduce caregiver distress: Design and methods of project ACT3

Authors Laura N Gitlin, Laraine Winter, Marie P Dennis, Walter W Hauck

Published Date January 2007 Volume 2007:2(4) Pages 695—703

DOI http://dx.doi.org/10.2147/CIA.S1337

Published 3 January 2007

Laura N Gitlin1, Laraine Winter1, Marie P Dennis1, Walter W Hauck2

1Center for Applied Research on Aging and Health (CARAH), Thomas Jefferson University, Philadelphia, PA, USA; 2Formely Division of Biostatistics, Department of Pharmacology and Experimental Therapeutics, Thomas Jefferson University, Philadelphia, PA, USA. Currently Sycamore Consulting, LLC New Hope, PA, USA; 3Funded by the National Institute on Aging and the National Institute on Nursing Research (Grant # R01 AG22254). Clinical trial registration #NCT00259480.

Abstract: Project ACT is a randomized controlled trial designed to test the effectiveness of a non-pharmacological home-based intervention to reduce behavioral and psychological symptoms of dementia (BPSD) and caregiver distress. The study targets 272 stressed racially diverse family caregivers providing in-home care to persons with moderate stage dementia with one or more behavioral disturbances. All participants are interviewed at baseline, 4-months (main trial endpoint), and 6-months (maintenance). The four-month intervention involves up to 13 visits from an occupational therapist who works with families to problem-solve potential triggers (communication style, environmental clutter) contributing to behaviors, and instruct in strategies to reduce caregiver stress and manage targeted behaviors. To rule out infection or other potential medical contributors to behaviors, a nurse obtains blood and urine samples from the dementia patient, and conducts a medication review. Participants in the no-treatment control group are offered the nurse arm and one in-home session following trial completion at 6-months. This paper describes the research methods, theoretical and clinical aspects of this multi-component, targeted psycho-social treatment approach, and the measures used to evaluate quality of life improvements for persons with dementia and their families.

Keywords: family caregiving, environmental modification, home care, occupational therapy, psychosocial intervention

Download Article [PDF] 

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php

Readers of this article also read:

Use of the Microsoft Kinect system to characterize balance ability during balance training

Lim DH, Kim CY, Jung HH, Jung DY, Chun KJ

Clinical Interventions in Aging 2015, 10:1077-1083

Published Date: 30 June 2015

Postural control in chronic obstructive pulmonary disease: a systematic review

Porto EF, Castro AAM, Schmidt VGS, Rabelo HM, Kümpel C, Nascimento OA, Jardim JR

International Journal of Chronic Obstructive Pulmonary Disease 2015, 10:1233-1239

Published Date: 29 June 2015

OnabotulinumtoxinA for chronic migraine: a critical appraisal

Gooriah R, Ahmed F

Therapeutics and Clinical Risk Management 2015, 11:1003-1013

Published Date: 29 June 2015

Canagliflozin-induced pancreatitis: a rare side effect of a new drug

Chowdhary M, Kabbani AA, Chhabra A

Therapeutics and Clinical Risk Management 2015, 11:991-994

Published Date: 26 June 2015

Level of agreement between self-rated and clinician-rated instruments when measuring major depressive disorder in the Thai elderly: a 1-year assessment as part of the THAISAD study

Wongpakaran N, Wongpakaran T, Wannarit K, Saisavoey N, Pinyopornpanish M, Lueboonthavatchai P, Apisiridej N, Srichan T, Ruktrakul R, Satthapisit S, Nakawiro D, Hiranyatheb T, Temboonkiat A, Tubtimtong N, Rakkhajeekul S, Wongtanoi B, Tanchakvaranont S, Bookkamana P, Srisutasanavong U, Nivataphand R, Petchsuwan D

Clinical Interventions in Aging 2014, 9:377-382

Published Date: 25 February 2014

A novel lipid-based nanomicelle of docetaxel: evaluation of antitumor activity and biodistribution

Ma M, Hao Y, Liu N, Yin Z, Wang L, Liang X, Zhang X

International Journal of Nanomedicine 2012, 7:3389-3398

Published Date: 4 July 2012

Medicine at nanoscale: a new horizon

Khan AU

International Journal of Nanomedicine 2012, 7:2997-2998

Published Date: 18 June 2012

A new method for cancer detection based on diffusion reflection measurements of targeted gold nanorods

Ankri R, Peretz V, Motiei M, Popovtzer R, Fixler D

International Journal of Nanomedicine 2012, 7:449-455

Published Date: 31 January 2012

Treatment of postherpetic neuralgia: focus on pregabalin

Kimberly A Cappuzzo

Clinical Interventions in Aging 2009, 4:17-23

Published Date: 23 December 2008

Primary prevention of venous thromboembolism in elderly medical patients

Karine Lacut, Grégoire Le Gal, Dominique Mottier

Clinical Interventions in Aging 2008, 3:399-411

Published Date: 30 September 2008