Identification and assessment of effective services and interventions: thenursing home perspective

Authors
Citation
C. Beck, Identification and assessment of effective services and interventions: thenursing home perspective, AGING MENT, 5(2), 2001, pp. S99-S111
Citations number
111
Language
INGLESE
art.tipo
Review
Categorie Soggetti
Psycology
Journal title
AGING & MENTAL HEALTH
ISSN journal
1360-7863 → ACNP
Volume
5
Issue
2
Year of publication
2001
Supplement
S
Pages
S99 - S111
Database
ISI
SICI code
1360-7863(200105)5:2<S99:IAAOES>2.0.ZU;2-J
Abstract
In the past decade, researchers across the world have published a great num ber of studies on the care of nursing home residents with dementia. Investi gations have concentrated on such important subjects as special care units, staff training, functional performance, and problem behaviors. However, mo st of the studies have lacked the rigor needed to establish the treatments that they tested as standards of care, according to criteria from the Ameri can Academy of Neurology. Without a solid scientific foundation, researcher s in the USA have found it difficult to offer authoritative advice to polic y makers and advocacy groups. This article will discuss some theoretical an d methodological issues of research that require attention to fortify the s cientific foundation. Topics include theoretical and definitional inconsist encies, sampling issues, limitations related to data collectors, the need f or greater specificity of interventions, and outcome measures. The article will continue with an overview of areas that need further refinement and de velopment. It will focus on combining basic and clinical sciences, combinin g behavioral and pharmacological research, combining clinical and health se rvices research, reconceptualizing meaningful activity, palliative care in advanced dementia, certified nursing assistant training issues, and family training issues. The article will conclude with recommendations to establis h collaborative research enterprises among existing organizations in the US A.