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Which group activities work best for persons with dementia? A comparison of ratings from therapeutic recreation staff and research observers

Jiska Cohen-Mansfield, PhD, Linda Truong, PhD, Rachel Gavendo, BA, CTRS, Erin Blackburn, BA, CTRS, Karen Hirshfeld, MA, CTRS

Abstract


This pilot study aimed to evaluate the perceived impact of therapeutic recreation activities for Persons with Dementia (PwD) on the groups’ participants and on the staff running the groups in order to enhance the understanding of factors which impact the outcomes of therapeutic recreation. Ten therapeutic recreation staff (TRS) members led two series of 10 different group activities for 104 PwD. Afterward, they reported the activities they deemed most versus least successful for participants and for themselves. These evaluations were compared with observations of outcomes (attendance, engagement, affect) as rated by both TRS and research observers immediately after the activities. Choral-singing and brain games were most frequently reported as most successful for participants; holiday newsletter and creative storytelling were most often mentioned as least successful. Activities reported to be more successful for participants were also likely to be considered more successful for TRS. This work provides insight for future investigation on the variables affecting the impact of group activities on both the target audience and on the staff running them.


Keywords


dementia, group activities, engagement, mood, therapeutic recreation staff

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References


Cohen-Mansfield J, Hai T, Comishen M: Group engagement in persons with dementia: The concept and its measurement. Psychiatry Res. 2017; 251: 237-243.

Kovach CR, Henschel H: Planning activities for patients with dementia: A descriptive study of therapeutic activities on special care units. J Gerontol Nurs. 1996; 22(9): 33-38.

Cooke M, Moyle W, Shum D, et al.: A randomized controlled trial exploring the effect of music on quality of life and depression in older people with dementia. J Health Psychol. 2010; 15(5): 765-776.

Rusted J, Sheppard L, Waller DE: A multi-centre randomized control group trial on the use of art therapy for older people with dementia. Group Anal. 2006; 39(4): 517-536.

Vink AC, Zuidersma M, Boersma F, et al.: The effect of music therapy compared with general recreational activities in reducing agitation in people with dementia: A randomised controlled trial. Int J Geriatr Psychiatry. 2013; 28(10): 1031-1038.

Cohen-Mansfield J, Hirshfeld K, Gavendo R, et al.: Activity-in-a-box for engaging persons with dementia in groups: Implications for therapeutic recreation practice. Am J Recreat Ther. 2016; 15(3): 8-18.

Morris JN, Fries BE, Mehr DR, et al.: MDS cognitive performance scale. J Gerontol. 1994; 49(4): M174-M182.

Morris JN, Fries BE, Morris SA: Scaling ADLs within the MDS. J Gerontol A Biol Sci Med Sci. 1999; 54(11): M546-M553.

Buettner LL, Fitzsimmons S: Activity calendars for older adults with dementia: What you see is not what you get. Am J Alzheimer’s Dis Other Demen. 2003; 18(4): 215-226.

Anderson L, Heyne LA: Therapeutic Recreation Practice: A Strengths Approach. State College, PA: Venture Publishing, 2012.

Carruthers C, Hood CD: The power of the positive: Leisure and well-being. Ther Recreation J. 2004; 38(2): 225-245.

Carruthers C, Hood CD: Building a life of meaning through therapeutic recreation: The leisure and well-being model, part I. Ther Recreation J. 2007; 41(4): 276-297.

Hood CD, Carruthers C: Enhancing leisure experience and developing resources: The leisure and well-being model, part II. Ther Recreation J. 2007; 41(4): 298-325.

Elliot GM: Montessori Methods for Dementia: Focusing on the Person & the Prepared Environment. Hamilton, ON, Canada: Gilbrea Centre for Studies in Aging, McMaster University, 2011.

Holmes C, Knights A, Dean C, et al.: Keep music live: Music and the alleviation of apathy in dementia subjects. Int Psychogeriatr. 2006; 18(4): 623-630.

Raglio A, Bellelli G, Traficante D, et al.: Efficacy of music therapy treatment based on cycles of sessions: A randomized controlled trial. Aging Ment Health. 2010; 14(8): 900-904.

Sherratt K, Thornton A, Hatton C: Music interventions for people with dementia: A review of the literature. Aging Ment Health. 2004; 8: 3-12.

Woods B, Spector A, Jones C, et al.: Reminiscence therapy for dementia. Cochrane Database Syst Rev. 2005; 2(1): 1-36.




DOI: http://dx.doi.org/10.5055/ajrt.2019.0188

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