Open Access Open Access  Restricted Access Subscription or Fee Access

Activity-in-a-Box for engaging persons with dementia in groups: Implications for therapeutic recreation practice

Jiska Cohen-Mansfield, PhD, Karen Hirshfeld, MA, CTRS, Rachel Gavendo, BA, CTRS, Erin Corey, BA, CTRS, Tasmia Hai, MEd

Abstract


Therapeutic recreation (TR) activities benefit the affect and behavior of persons with dementia. The authors examine the perceived utility of an Activity-in-a-Box methodology as part of a larger study examining the impact of group activities on persons with dementia. The box contained items such as a program protocol and materials adapted to the abilities of persons with dementia. This article reports about the perceptions of 10 TR staff concerning the utility of the Activity-in-a-Box format. Staff reported that materials were very useful and enumerated multiple benefits, including: enhancing therapists’ ability to engage participants in different activities, facilitating new types of activities for staff members to try, and a useful tool for training. The authors recommend further investment in enhancing the scope and the quality of Activities-in-a-Box materials.


Keywords


dementia, engagement, quality of life, therapeutic recreation, activities

Full Text:

PDF

References


Trahan MA, Kuo J, Carlson MC, et al.: A systematic review of strategies to foster activity engagement in persons with dementia. Health Educ Behav. 2014; 41(1)(suppl): 70S-83S.

Cohen-Mansfield J, Dakheel-Ali M, Marx MS, et al.: Which unmet needs contribute to behavior problems in persons with advanced dementia? Psychiatry Res. 2015; 228(1): 59-64.

Cohen-Mansfield J, Thein K, Dakheel-Ali M, et al.: The value of social attributes of stimuli for promoting engagement in persons with dementia. J Nerv Ment Dis. 2010; 198(8): 586-592.

Buettner LL, Langrish S: Rural vs. urban caregivers of older adults with probable Alzheimer's disease: Perceptions regarding daily living and recreation needs. Act Adapt

Aging. 2001; 24(2): 51-65.

Buettner L, Fitzsimmons S, American Therapeutic Recreation Association: Dementia Practice Guideline for Recreational Therapy: Treatment of Disturbing Behaviors. Alexandria, VA: American Therapeutic Recreation Association, 2008.

Buettner LL, Fitzsimmons S: NEST Approach: Dementia Practice Guidelines for Disturbing Behaviors. State College, PA: Venture Publishing, 2009.

Jackson Therapeutic Recreation: Therapy-in-a-box & caregiver training, 2016. Available at http://goo.gl/44DSZ3. Accessed February 24, 2016.

Morris JN, Fries BE, Morris SA: Scaling ADLs within the MDS. J Gerontol A Biol Sci Med Sci. 1999; 54(11): M546-553.

Morris JN, Fries BE, Mehr DR, et al.: MDS cognitive performance scale. J Gerontol. 1994; 49(4): M174-182.

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

Carruthers CP, 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.

Carruthers CP, Hood CD: The power of the positive: Leisure and well-being. Ther Recreation J. 2004; 38(2): 298-325.

Hood CD, Carruthers CP: Enhancing leisure experience and developing resources: The leisure and well-being model, part II. Ther Recreation J. 2007; 41(4): 225-245.

Stumbo NJ, Peterson CA: Therapeutic Recreation Program Design: Principles and Procedures. 5th ed. San Franscisco, CA: Pearson, 2009.

Elliot GM: Montessori Methods for Dementia: Focusing on the Person & the Prepared Environment. Hamilton, Ontario: Gilbrea Centre for Studies in Aging, McMaster University, 2012.

Cohen-Mansfield J: Theoretical frameworks for behavioral problems in dementia. Alzheimer's Care Today. 2000; 1(4): 8-21.

Cohen-Mansfield J, Marx MS, Dakheel-Ali M, et al.: Can agitated behavior of nursing home residents with dementia be prevented with the use of standardized stimuli? J Am Geriatr Soc. 2010; 58(8): 1459-1464.

Ballard C, Brown R, Fossey J, et al.: Brief psychosocial therapy for the treatment of agitation in Alzheimer disease (the CALM-AD trial). Am J Geriatr Psychiatry. 2009; 17(9): 726-733.

Cohen-Mansfield J, Marx MS, Regier NG, et al.: The impact of personal characteristics on engagement in nursing home residents with dementia. Int J Geriatr Psychiatry. 2009; 24(7): 755-763.

Camp CJ, Cohen-Mansfield J, Capezuti EA: Mental health services in nursing homes: Use of nonpharmacologic interventions among nursing home residents with dementia. Psychiatr Serv. 2002; 53(11): 1397-1404.

Braun V, Clarke V: Using thematic analysis in psychology. Qual Res Psychol. 2006; 3(2): 77-101.

Cohen-Mansfield J, Marx MS, Freedman LS, et al.: What affects pleasure in persons with advanced stage dementia? J Psychiatr Res. 2012; 46(3): 402-406.

Simard J, Volicer L: Effects of namaste care on residents who do not benefit from usual activities. Am J Alzheimers Dis Other Demen. 2010; 25(1): 46-50.




DOI: http://dx.doi.org/10.5055/ajrt.2016.0107

Refbacks

  • There are currently no refbacks.
This site uses cookies to maintain session information critical to the user's experience and environment on this system. Click "Accept Cookies" to continue.
For more details please visit our privacy statement at: Privacy & GDPR