Reducing behavioral and psychological symptoms of dementia in acutely ill patients via patient engagement specialists: A pilot feasibility study Journal Article
| Authors: | Sinvani, L.; Strunk, A.; Ardito, S.; Gordon, S.; Liu, Y.; Schantz, E.; Arroon, A.; Ilyas, A.; Gromova, V.; Polokowski, A.; Levin, J.; Makhnevich, A.; D’Angelo, S.; Boltz, M. |
| Article Title: | Reducing behavioral and psychological symptoms of dementia in acutely ill patients via patient engagement specialists: A pilot feasibility study |
| Abstract: | Behavioral and psychological symptoms of dementia (BPSD) are common in hospitalized persons living with dementia (PLWD). This pilot aimed to test the feasibility of an innovative model of care, PES-4-BPSD (a dementia unit staffed with Patient Engagement Specialists, PES). Non-randomized pilot feasibility trial was conducted, enrolling N = 158 patients to the intervention unit (n = 79, a 10-bed dementia unit, staffed with nursing assistants, NAs, with mental health backgrounds, PES) and an enhanced control unit (n = 79, 40-bed medicine unit, staffed with NAs). All NAs/PES (N = 63) received dementia training, with completion rate of 82.5%. Overall, patients had ~1 NPI-Q (Neuropsychiatric Inventory Questionnaire) assessment/48 hr. 97% (n = 153) of PLWD exhibited at least one behavior. Average NPI-Q scores did not differ across intervention (5.36) and control (3.87) units (p =.23). Patients on the intervention unit had 88% (p =.002) shorter duration of constant observation. A dementia care unit staffed by PES is an innovative model requiring further research. © The Author(s) 2023. |
| Keywords: | aged; major clinical study; sensitivity and specificity; health care quality; questionnaire; length of stay; hospitalization; feasibility study; pilot study; dementia; mental disease; behavior; caregiver; cognitive defect; irritability; mental health; internal consistency; medical personnel; acute care; charlson comorbidity index; human; male; female; article; nursing assistant; patient engagement; acutely ill patient; icd-10; behavioral and psychological symptoms of dementia; nursing assistants; patient engagement specialists; clinical dementia rating scale; neuropsychiatric inventory; patient engagement specialist |
| Journal Title: | Gerontology & Geriatric Medicine |
| Volume: | 9 |
| ISSN: | 2333-7214 |
| Publisher: | Sage Publications |
| Date Published: | 2023-01-01 |
| Language: | English |
| DOI: | 10.1177/23337214231192162 |
| PROVIDER: | scopus |
| PMCID: | PMC10439723 |
| PUBMED: | 37601321 |
| DOI/URL: | |
| Notes: | Article -- Source: Scopus |
