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Non-pharmacological Interventions for People with Dementia: Design Recommendations from an Ergonomics Perspective

  • Gubing Wang
  • Armagan Albayrak
  • Johan Molenbroek
  • Tischa van der Cammen
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 826)

Abstract

Non-pharmacological interventions have been applied to manage Behavioural and Psychological Symptoms of Dementia (BPSD). However, these interventions have not been assessed from an ergonomics perspective. Ergonomics has investigated the age-related capability changes in terms of sensory, cognition and movement aspects. This study aims to review the existing non-pharmacological interventions for BPSD targeting nursing home residents and generate design recommendations based on the domain of ergonomics in ageing. The electronic databases MEDLINE, EMBASE, PsycINFO were searched for studies which applied non-pharmacological interventions for treating BPSD in nursing home residents. A total of 67 studies met the inclusion criteria; from which 16 types of interventions were identified. Within these intervention types, the main capabilities required from the interventions for People with Dementia (PwD) were identified. The interventions were then categorized into sensory-, cognition-, and movement-oriented according to the main capabilities. Design recommendations were then generated for the interventions with knowledge from the domain of ergonomics in ageing.

Keywords

Ageing population Sensory capabilities Cognition Movement Behavioural and Psychological Symptoms of Dementia Intervention design 

References

  1. 1.
    Gill SS, Bronskill SE, Normand S-LT, Anderson GM, Sykora K, Lam K, Bell CM, Lee PE, Fischer HD, Herrmann N, Gurwitz JH, Rochon PA (2007) Antipsychotic Drug Use and Mortality in Older Adults with Dementia. Ann Intern Med 146:775.  https://doi.org/10.7326/0003-4819-146-11-200706050-00006CrossRefGoogle Scholar
  2. 2.
    Kales HC, Gitlin LN, Lyketsos CG (2015) Assessment and management of behavioral and psychological symptoms of dementia. BMJ 350:h369.  https://doi.org/10.1136/BMJ.H369CrossRefGoogle Scholar
  3. 3.
    Seitz DP, Brisbin S, Herrmann N, Rapoport MJ, Wilson K, Gill SS, Rines J, Le Clair K, Conn D (2012) Efficacy and feasibility of nonpharmacological interventions for neuropsychiatric symptoms of dementia in long term care: a systematic review. J Am Med Dir Assoc 13:503.  https://doi.org/10.1016/j.jamda.2011.12.059CrossRefGoogle Scholar
  4. 4.
    Cohen-Mansfield J (2001) Nonpharmacologic interventions for inappropriate behaviors in dementia: a review, summary, and critique. Am J Geriatr Psychiatry 9:361–381.  https://doi.org/10.1097/00019442-200111000-00005CrossRefGoogle Scholar
  5. 5.
    Whear R, Coon JT, Bethel A, Abbott R, Stein K, Garside R (2014) What is the impact of using outdoor spaces such as gardens on the physical and mental well-being of those with dementia? a systematic review of quantitative and qualitative evidence. J Am Med Dir Assoc 15:697–705CrossRefGoogle Scholar
  6. 6.
    Agency for Healthcare Research and Quality (2016) Nonpharmacologic Interventions for Agitation and Aggression in Dementia. Nonpharmacologic Interv Agit Aggress DementGoogle Scholar
  7. 7.
    Konno R, Kang HS, Makimoto K (2012) The best evidence for minimizing resistance-to-care during assisted personal care for older adults with dementia in nursing homes: a systematic review. JBI Database Syst Rev Implement Reports 10:4622–4632.  https://doi.org/10.11124/jbisrir-2012-431CrossRefGoogle Scholar
  8. 8.
    Boot WR, Nichols TA, Rogers WA, Fisk AD (2012) Design for Aging. In: Salvendy G (ed) Handbook of human factors and ergonomics. Wiley, Hoboken, pp 1442–1471CrossRefGoogle Scholar
  9. 9.
    Alzheimer’s association (2017) Alzheimer’s Disease Facts and FiguresGoogle Scholar
  10. 10.
    Freudenthal A (1999) The design of home appliances for young and old consumers. Delft University of TechnologyGoogle Scholar
  11. 11.
    Jackson GR, Owsley C, McGwin G (1999) Aging and dark adaptation. Vis Res 39:3975–3982.  https://doi.org/10.1016/S0042-6989(99)00092-9CrossRefGoogle Scholar
  12. 12.
    Farage MA, Miller KW, Ajayi F, Hutchins D (2012) Design principles to accommodate older adults. Glob J Health Sci 4:2–25.  https://doi.org/10.5539/gjhs.v4n2p2CrossRefGoogle Scholar
  13. 13.
    Voelcker-Rehage C, Stronge A, Alberts J (2006) Age-related differences in working memory and force control under dual-task conditions. Aging Neuropsychol Cogn 13:366–384.  https://doi.org/10.1080/138255890969339CrossRefGoogle Scholar
  14. 14.
    Pichora-Fuller MK, Singh G (2006) Effects of age on auditory and cognitive processing: implications for hearing aid fitting and audiologic rehabilitation. Trends Amplif 10:29–59.  https://doi.org/10.1177/108471380601000103CrossRefGoogle Scholar
  15. 15.
    Zacks RT, Hasher L, Li KZH (2000) Human memory. In: Salthouse TA, Craik FIM (eds) Handbook of aging and cognition. Lawrence Erlbaum, Mahwah, pp 293–357Google Scholar
  16. 16.
    Garland K, Beer E, Eppingstall B, O’Connor DW (2007) A comparison of two treatments of agitated behavior in nursing home residents with dementia: simulated family presence and preferred music. Am J Geriatr Psychiatry 15:514–521.  https://doi.org/10.1097/01.JGP.0000249388.37080.b4CrossRefGoogle Scholar
  17. 17.
    Lorenzi C, Gatehouse S, Lever C (1999) Sound localization in noise in hearing-impaired listeners. J Acoust Soc Am 105:3454.  https://doi.org/10.1121/1.424672CrossRefGoogle Scholar
  18. 18.
    Abel SM, Giguère C, Consoli A, Papsin BC (2000) The effect of aging on horizontal plane sound localization. J Acoust Soc Am 108:743–752CrossRefGoogle Scholar
  19. 19.
    Lin PW, Chan W, Ng BF, Lam LC (2007) Efficacy of aromatherapy (Lavandula angustifolia) as an intervention for agitated behaviours in Chinese older persons with dementia: a cross-over randomized trial. Int J Geriatr Psychiatry 22:405–410.  https://doi.org/10.1002/gps.1688CrossRefGoogle Scholar
  20. 20.
    Akhondzadeh S, Noroozian M, Mohammadi M, Ohadinia S, Jamshidi AH, Khani M (2003) Melissa officinalis extract in the treatment of patients with mild to moderate Alzheimer’s disease: a double blind, randomised, placebo controlled trial. J Neurol Neurosurg Psychiatry 74:863–866CrossRefGoogle Scholar
  21. 21.
    Ballard CG, O’brien JT, Reichelt K, Perry EK (2002) Aromatherapy as a safe and effective treatment for the management of agitation in severe dementia: the results of a double blind, placebo controlled trial 63(7): 553–8Google Scholar
  22. 22.
    Smallwood J, Brown R, Coulter F, Irvine E, Copland C (2001) Aromatherapy and behaviour disturbances in dementia: a randomized controlled trial. Int J Geriatr Psychiatry 16:1010–1013CrossRefGoogle Scholar
  23. 23.
    Yoshiyama K, Arita H, Suzuki J (2015) The effect of aroma hand massage therapy for people with dementia. J Altern Complement Med 21:759–765.  https://doi.org/10.1089/acm.2015.0158CrossRefGoogle Scholar
  24. 24.
    O’Connor DW, Eppingstall B, Taffe J, van der Ploeg ES (2013) A randomized, controlled cross-over trial of dermally-applied lavender (Lavandula angustifolia) oil as a treatment of agitated behaviour in dementia. BMC Complement Altern Med 13:315.  https://doi.org/10.1186/1472-6882-13-315CrossRefGoogle Scholar
  25. 25.
    Fu CY, Moyle W (2013) A randomised controlled trial of the use of aromatherapy and hand massage to reduce disruptive behaviour in people with dementia. BMC Complement Altern Med 13:165.  https://doi.org/10.1186/1472-6882-13-165CrossRefGoogle Scholar
  26. 26.
    Snow LA, Hovanec L, Brandt J (2004) A controlled trial of aromatherapy for agitation in nursing home patients with dementia. J Altern Complement Med 10:431–437.  https://doi.org/10.1089/1075553041323696CrossRefGoogle Scholar
  27. 27.
    Holmes C, Hopkins V, Hensford C, MacLaughlin V, Wilkinson D, Rosenvinge H (2002) Lavender oil as a treatment for agitated behaviour in severe dementia: a placebo controlled study. Int J Geriatr Psychiatry 17:305–308.  https://doi.org/10.1002/gps.593CrossRefGoogle Scholar
  28. 28.
    Ancoli-Israel S, Gehrman P, Martin JL, Shochat T, Marler M, Corey-Bloom J, Levi L (2003) Increased light exposure consolidates sleep and strengthens circadian rhythms in severe Alzheimer’s disease patients. Behav Sleep Med 1:22–36.  https://doi.org/10.1207/S15402010BSM0101_4CrossRefGoogle Scholar
  29. 29.
    Lyketsos CG, Veiel LL, Baker A (1999) A randomized, controlled trial of bright light therapy for agitated behaviors in dementia patients residing in long-term care. Int J Geriatr Psychiatry 14: 520–525. http://dx.doi.org/10.1002/%28SICI%291099-1166%28199907%2914:7%3C520::AID-GPS983%3E3.0.CO;2-M
  30. 30.
    van den Berg TJTP, (René) van Rijn LJ, Kaper-Bongers R, Vonhoff DJ, Völker-Dieben HJ, Grabner G, Nischler C, Emesz M, Wilhelm H, Gamer D, Schuster A, Franssen L, Wit GC de, Coppens JE (2009) Disability glare in the aging eye. assessment and impact on driving. J Optom 2: 112–118.  https://doi.org/10.3921/joptom.2009.112
  31. 31.
    Minner D, Hoffstetter P, Casey L (2004) Snoezelen activity: The good shepherd nursing home experience. J Nurs Care Qual 19:343–348CrossRefGoogle Scholar
  32. 32.
    van Weert JCM, van Dulmen AM, Spreeuwenberg PMM, Bensing JM, Ribbe MW (2005) The effects of the implementation of snoezelen on the quality of working life in psychogeriatric care. Int psychogeriatrics 17:407–427CrossRefGoogle Scholar
  33. 33.
    Said FS, Weale RA (1959) The variation with age of the spectral transmissivity of the living human crystalline lens. Gerontologia 3:213–231CrossRefGoogle Scholar
  34. 34.
    Stoltzfus ER, Hasher L, Zacks RT, Ulivi MS, Goldstein D (1993) Investigations of inhibition and interference in younger and older adults. J Gerontol 48:P179–P188CrossRefGoogle Scholar
  35. 35.
    Tulving E (2002) Episodic memory: from mind to brain. Annu Rev Psychol 53:1–25.  https://doi.org/10.1146/annurev.psych.53.100901.135114CrossRefGoogle Scholar
  36. 36.
    Park DC, Hertzog C, Kidder DP, Morrell RW, Mayhorn CB (1997) Effect of age on event-based and time-based prospective memory. Psychol Aging 12:314–327CrossRefGoogle Scholar
  37. 37.
    Resnick SM, Pham DL, Kraut MA, Zonderman AB, Davatzikos C (2003) Longitudinal magnetic resonance imaging studies of older adults: a shrinking brain. J Neurosci 23:3295–3301CrossRefGoogle Scholar
  38. 38.
    Kristinsdottir EK, Fransson PA, Magnusson M (2001) Changes in postural control in healthy elderly subjects are related to vibration sensation, vision and vestibular asymmetry. Acta Otolaryngol 121:700–706CrossRefGoogle Scholar
  39. 39.
    Horak FB, Shupert CL, Mirka A (1989) Components of postural dyscontrol in the elderly: a review. Neurobiol Aging 10:727–738CrossRefGoogle Scholar
  40. 40.
    Redfern MS, Moore PL, Yarsky CM (1997) The influence of flooring on standing balance among older persons. Hum Factors J Hum Factors Ergon Soc 39:445–455.  https://doi.org/10.1518/001872097778827043CrossRefGoogle Scholar
  41. 41.
    Ketcham CJ, Stelmach GE (2004) Movement control in the older adult. Technol Adapt AgingGoogle Scholar
  42. 42.
    Lajoie Y, Teasdale N, Bard C, Fleury M (1996) Attentional demands for walking: age-related changes. Adv Psychol 114:235–256.  https://doi.org/10.1016/S0166-4115(96)80011-2CrossRefGoogle Scholar
  43. 43.
    Lockhart TE (1997) Ability of elderly people to traverse slippery walking surfaces. In: Proceedings of the human factors and ergonomics society annual meeting. Human factors and ergonomics society, IncGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Delft University of TechnologyDelftThe Netherlands

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