Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

Effects of the Serial Trial Intervention on discomfort and behavior of nursing home residents with dementia. Am J Alzheimers Dis Other Demen 2006;21(3):147-55

Date

07/28/2006

Pubmed ID

16869334

Pubmed Central ID

PMC10833286

DOI

10.1177/1533317506288949

Scopus ID

2-s2.0-33745906237 (requires institutional sign-in at Scopus site)   119 Citations

Abstract

This study tested the effectiveness of the Serial Trial Intervention (STI), an innovative clinical protocol for assessment and management of unmet needs in people with late-stage dementia. A double-blinded randomized experiment was conducted in 14 nursing homes with 114 subjects. The treatment group had significantly less discomfort than the control group at posttesting and more frequently had behavioral symptoms return to baseline. The group of nurses using the STI also showed more persistence in assessing and intervening than control group nurses did. There was a statistically significant difference between the groups in the use of pharmacological, but not nonpharmacological, comfort treatments. Results suggest that the STI is effective and that effective treatment of discomfort is possible for people with late-stage dementia.

Author List

Kovach CR, Logan BR, Noonan PE, Schlidt AM, Smerz J, Simpson M, Wells T

Author

Brent R. Logan PhD Director, Professor in the Institute for Health and Equity department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged, 80 and over
Analgesics
Clinical Protocols
Dementia
Double-Blind Method
Female
Humans
Male
Neuropsychological Tests
Nursing Assessment
Nursing Homes
Pain
Pain Measurement
Wisconsin