Longitudinal effects of activities, social environment, and psychotropic medication use on behavioral symptoms of individuals with alzheimer’s disease in nursing homes

Ben R. Inventor, Carol J. Farran, Olimpia Paun, Fawn Cothran, Kumar Rajan, Sandra S. Swantek, Judith J. McCann

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

A secondary data analysis of 25,560 minutes of structured clinical observations from a longitudinal study examined the impact of time-varying background factors, social environment, and psychotropic medication use on behavioral symptoms of nursing home residents with Alzheimer’s disease (AD). Data were collected at baseline (N = 177), 12 months (N = 138), and 24 months (N = 111). Mixed-effects regression modeling showed that at 24 months: (a) higher cognitive and physical function and having a private bedroom/bathroom had the most positive influence on resident positive behaviors; (b) use of antipsychotic medications and solitary activities had the most negative influence on resident positive behaviors; (c) higher cognitive function significantly decreased negative behaviors; and (d) care-related activities and total number of psychotropic medications significantly increased negative behaviors. The current study describes risk factors for behavioral disturbances and the impact of activities, social environment, and psychotropic medications on behavioral outcomes in nursing home residents with AD.

Original languageEnglish (US)
Pages (from-to)18-31
Number of pages14
JournalJournal of Psychosocial Nursing and Mental Health Services
Volume56
Issue number11
DOIs
StatePublished - Nov 1 2018

ASJC Scopus subject areas

  • Nursing(all)
  • Phychiatric Mental Health

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