JAMDA
Volume 9, Issue 7 , Pages 516-522, September 2008

Pilot Testing of the Restorative Care Intervention for the Cognitively Impaired

  • Elizabeth M. Galik, PhD, CRNP

      Affiliations

    • University of Maryland School of Nursing, Baltimore, MD
    • Corresponding Author InformationAddress correspondence to Elizabeth M. Galik, PhD, CRNP, University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201
    • ,
  • Barbara Resnick, PhD, CRNP, FAAN, FAANP

      Affiliations

    • University of Maryland School of Nursing, Baltimore, MD
    • ,
  • Ann Gruber-Baldini, PhD

      Affiliations

    • University of Maryland School of Medicine, Baltimore, MD
    • ,
  • Eun-Shim Nahm, PhD, RN

      Affiliations

    • University of Maryland School of Nursing, Baltimore, MD
    • ,
  • Karen Pearson, MSN, CRNP

      Affiliations

    • University of Maryland School of Nursing, Baltimore, MD
    • ,
  • Ingrid Pretzer-Aboff, PhD, RN

      Affiliations

    • University of Delaware School of Nursing, Newark, DE

published online 04 August 2008.

Objective

The objective of this study was to test the feasibility and impact of a 2-tiered motivational intervention, the Restorative Care Intervention for the Cognitively Impaired (Res-Care-CI), on nursing home residents with moderate to severe cognitive impairment.

Design

Single-group repeated measures study.

Participants and Setting

Participants were 46 nursing home residents with moderate to severe cognitive impairment at a single nursing home designed for individuals with dementia.

Measurements

Descriptive data, the Barthel Index, the Physical Activity Survey in Long-Term Care, actigraphy, the Cornell Scale for Depression in Dementia, and the Cohen-Mansfield Agitation Inventory (short form).

Results

There was significant improvement in resident mood (F = 3.26, P = .02) and behavioral symptoms (F = 3.21, P = .04), but no significant change in physical function (F = 0.897, P = .43) or overall reported physical activity (F = 0.931, P = .43). There was a significant decrease in physical activity measured by actigraphy in 35 participants (F = 4.93, P = .005).

Conclusions

Restorative care interventions were feasible to implement, and demonstrated improvements in mood and behavior, when used with nursing home residents with moderate to severe cognitive impairment.

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 This study was supported by the AMDA Foundation/Pfizer Quality Improvement Awards, the American Academy of Nurse Practitioners, and the Agency for Health Care Quality grant no. RO1 HS/MH 13372-01. In addition, we thank and acknowledge the residents, families, and nursing assistants of Copper Ridge in Sykesville, MD, who were willing to participate in this study and help us learn how to best implement a restorative philosophy of care.

PII: S1525-8610(08)00174-6

doi:10.1016/j.jamda.2008.04.013

JAMDA
Volume 9, Issue 7 , Pages 516-522, September 2008

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