An Old Adversary and a Newcomer: Describing the NDB Aggression, and Passivity as an Evolving NDB

2.50
Hdl Handle:
http://hdl.handle.net/10755/153673
Type:
Presentation
Title:
An Old Adversary and a Newcomer: Describing the NDB Aggression, and Passivity as an Evolving NDB
Abstract:
An Old Adversary and a Newcomer: Describing the NDB Aggression, and Passivity as an Evolving NDB
Conference Sponsor:Sigma Theta Tau International
Conference Year:2002
Conference Date:July, 2002
Author:Colling, Kathleen, PhD
P.I. Institution Name:University of Michigan
Title:Assistant Research Scientist
Objective: The objective of this data and theory-based presentation is to focus on passive behavior (PB) in persons with dementia and its relationship to variables in the Need-driven Behavior (NDB) Model. Design: Synthesis of five descriptive correlational studies. Population, Sample, Setting, Years: Both community-based and nursing home residents with dementia, samples range from a single case to fifty participants, between the years of 1997-2002. Concepts and Interventions Background variables in the NDB model include: dementia-compromised functions, general health state, demographics, and psychosocial state. Proximal variables include: physiological need states, psychosocial need states, physical environment and social environment. PB interventions should result in greater engagement and positive affect. Methods: Two studies utilized descriptive analysis of empirical work and concept synthesis/taxonomy formation. One case study used a semi-structured interview format and the PDS, GDS, MMSE, Apathy Cues Checklist, CMAI and NEO-FFI. The fourth and fifth studies used the Caregiver form of the PDS, the NEO-FFI, CMAI, and the GDS. Findings: Results indicate that PB has five critical attributes and their behaviors. These were used to form the structure for a new instrument, the Passivity in Dementia Scale (PDS). PDS (before dementia) and (now) scores demonstrate statistically significant increases in PB in all subscales and overall passivity. Caregivers identified humor, giving cues and assistance, initiating the task, giving guidance, and providing enjoyable activities were interventions that helped to promote engagement. Conclusions: Synthesis of preliminary data demonstrates support for key NDB model background variables of: dementia-compromised functions, and psychosocial variables. Proximal variables of psychosocial need state and social environment may precipitate the NDB of passivity.

Repository Posting Date:
26-Oct-2011
Date of Publication:
Jul-2002
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Old Adversary and a Newcomer: Describing the NDB Aggression, and Passivity as an Evolving NDBen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153673-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Old Adversary and a Newcomer: Describing the NDB Aggression, and Passivity as an Evolving NDB</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July, 2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Colling, Kathleen, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Michigan</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Research Scientist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kcolling@umich.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: The objective of this data and theory-based presentation is to focus on passive behavior (PB) in persons with dementia and its relationship to variables in the Need-driven Behavior (NDB) Model. Design: Synthesis of five descriptive correlational studies. Population, Sample, Setting, Years: Both community-based and nursing home residents with dementia, samples range from a single case to fifty participants, between the years of 1997-2002. Concepts and Interventions Background variables in the NDB model include: dementia-compromised functions, general health state, demographics, and psychosocial state. Proximal variables include: physiological need states, psychosocial need states, physical environment and social environment. PB interventions should result in greater engagement and positive affect. Methods: Two studies utilized descriptive analysis of empirical work and concept synthesis/taxonomy formation. One case study used a semi-structured interview format and the PDS, GDS, MMSE, Apathy Cues Checklist, CMAI and NEO-FFI. The fourth and fifth studies used the Caregiver form of the PDS, the NEO-FFI, CMAI, and the GDS. Findings: Results indicate that PB has five critical attributes and their behaviors. These were used to form the structure for a new instrument, the Passivity in Dementia Scale (PDS). PDS (before dementia) and (now) scores demonstrate statistically significant increases in PB in all subscales and overall passivity. Caregivers identified humor, giving cues and assistance, initiating the task, giving guidance, and providing enjoyable activities were interventions that helped to promote engagement. Conclusions: Synthesis of preliminary data demonstrates support for key NDB model background variables of: dementia-compromised functions, and psychosocial variables. Proximal variables of psychosocial need state and social environment may precipitate the NDB of passivity.<br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T12:26:04Z-
dc.date.issued2002-07en_GB
dc.date.accessioned2011-10-26T12:26:04Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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