2.50
Hdl Handle:
http://hdl.handle.net/10755/154321
Type:
Presentation
Title:
Use of the Serial Trial Intervention in a Randomized Controlled Trial
Abstract:
Use of the Serial Trial Intervention in a Randomized Controlled Trial
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Kovach, Christine R., PhD, RN
P.I. Institution Name:University of Wisconsin-Milwaukee
Title:Professor
Co-Authors:Linda Sauer,
To address the problems of physical and affective pain in people with dementia, the effectiveness of an innovative sequential clinical protocol, the Serial Trial Intervention (STI), for comfort assessment and management was studied. A double-blinded randomized experiment was conducted in 14 nursing homes with 114 subjects. This presentation describes the use of the intervention by the treatment group. The majority of residents (n = 34, 60%) had five or more physical parameters assessed (Possible range 0-28). Fifty-one abnormal physical parameters were found in 23 residents; 7 had musculoskeletal pain, 1 had pain from peripheral neuropathy, 3 had pneumonia and 4 had urinary tract infections. Seven people received intervention to treat positive physical assessment findings. These targeted interventions were effective for 6 subjects (85.7%). Targeted interventions given in response to affective need were considerably less effective, yielding improvement in behavioral symptoms for only 3 of 15 subjects (20%). Non-pharmacological intervention trials were effective for 47.9% of subjects receiving this type of intervention (23 of 48 subjects). Trials of analgesics yielding improvements for 75% (15 of 20) of subjects. Five individuals received a trial of psychotropics (effective for 4, 80%) and five subjects were forwarded for consultation. In total, 93% of the subjects who received the STI had improvement in behavioral symptoms of 50% or more as perceived by the nurse.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUse of the Serial Trial Intervention in a Randomized Controlled Trialen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154321-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Use of the Serial Trial Intervention in a Randomized Controlled Trial</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">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kovach, Christine R., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wisconsin-Milwaukee</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ckovach@uwm.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Linda Sauer,</td></tr><tr><td colspan="2" class="item-abstract">To address the problems of physical and affective pain in people with dementia, the effectiveness of an innovative sequential clinical protocol, the Serial Trial Intervention (STI), for comfort assessment and management was studied. A double-blinded randomized experiment was conducted in 14 nursing homes with 114 subjects. This presentation describes the use of the intervention by the treatment group. The majority of residents (n = 34, 60%) had five or more physical parameters assessed (Possible range 0-28). Fifty-one abnormal physical parameters were found in 23 residents; 7 had musculoskeletal pain, 1 had pain from peripheral neuropathy, 3 had pneumonia and 4 had urinary tract infections. Seven people received intervention to treat positive physical assessment findings. These targeted interventions were effective for 6 subjects (85.7%). Targeted interventions given in response to affective need were considerably less effective, yielding improvement in behavioral symptoms for only 3 of 15 subjects (20%). Non-pharmacological intervention trials were effective for 47.9% of subjects receiving this type of intervention (23 of 48 subjects). Trials of analgesics yielding improvements for 75% (15 of 20) of subjects. Five individuals received a trial of psychotropics (effective for 4, 80%) and five subjects were forwarded for consultation. In total, 93% of the subjects who received the STI had improvement in behavioral symptoms of 50% or more as perceived by the nurse.</td></tr></table>en_GB
dc.date.available2011-10-26T12:54:33Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:54:33Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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