Environmental intervention on wandering through managing environmental ambiance: a pilot study

2.50
Hdl Handle:
http://hdl.handle.net/10755/160183
Type:
Presentation
Title:
Environmental intervention on wandering through managing environmental ambiance: a pilot study
Abstract:
Environmental intervention on wandering through managing environmental ambiance: a pilot study
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2005
Author:Yao, Lan, PhD
P.I. Institution Name:University of Michigan
Title:Assistant Research Scientist
Contact Address:School of Nursing, 400 North Ingalls, Rm 2160, Ann Arbor, MI, 48109, USA
Contact Telephone:(734) 763-7264
Co-Authors:Donna Algase, PhD, RN, FAAN, Director and Elizabeth Beattie, PhD, RN, Assistant Research Scientist
Wandering is one of the frequently encountered behaviors of elders
with dementia (EWDs). Managing behavior through operating environment is
an imperative nursing strategy, yet, the impact of social and physical
environment on behaviors of EWDs, has received little consistent
conceptual development or empirical study in nursing. Guided by a model of
Locomoting Responses to Environment in Elders with Dementia (LRE-EWD),
this cross-sectional study explored relationship between environmental
ambiance (indicator of the emotional valence) and locomotion behaviors of
EWDs, endeavoring to add theoretical appreciation of how the environment
affects wandering and other behaviors, and leading to tentative prediction
and intervention. Study was done on a sample of 47 cognitively impaired
older adults from nursing homes and assisted living facilities, through a
random cluster sampling strategy. Subjects included were predominately
female 85.1% (40), Caucasian 87.6 % (41), 72-103 years old with a mean age
of 84.77 (S.D.=6.88). MMSE scores ranged from 0-21 with a mean of 9.26
(S.D.=5.56); 13 subjects had impairment too severe to be tested. Subjects
were assigned to six 20 minutes observation periods, on 2 non-consecutive
days each, according to 4 pre-established randomization schedules. All
observation periods were randomly selected and occurred between 8am to
8pm. A multilevel model, HLM (Hierarchical Liner Modeling), was used to
analyze data which focused on the observation as the unit of analysis,
with repeated observations nested within subjects. Results indicated that
environmental ambiance was a more robust predictor of locomotion than
MMSE. High ambiance scores of the environment were found to be associated
with lower frequency of walking episodes, shorter duration of walking, and
longer duration of sitting, as predicted by the LRE-EWD model. Findings
from this study highlight the importance of addressing the emotional
valence of the social and physical environment in care of EWDs.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEnvironmental intervention on wandering through managing environmental ambiance: a pilot studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160183-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Environmental intervention on wandering through managing environmental ambiance: a pilot study</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Yao, Lan, 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-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 400 North Ingalls, Rm 2160, Ann Arbor, MI, 48109, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(734) 763-7264</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lyao@umich.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Donna Algase, PhD, RN, FAAN, Director and Elizabeth Beattie, PhD, RN, Assistant Research Scientist</td></tr><tr><td colspan="2" class="item-abstract">Wandering is one of the frequently encountered behaviors of elders <br/> with dementia (EWDs). Managing behavior through operating environment is <br/> an imperative nursing strategy, yet, the impact of social and physical <br/> environment on behaviors of EWDs, has received little consistent <br/> conceptual development or empirical study in nursing. Guided by a model of <br/> Locomoting Responses to Environment in Elders with Dementia (LRE-EWD), <br/> this cross-sectional study explored relationship between environmental <br/> ambiance (indicator of the emotional valence) and locomotion behaviors of <br/> EWDs, endeavoring to add theoretical appreciation of how the environment <br/> affects wandering and other behaviors, and leading to tentative prediction <br/> and intervention. Study was done on a sample of 47 cognitively impaired <br/> older adults from nursing homes and assisted living facilities, through a <br/> random cluster sampling strategy. Subjects included were predominately <br/> female 85.1% (40), Caucasian 87.6 % (41), 72-103 years old with a mean age <br/> of 84.77 (S.D.=6.88). MMSE scores ranged from 0-21 with a mean of 9.26 <br/> (S.D.=5.56); 13 subjects had impairment too severe to be tested. Subjects <br/> were assigned to six 20 minutes observation periods, on 2 non-consecutive <br/> days each, according to 4 pre-established randomization schedules. All <br/> observation periods were randomly selected and occurred between 8am to <br/> 8pm. A multilevel model, HLM (Hierarchical Liner Modeling), was used to <br/> analyze data which focused on the observation as the unit of analysis, <br/> with repeated observations nested within subjects. Results indicated that <br/> environmental ambiance was a more robust predictor of locomotion than <br/> MMSE. High ambiance scores of the environment were found to be associated <br/> with lower frequency of walking episodes, shorter duration of walking, and <br/> longer duration of sitting, as predicted by the LRE-EWD model. Findings <br/> from this study highlight the importance of addressing the emotional <br/> valence of the social and physical environment in care of EWDs.</td></tr></table>en_GB
dc.date.available2011-10-26T22:42:13Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:42:13Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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