2.50
Hdl Handle:
http://hdl.handle.net/10755/161060
Type:
Presentation
Title:
Are Wandering and Physically-Non-Aggressive Agitated Behaviors Equivalent?
Abstract:
Are Wandering and Physically-Non-Aggressive Agitated Behaviors Equivalent?
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Yao, Lan
P.I. Institution Name:University of Michigan
Contact Address:School of Nursing, 400 N Ingalls RM 2243, Ann Arbor, MI, 48105, USA
Co-Authors:C. Antonakos, L. Yao, E.R. Beattie, and G. Son, School of Nursing, University of Michigan, Ann Arbor, MI
Background: This study examined equivalence of two dementia-compromised behaviors: wandering and physically non-aggressive agitated behavior (PNAB). Methods: Using a cross-sectional correlational design, ambulatory residents with dementia (N = 181) from 22 NH and 6 ALF were studied. Each was videotaped an average of nine times during randomly selected 20-minute periods spread over two days, separated by a 48-hour interval. Videotapes were coded by trained raters using Noldus Observer 5.0 software configured for wandering patterns (random, lapping, pacing) and for behaviors on the physically non-aggressive agitated behavior (PNAB) subscale of the Cohen-Mansfield Agitation Inventory. Results: Wandering was observed in 73.5% of participants, PNAB in 100%. Principal components factor analyses yielded a one-factor solution for wandering and a two-factor solution for PNAB (explained variance = 43.66%, 53.45% respectively). Overall wandering rate correlated significantly with PNAB Factor 1 (r =.68, p < .001) and Factor 2 (r =.26, p < .01). At p < .01, random wandering correlated with both Factors (r = .63, .27 respectively); lapping and pacing wandering patterns correlated only with Factor 1 (r = .35, .17). Internal consistency of the CMAI-PNAB calculated with observational data did not achieve previously reported levels calculated with caregiver report data. Conclusions: Findings depict wandering and the PNAB sub-type as overlapping, but non-equivalent phenomena. Further conceptual and empirical development of the PNAB sub-type is warranted. Results have implications for accuracy in scientific and clinical detection and labeling of wandering and agitation.
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.titleAre Wandering and Physically-Non-Aggressive Agitated Behaviors Equivalent?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/161060-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Are Wandering and Physically-Non-Aggressive Agitated Behaviors Equivalent?</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">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Yao, Lan</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-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 400 N Ingalls RM 2243, Ann Arbor, MI, 48105, USA</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">C. Antonakos, L. Yao, E.R. Beattie, and G. Son, School of Nursing, University of Michigan, Ann Arbor, MI</td></tr><tr><td colspan="2" class="item-abstract">Background: This study examined equivalence of two dementia-compromised behaviors: wandering and physically non-aggressive agitated behavior (PNAB). Methods: Using a cross-sectional correlational design, ambulatory residents with dementia (N = 181) from 22 NH and 6 ALF were studied. Each was videotaped an average of nine times during randomly selected 20-minute periods spread over two days, separated by a 48-hour interval. Videotapes were coded by trained raters using Noldus Observer 5.0 software configured for wandering patterns (random, lapping, pacing) and for behaviors on the physically non-aggressive agitated behavior (PNAB) subscale of the Cohen-Mansfield Agitation Inventory. Results: Wandering was observed in 73.5% of participants, PNAB in 100%. Principal components factor analyses yielded a one-factor solution for wandering and a two-factor solution for PNAB (explained variance = 43.66%, 53.45% respectively). Overall wandering rate correlated significantly with PNAB Factor 1 (r =.68, p &lt; .001) and Factor 2 (r =.26, p &lt; .01). At p &lt; .01, random wandering correlated with both Factors (r = .63, .27 respectively); lapping and pacing wandering patterns correlated only with Factor 1 (r = .35, .17). Internal consistency of the CMAI-PNAB calculated with observational data did not achieve previously reported levels calculated with caregiver report data. Conclusions: Findings depict wandering and the PNAB sub-type as overlapping, but non-equivalent phenomena. Further conceptual and empirical development of the PNAB sub-type is warranted. Results have implications for accuracy in scientific and clinical detection and labeling of wandering and agitation.</td></tr></table>en_GB
dc.date.available2011-10-26T23:15:15Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:15:15Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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