This is a revised application of 1 R01NR04568-01, one of a trio of Interactive Research Project grants (IRPG), which have the long term goal of developing theoretically based, empirically-tested interventions for a range of behavior in persons with dementia. The behavior that has been terme4d by other """"""""disruptive"""""""", in this IRPG, is termed """"""""need-driven"""""""" but """"""""dementia-compromised behavior"""""""" on NDB. This trio of projects each examine of the three major types of NDB using the model developed by the IRPG researchers. In this study aggressive physical behavior (APB), such as hitting, biting, and kicking, is conceptualized within the NDB model. The NDB model posits that background variables of the demented persons, interact with proximal (or current situational) variables to produce APB. Background and proximal variables are measured using neuropsychological testing, assessment of health and need states, and measurement of the physical and social environment of the demented subjects. A descriptive survey design is used with a cluster sample of 291 demented residents from 9 randomly selected nursing homes. Data are obtained via videotapes of 3 shower baths (which are consistently associated with APB). Linear regression analysis, and other measures are used to identify and examine variables affecting APB. Additional IRPG analysis will build, test, and compare and contrast the preliminary model of APB along with that of the two other models developed in the accompanying proposals. Data from a core set of background and proximal variables (which are common to all three IRPG projects) will be combined to further examine the models produced.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR004568-02
Application #
6186873
Study Section
Nursing Research Study Section (NURS)
Program Officer
Armstrong, Nell
Project Start
1999-09-15
Project End
2004-05-31
Budget Start
2000-06-01
Budget End
2001-05-31
Support Year
2
Fiscal Year
2000
Total Cost
$428,940
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Type
Schools of Nursing
DUNS #
791277940
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
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Kim, Hyojeong; Whall, Ann L (2006) Factors associated with psychotropic drug usage among nursing home residents with dementia. Nurs Res 55:252-8
Beattie, Elizabeth R A; Song, JunAh; LaGore, Shane (2005) A comparison of wandering behavior in nursing homes and assisted living facilities. Res Theory Nurs Pract 19:181-96