This application is one in a trio of interactive projects. Together they have the long-term goal of developing theoretically-based, empirically-tested interventions for a range of behaviors commonly termed """"""""disruptive or agitated"""""""" that occur among persons with dementia. This project focuses on wandering and non-aggressive physical behaviors (NAPB) with the aim of building explanatory models of these behaviors. With other projects in this interactive set, additional aims are to build an explanatory model applicable to the range of """"""""disruptive, agitated"""""""" behaviors (herein termed need-driven, dementia-compromised behaviors (NDBs)), and to conduct further testing of the preliminary models developed for wandering, NAPB, and NDBs addressed in accompanying proposals. A descriptive survey design is proposed using a cluster sample of 288 residents with dementia from an estimated 15 randomly-chosen nursing homes. Direct observation, neuropsychological and personality measures, and indicators of physiological need states, along with light, sound, and temperature readings of the physical environment and selected aspects of the social environment will be used to capture background and proximal factors thought to operate in producing wandering, NAPB, and other NDBs. Multilevel regression modeling techniques will be used to identify background and proximal variables affecting wandering and NAPB. The resulting preliminary models of wandering and NAPB will be further tested in an independent sample obtained from the accompanying projects in this set. Further, data from a core set of background and proximal factors common across interactive projects will be combined to develop a model of factors operative in producing NDBs in general, again using Multilevel regression modeling techniques.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR004569-03
Application #
6393021
Study Section
Nursing Research Study Section (NURS)
Program Officer
Armstrong, Nell
Project Start
1999-09-15
Project End
2004-05-31
Budget Start
2001-06-01
Budget End
2002-05-31
Support Year
3
Fiscal Year
2001
Total Cost
$472,761
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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Lee, Kyung Hee; McConnell, Eleanor S; Knafl, George J et al. (2015) Pain and psychological well-being among people with dementia in long-term care. Pain Med 16:1083-9
Lee, Kyung Hee; Algase, Donna L; McConnell, Eleanor S (2014) Relationship between observable emotional expression and wandering behavior of people with dementia. Int J Geriatr Psychiatry 29:85-92
Lee, Kyung Hee; Algase, Donna L; McConnell, Eleanor S (2013) Daytime observed emotional expressions of people with dementia. Nurs Res 62:218-25
Algase, Donna L; Beattie, Elizabeth R A; Antonakos, Cathy et al. (2010) Wandering and the physical environment. Am J Alzheimers Dis Other Demen 25:340-6
Algase, Donna L; Antonakos, Cathy; Beattie, Elizabeth R A et al. (2009) Empirical derivation and validation of a wandering typology. J Am Geriatr Soc 57:2037-45
Whall, Ann L; Colling, Kathleen B; Kolanowski, Ann et al. (2008) Factors associated with aggressive behavior among nursing home residents with dementia. Gerontologist 48:721-31
Song, Jun-Ah; Algase, Donna (2008) Premorbid characteristics and wandering behavior in persons with dementia. Arch Psychiatr Nurs 22:318-27
Algase, Donna L; Antonakos, Cathy; Yao, Lan et al. (2008) Are wandering and physically nonaggressive agitation equivalent? Am J Geriatr Psychiatry 16:293-9
Algase, Donna L; Yao, Lan; Hong, Gwi-Ryung S et al. (2007) Initial psychometrics of the ambiance scale: a tool to study person-environment interaction in dementia. Aging Ment Health 11:266-72

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