The Gerontologist
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kovach, C. R.
Right arrow Articles by Silva-Smith, A. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kovach, C. R.
Right arrow Articles by Silva-Smith, A. L.
The Gerontologist 44:797-806 (2004)
© 2004 The Gerontological Society of America

Effect of the BACE Intervention on Agitation of People With Dementia

Christine R. Kovach, PhD, RN1,, Yavuz Taneli, MArch2, Paul Dohearty, BA3, Andrea Matovina Schlidt, MSN, GNP1, Susan Cashin, PhD4 and Amy L. Silva-Smith, MS, ANP1

Correspondence: Address correspondence to Christine R. Kovach, Cunningham Hall, 1921 East Hartford Avenue, University of Wisconsin–Milwaukee, Milwaukee, WI 53201-0413. E-mail: ckovach{at}uwm.edu

Purpose: This study tests the effectiveness of the theoretically driven BACE (i.e., Balancing Arousal Controls Excesses) intervention in decreasing agitation in residents of long-term care with moderate or severe dementia. Design and Methods: A pretest–posttest double-blinded experimental design with random assignment was used with a sample of 78 participants. The BACE intervention controls the daily activity schedule so that there is a balance between a person's high-arousal and low-arousal states. The outcome measure was observed agitation. Results: When time spent in arousal imbalance at pretest was controlled for, a repeated measures analysis of covariance revealed a statistically significant Group x Time interaction, F(1, 69) = 4.26, p =.043, with a partial {eta}2 =.06. The average change in agitation for the treatment group was a decrease of 8.43 points (SD = 12.01) from pretest to posttest, an effect size of.7. Implications: The results of this study support the theory that balancing arousal states by using an individualized approach is effective in decreasing agitation levels of people with dementia.

Key Words: Stimulation–retreat • Alzheimer's intervention • Activity intervention




This article has been cited by other articles:


Home page
AM J ALZHEIMERS DIS OTHER DEMENHome page
C. R. Kovach, B. R. Logan, P. E. Noonan, A. M. Schlidt, J. Smerz, M. Simpson, and T. Wells
Effects of the Serial Trial Intervention on Discomfort and Behavior of Nursing Home Residents With Dementia
American Journal of Alzheimer's Disease and Other Dementias, May 1, 2006; 21(3): 147 - 155.
[Abstract] [PDF]


Home page
J Am Psychiatr Nurses AssocHome page
A. Kolanowski and M. L. Piven
Geropsychiatric Nursing: The State of the Science
Journal of the American Psychiatric Nurses Association, April 1, 2006; 12(2): 75 - 99.
[Abstract] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
All GSA journals Journals of Gerontology Series A: Biological Sciences and Medical Sciences Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Copyright © 2004 by The Gerontological Society of America.