1. The relationship between caregivers' behaviors and resistant behaviors of persons living with dementia during personal care in long-term care facilities: A lag sequential analysis.
- Author
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Lee, Kyung Hee, Lee, Ji Yeon, Park, Ji Yeong, and McConnell, Eleanor S.
- Abstract
• Task-centered behaviors of caregivers are more likely to lead resistant behaviors. • Person-centered behaviors of caregivers are less likely to lead resistant behaviors. • Person-centered care is a better approach when encountering resistant behaviors. • Active efforts to facilitate person-centered dementia care are needed. Many older adults living with dementia exhibit resistant behaviors. Person-centered care is the gold standard of care; however, the sequential relationship between resistant and caregiving behaviors has not been identified. This study examined the sequential relationship between caregiving and care-resistant behaviors and analyzed 68 videos of personal care encounters of 21 residents living in four long-term care facilities. The videos were coded focusing on two sequences of behavior: residents' resistant behaviors and caregivers' behaviors. Lag sequential analysis was conducted using initial–response behavior pairs (resident-caregiver behavior or caregiver-resident behavior pairs). Person-centered care led to less resistant behavior (odds ratio 0.23; 95 % confidence interval 0.16, 0.33), whereas less person-centered care was followed by resistant behaviors (odds ratio 0.42; 95 % confidence interval 0.30, 0.59). A significant sequential association was found between task-centered behavior and resistant behavior. Hence, rigorous efforts are recommended to provide person-centered care through multilevel efforts. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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