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107. Individual differences in the temporal relationship between sleep and agitation: a single-subject study in nursing home residents with dementia experiencing sleep disturbance and agitation.

Author

Wijbenga, Rianne A., Blaauw, Frank J., Janus, Sarah I. M., Tibben, Coby, Smits, Annelies E., Oude Voshaar, Richard C., Zuidema, Sytse U., and Zuidersma, Marij

Subjects
NURSING home residents, ATTITUDES of medical personnel, AGITATION (Psychology), ACTIGRAPHY, PATIENT-centered care, WEARABLE technology, SLEEP, DEMENTIA patients, SLEEP disorders, PATIENTS' attitudes, PSYCHOSOCIAL factors, TIME series analysis, QUESTIONNAIRES, NURSING home employees
Abstract

Previous studies on the interrelationship between sleep and agitation relied on group-aggregates and so results may not be applicable to individuals. This proof-of-concept study presents the single-subject study design with time series analysis as a method to evaluate the association between sleep and agitation in individual nursing home residents using actigraphy. To record activity, three women and two men (aged 78–89 years) wore the MotionWatch 8© (MW8) for 9 consecutive weeks. Total sleep time and agitation were derived from the MW8 data. We performed time series analysis for each individual separately. To gain insight into the experiences with the actigraphy measurements, care staff filled out an investigator-developed questionnaire on their and participants' MW8 experiences. A statistically significant temporal association between sleep and agitation was present in three out of five participants. More agitation was followed by more sleep for participant 1, and by less sleep for participant 4. As for participants 3 and 4, more sleep was followed by more agitation. Two-thirds of the care staff members (16/24) were positive about the use of the MW8. Acceptability of the MW8 was mixed: two residents refused to wear the MW8 thus did not participate, one participant initially experienced the MW8 as somewhat unpleasant, while four participants seemed to experience no substantial problems. A single-subject approach with time series analysis can be a valuable tool to gain insight into the temporal relationship between sleep and agitation in individual nursing home residents with dementia experiencing sleep disturbance and agitation. [ABSTRACT FROM AUTHOR]

Published
2022
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110. sj-pdf-1-jah-10.1177_0898264321993321 – Supplemental Material for Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation

Author

Rietkerk, Wanda, de Jonge-de Haan, Jannet, Slaets, Joris P. J., Zuidema, Sytse U., and Gerritsen, Debby L.

Subjects
FOS: Clinical medicine, 111799 Public Health and Health Services not elsewhere classified, FOS: Health sciences, 110306 Endocrinology, 110308 Geriatrics and Gerontology
Abstract

Supplemental Material, sj-pdf-1-jah-10.1177_0898264321993321 for Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation by Wanda Rietkerk, Jannet de Jonge-de Haan, Joris P. J. Slaets, Sytse U. Zuidema and Debby L. Gerritsen in Journal of Aging and Health

Published
2021
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112. Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia

Author

Muehlbauer, Viktoria, Moehler, Ralph, Dichter, Martin N., Zuidema, Sytse U., Koepke, Sascha, Luijendijk, Hendrika J., Muehlbauer, Viktoria, Moehler, Ralph, Dichter, Martin N., Zuidema, Sytse U., Koepke, Sascha, and Luijendijk, Hendrika J.

Abstract

Background Typical and atypical antipsychotics are widely used to treat agitation and psychosis in dementia. However, whether or not they are beneficial is uncertain. Some trials have yielded negative results and eMectiveness may be outweighed by harms. Objectives To assess the eMicacy and safety of antipsychotics for the treatment of agitation and psychosis in people with Alzheimer's disease and vascular dementia. Search methods We searched ALOIS, the Cochrane Dementia and Cognitive Improvement Group's register, MEDLINE (Ovid Sp), Embase (Ovid SP), PsycINFO (Ovid SP), CINAHL (EBSCOhost), Web of Science Core Collection (ISI Web of Science), LILACS (BIREME), ClinicalTrials.gov and the World Health Organization's meta-register, and the International Clinical Trials Registry Portal on 7 January 2021. Two review authors independently screened the title and abstract of the hits, and two review authors assessed the full text of studies that got through this screening. Selection criteria We included randomised, placebo-controlled, parallel-arm trials comparing the eMects of antipsychotics and placebo for the treatment of agitation or psychosis in people with dementia due to Alzheimer's disease or vascular dementia, or both, irrespective of age, severity of cognitive impairment, and setting. (The majority of) participants had to have clinically significant agitation (including aggression) or psychosis or both at baseline. We excluded studies about antipsychotics that are no longer available in the USA or EU, or that are used for emergency short-term sedation. We also excluded head-to-head trials and antipsychotic withdrawal trials. Data collection and analysis The primary outcomes were (1) reduction in agitation or psychosis in participants with agitation or psychosis, respectively at baseline, and (2) the number of participants with adverse events: somnolence, extrapyramidal symptoms, any adverse event, any serious adverse event (SAE), and death. Two review authors indepen

Published
2021

114. Effects of Caregiver Dementia Training in Caregiver–Patient Dyads on Psychotropic Drug Prescription: A Randomized Controlled Study

Author

Birkenhäger-Gillesse,Elizabeth G, Janus,Sarah IM, Achterberg,Wilco P, Zuidema,Sytse U, Birkenhäger-Gillesse,Elizabeth G, Janus,Sarah IM, Achterberg,Wilco P, and Zuidema,Sytse U

Abstract

Elizabeth G Birkenhäger-Gillesse,1,2 Sarah IM Janus,1 Wilco P Achterberg,3 Sytse U Zuidema1 1Department of General Practice and Elderly Care Medicine, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands; 2Laurens Care Centers, Division Long Stay, Rotterdam, the Netherlands; 3Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the NetherlandsCorrespondence: Elizabeth G Birkenhäger-GillesseLaurens Care Centers, Division Long Stay, Pres. Rooseveltweg 22, Rotterdam, 3068 TR, the NetherlandsTel +31619699113Email b.birkenhager@laurens.nlPurpose: Does participating in a multicomponent intervention targeting caregivers change the prescription rates of psychotropic drugs of caregivers or the person with dementia (PWD) they live with and care for.Patients and Methods: Participants were 142 dyads of community-dwelling cohabiting caregivers and PWD randomized to intervention or control (care as usual). Participating caregivers received the intervention in a holiday accommodation over five days in groups of two to six dyads. During this time, caregivers attended 14 psychoeducational group sessions on relevant emotional, relational, practical, financial, and social changes related to living with PWD. These sessions were delivered by a psychologist, a physiotherapist, an occupational therapist, an elderly care physician, a dietician and a social worker and included combating social isolation, planning for the future, re-rolling, medical aspects of dementia, fitness, therapeutic use of facilities, nutrition and using community services. The design was a randomized controlled trial. Outcomes were compared 3 months after baseline. Drug use for both caregivers and PWD were reported as all psychotropic drug use and specified as antipsychotic, antidepressant, and anxiolytic and hypnotic drug use based on Anatomical Therapeutic Chemical (ATC) classifications.Results: Compared to the control group, no significant d

Published
2021

115. Soundscape optimization with MoSART+ in dementia nursing home wards

Author

Kosters, Janouk, Janus, Sarah, Zuidema, Sytse U, Luijendijk, Hendrika, Andringa, Tjeerd, and University Medical Center Groningen [Groningen] (UMCG)

Subjects
[PHYS.MECA.VIBR]Physics [physics]/Mechanics [physics]/Vibrations [physics.class-ph], Nursing home, Soundscape, Dementia, Intervention, [PHYS.MECA.ACOU]Physics [physics]/Mechanics [physics]/Acoustics [physics.class-ph]
Abstract

International audience; In nursing homes, staff, household appliances, and other patients produce unexpected, repetitive, loud and droning noises. These sounds can be perceived as unpleasant, disturbing, and unsafe. Pleasant sounds are offered sparsely. This makes the soundscape often suboptimal for residents. This holds especially for people with dementia who are highly sensitive to detrimental auditory environments, due to diminished cognitive functions and often limited sensory abilities. We used the sound awareness programme ?MoSART? to optimize the sound environment in four nursing homes. Each had four or five dementia care units (?houses? with a shared living room). During this cluster-randomized trial, every three months a nursing home switched from care as usual to the MoSART+ intervention. This intervention consisted of four training sessions for ambassadors, the use of the MoSART smartphone app and meetings for the nursing staff. In each nursing home we selected two or three ?ambassadors? who were enthusiastic about the topic and had authority. The training session of the ambassadors provided them with background in soundscape theory, the relationship between auditory environments and psychological well-being, and use of the MoSART-app. The app makes an audio recording while the caregiver fills in a short questionnaire on the appraisal of the auditory environment. This takes 30 seconds or a bit longer. The meeting of the nursing staff are led by the ambassadors. They discuss the auditory environment and aim to improve the environment by micro-interventions. The MoSART+ intervention takes 10 weeks. Results show that the soundscapes in all the four houses improved after use of the MoSART+ intervention. Comparison of the baseline measurement with the measurement after implementation of the micro-interventions showed that chaotic and boring environments were reduced substantially and more calm and lively soundscapes occurred.

Published
2020

122. Additional file 1 of The construction of a conceptual framework explaining the relation between barriers to change of management of neuropsychiatric symptoms in nursing homes: a qualitative study using focus groups

Author

Teunenbroek, Charlotte F. Van, Verhagen, Kim, Smalbrugge, Martin, Persoon, Anke, Zuidema, Sytse U., and Gerritsen, Debby L.

Abstract

Additional file 1: Supplement A. Detailed applied methodology following the consolidated criteria for reporting qualitative studies (COREQ) 32-item checklist

Published
2020
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123. Prevalence and predictors of neuropsychiatric symptoms in cognitively impaired nursing home patients

Author

Zuidema, Sytse, Koopmans, Raymond, and Verhey, Frans

Subjects
Dementia -- Diagnosis, Nursing home patients -- Psychological aspects, Psychology and mental health, Seniors, Diagnosis, Psychological aspects
Abstract

ABSTRACT The prevalence of neuropsychiatric symptoms and the influence of predictive factors in cognitively impaired nursing home patients were reviewed. Articles were identified by means of a MEDLINE and PsychInfo [...]

Published
2007

125. Ambiance Scale--Modified Dutch Version

Author

Kosters, Janouk, primary, Kunz, Miriam, additional, van den Bosch, Kirsten A., additional, Andringa, Tjeerd C., additional, Zuidema, Sytse U., additional, Luijendijk, Hendrika J., additional, and Janus, Sarah I. M., additional

Published
2021
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126. Delirium Caregiver Questionnaire

Author

Luijendijk, Hendrika J., primary, Quispel-Aggenbach, Daisy W. P., additional, Stroomer-van Wijk, Anne J. M., additional, Meijerink-Blom, Agnes H., additional, van Walbeek, Annemiek, additional, and Zuidema, Sytse U., additional

Published
2021
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135. 210 - Palliative Care in Dementia

Author

Veldwijk-Rouwenhorst, Annelies E., primary, Smalbrugge, Martin, additional, Zuidema, Sytse U., additional, Hanssen, Suzan A.J., additional, Koopmans, Raymond T.C.M., additional, and Gerritsen, Debby L., additional

Published
2020
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136. 327 - The Course and Predictors of Quality of Life in Nursing Home Residents with Young-onset Dementia

Author

Pu, Lihui, primary, Bakker, Christian, additional, Appelhof, Britt, additional, Van Duinen-van den Ijssel, Jeannette C.L., additional, Zwijsen, Sandra A., additional, Teerenstra, Steven, additional, Smalbrugge, Martin, additional, Verhey, Frans R.J., additional, de Vugt, Marjolein E., additional, Zuidema, Sytse U., additional, and Koopmans, Raymond T.C.M., additional

Published
2020
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