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Functional behaviour analysis guided interventions might improve transferrelated behaviour in dementia care dyads: a single case study
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Institute, Stockholm,Sweden. (BEME)ORCID iD: 0000-0003-0964-1747
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (BEME)ORCID iD: 0000-0002-4537-030X
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (BEME)ORCID iD: 0000-0001-6292-7010
(English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Impaired mobility in people with severe dementia is well known. Physical therapists play a key role in guiding professional caregivers on how to handle mobility and transfer-related problems; however, it is unknown how to handle the complexity of dementia-related impaired endurance, joint dysfunction, balance, and gait dysfunction and at the same time, take into consideration the person's decreased cognition, communication deficits, and behaviour problems.

Aims and methods: The aim was to explore the effectiveness and efficiency of functional behaviour analysis (FBA) guided interventions of dyadic transfer-related behaviour in dementia care dyads. An experimental single-case research design was used. Two care dyads participated. Different methods of assessment were performed to gather the dyadic transfer-related behavioural problems. Transfers were recorded by video uptakes and to generate a hypothesis about dyadic transfer-related behavioural problems, the Dyadic Interaction in Dementia Transfer Assessment Scale (DIDTAS) was used.

Results: The problematic transfer-related behaviour in care dyad 1 changed positively, as reflected by a decrease in discomfort verbally expressed by the person with dementia. A trend towards increased cooperation was observed among caregivers assisting in the transfer situation. In care dyad 2, a trend towards increased caregiver self-efficacy (SE) was observed between the baseline and completed intervention phases. The decreased resistiveness to care (RTC) exhibited by the person with dementia paralleled the increase in caregiver SE.

Conclusion: Considering the findings of this explorative study, physical therapists could consider the development of tailored interventions guided by an FBA for complex dyadic transfer-related behavioural problems in dementia care dyads.

National Category
Physiotherapy
Research subject
Physiotherapy
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URN: urn:nbn:se:mdh:diva-46300DOI: 10.1080/21679169.2018.1549591OAI: oai:DiVA.org:mdh-46300DiVA, id: diva2:1377501
Available from: 2019-12-12 Created: 2019-12-12 Last updated: 2019-12-16Bibliographically approved

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Thunborg, CharlottaSöderlund, Annevon Heideken Wågert, Petra

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