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Functional behaviour analysis guided interventions might improve transferrelated behaviour in dementia care dyads: a single case study
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institute, Stockholm,Sweden. (BEME)ORCID-id: 0000-0003-0964-1747
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. (BEME)ORCID-id: 0000-0002-4537-030X
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. (BEME)ORCID-id: 0000-0001-6292-7010
2020 (engelsk)Inngår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 22, nr 1, s. 20-28Artikkel i tidsskrift (Fagfellevurdert) Published
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.

sted, utgiver, år, opplag, sider
Abingdon: TAYLOR & FRANCIS LTD , 2020. Vol. 22, nr 1, s. 20-28
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fysioterapi
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URN: urn:nbn:se:mdh:diva-46300DOI: 10.1080/21679169.2018.1549591ISI: 000514590100004OAI: oai:DiVA.org:mdh-46300DiVA, id: diva2:1377501
Tilgjengelig fra: 2019-12-12 Laget: 2019-12-12 Sist oppdatert: 2020-03-12bibliografisk kontrollert

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Thunborg, CharlottaSöderlund, Annevon Heideken Wågert, Petra

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