Reducing Behavioral and Psychological Symptoms of Dementia in Acutely Ill Patients via Patient Engagement Specialists: A Pilot Feasibility Study
Behavioral and psychological symptoms of dementia (BPSD) are common in hospitalized persons living with dementia (PLWD). This pilot aimed to test the feasibility of an innovative model of care, PES-4-BPSD (a dementia unit staffed with Patient Engagement Specialists, PES). Non-randomized pilot feasib...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-08-01
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| Series: | Gerontology and Geriatric Medicine |
| Online Access: | https://doi.org/10.1177/23337214231192162 |
| _version_ | 1797741271001858048 |
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| author | Liron Sinvani MD Andrew Strunk MA Suzanne Ardito MA Samantha Gordon MA Yan Liu PhD Emily Schantz LCSW Asma Arroon LMSW Anum Ilyas BS Valeria Gromova BS Ashley Polokowski PhD Jessy Levin PhD, MPH Alex Makhnevich MD Stefani D’Angelo MS Marie Boltz PhD |
| author_facet | Liron Sinvani MD Andrew Strunk MA Suzanne Ardito MA Samantha Gordon MA Yan Liu PhD Emily Schantz LCSW Asma Arroon LMSW Anum Ilyas BS Valeria Gromova BS Ashley Polokowski PhD Jessy Levin PhD, MPH Alex Makhnevich MD Stefani D’Angelo MS Marie Boltz PhD |
| author_sort | Liron Sinvani MD |
| collection | DOAJ |
| description | Behavioral and psychological symptoms of dementia (BPSD) are common in hospitalized persons living with dementia (PLWD). This pilot aimed to test the feasibility of an innovative model of care, PES-4-BPSD (a dementia unit staffed with Patient Engagement Specialists, PES). Non-randomized pilot feasibility trial was conducted, enrolling N = 158 patients to the intervention unit ( n = 79, a 10-bed dementia unit, staffed with nursing assistants, NAs, with mental health backgrounds, PES) and an enhanced control unit ( n = 79, 40-bed medicine unit, staffed with NAs). All NAs/PES ( N = 63) received dementia training, with completion rate of 82.5%. Overall, patients had ~1 NPI-Q (Neuropsychiatric Inventory Questionnaire) assessment/48 hr. 97% ( n = 153) of PLWD exhibited at least one behavior. Average NPI-Q scores did not differ across intervention (5.36) and control (3.87) units ( p = .23). Patients on the intervention unit had 88% ( p = .002) shorter duration of constant observation. A dementia care unit staffed by PES is an innovative model requiring further research. |
| first_indexed | 2024-03-12T14:24:24Z |
| format | Article |
| id | doaj.art-7cc22db644ad4f259d43ca9d332bc5fb |
| institution | Directory Open Access Journal |
| issn | 2333-7214 |
| language | English |
| last_indexed | 2024-03-12T14:24:24Z |
| publishDate | 2023-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Gerontology and Geriatric Medicine |
| spelling | doaj.art-7cc22db644ad4f259d43ca9d332bc5fb2023-08-18T13:11:20ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142023-08-01910.1177/23337214231192162Reducing Behavioral and Psychological Symptoms of Dementia in Acutely Ill Patients via Patient Engagement Specialists: A Pilot Feasibility StudyLiron Sinvani MD0Andrew Strunk MA1Suzanne Ardito MA2Samantha Gordon MA3Yan Liu PhD4Emily Schantz LCSW5Asma Arroon LMSW6Anum Ilyas BS7Valeria Gromova BS8Ashley Polokowski PhD9Jessy Levin PhD, MPH10Alex Makhnevich MD11Stefani D’Angelo MS12Marie Boltz PhD13Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USADonald and Barbara Zucker School of Medicine at Hofstra, Northwell Health, Manhasset, NY, USAFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USAFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USAFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USADonald and Barbara Zucker School of Medicine at Hofstra, Northwell Health, Manhasset, NY, USADonald and Barbara Zucker School of Medicine at Hofstra, Northwell Health, Manhasset, NY, USAFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USAFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USADonald and Barbara Zucker School of Medicine at Hofstra, Northwell Health, Manhasset, NY, USAMemorial Sloan Kettering Cancer Center, New York, NY, USAFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USAFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USAThe Pennsylvania State University, University Park, USABehavioral and psychological symptoms of dementia (BPSD) are common in hospitalized persons living with dementia (PLWD). This pilot aimed to test the feasibility of an innovative model of care, PES-4-BPSD (a dementia unit staffed with Patient Engagement Specialists, PES). Non-randomized pilot feasibility trial was conducted, enrolling N = 158 patients to the intervention unit ( n = 79, a 10-bed dementia unit, staffed with nursing assistants, NAs, with mental health backgrounds, PES) and an enhanced control unit ( n = 79, 40-bed medicine unit, staffed with NAs). All NAs/PES ( N = 63) received dementia training, with completion rate of 82.5%. Overall, patients had ~1 NPI-Q (Neuropsychiatric Inventory Questionnaire) assessment/48 hr. 97% ( n = 153) of PLWD exhibited at least one behavior. Average NPI-Q scores did not differ across intervention (5.36) and control (3.87) units ( p = .23). Patients on the intervention unit had 88% ( p = .002) shorter duration of constant observation. A dementia care unit staffed by PES is an innovative model requiring further research.https://doi.org/10.1177/23337214231192162 |
| spellingShingle | Liron Sinvani MD Andrew Strunk MA Suzanne Ardito MA Samantha Gordon MA Yan Liu PhD Emily Schantz LCSW Asma Arroon LMSW Anum Ilyas BS Valeria Gromova BS Ashley Polokowski PhD Jessy Levin PhD, MPH Alex Makhnevich MD Stefani D’Angelo MS Marie Boltz PhD Reducing Behavioral and Psychological Symptoms of Dementia in Acutely Ill Patients via Patient Engagement Specialists: A Pilot Feasibility Study Gerontology and Geriatric Medicine |
| title | Reducing Behavioral and Psychological Symptoms of Dementia in Acutely Ill Patients via Patient Engagement Specialists: A Pilot Feasibility Study |
| title_full | Reducing Behavioral and Psychological Symptoms of Dementia in Acutely Ill Patients via Patient Engagement Specialists: A Pilot Feasibility Study |
| title_fullStr | Reducing Behavioral and Psychological Symptoms of Dementia in Acutely Ill Patients via Patient Engagement Specialists: A Pilot Feasibility Study |
| title_full_unstemmed | Reducing Behavioral and Psychological Symptoms of Dementia in Acutely Ill Patients via Patient Engagement Specialists: A Pilot Feasibility Study |
| title_short | Reducing Behavioral and Psychological Symptoms of Dementia in Acutely Ill Patients via Patient Engagement Specialists: A Pilot Feasibility Study |
| title_sort | reducing behavioral and psychological symptoms of dementia in acutely ill patients via patient engagement specialists a pilot feasibility study |
| url | https://doi.org/10.1177/23337214231192162 |
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