Social Interactions Between People With Dementia in Nursing Home

March 25, 2015 updated by: Jean-Bernard Mabire, Paris West University Nanterre La Défense

The Impact of a Social Stimulation on Social Interactions in Institutionalized People With Dementia

The aim of this study is to evaluate the direct impact of one session of social stimulation on social interactions of people with moderate dementia living in nursing home in comparison of one session without direct social stimulation.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

60 people with moderate dementia living in a french nursing homme participated in this study. Residents gave oral consent twice to participate. They were classified in groups of six residents taking into account socio-demographic and medical characteristics. Two experimental conditions were proposed : 1. a social stimulation session (36 residents) and 2. a control group without direct social stimulation (24 residents). Collected socio-demographic and medical characteristics are age, gender, timf of institutionalization, sociocultural level, marital status and diagnostic hypothesis. Before the study, scales and questionnaires were used to assess cognitive status with the Mini Mental State Examination (Folstein et al, 1975); functional abilities with Instrumental Activities of Daily Living (Lawton and Brody, 1969); depression with the Cornell Scale for Depression in Dementia (Alexopoulos et al, 1988); psychological and behavioural disorders with the Neuropsychiatric Inventory (Cummings et al, 1994); and the quality of life with the Alzheimer's Disease Related Quality of Life (Rabins et al, 1999).

Social interactions are video taped and analyzed in a grid of observation.

The aim of the study is to see if there is an impact on social interactions after just one social stimulation session compared to a control group situation. Expected results are that residents of the social stimulation group will have more social interactions between us than the resident of the control group.

Study Type

Interventional

Enrollment (Actual)

60

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

75 years and older (Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • presence of a diagnostic of dementia in medical report and a MMSE score between 9 and 20.

Exclusion Criteria:

  • arrival in the institution dating less than six months
  • invalidating visual or hearing disorders
  • phasic disorders not allowing a minimum of communication
  • significant behavioural disorders (which can disturb the meeting)
  • residents not fluent in French language

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Psychosocial stimulation
One session of a social stimulation
Other: Psychosocial stimulation
Intervention consists in a session of social stimulation during about 40 minutes through where the speaker introduced himself to the residents and introduces the residents to each others. The date of the day was done to residents. Social stimulation consists here to an exercise about the four seasons. Residents are asked to mention the 4 seasons and to give all the characteristics they can about each season. Two exercises were proposed: 4 pictures of landscapes and residents were asked to tell which season is represent on the pictures and pictures of some fruits and residents tried to tell in which season we find the fruits. Finally, the psychologist speaks about the "four season" of the compositor Vivaldi and propose to the residents to listen some extracts of each pieces of music.
No Intervention: Control group
Residents are in a social controlled condition but without direct stimulation.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Observed social behaviours
Time Frame: during 8 minutes before the session a
social behaviours of residents observed and listed in an observations grid to analyze the results from observation in terms of components of behaviours expressed in means of observed behaviours.
during 8 minutes before the session a
Observed social behaviours
Time Frame: during 8 minutes after the session
social behaviours of residents observed and listed in an observations grid to analyze the results from observation in terms of components of behaviours expressed in means of observed behaviours.
during 8 minutes after the session

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cognitive Status
Time Frame: Baseline
Scale of the Mini Mental State of examination scored on 30 points.
Baseline
Functional abilities
Time Frame: Baseline
Scale of the Instrumental Activities of Daily Living scored on 14 points. More the score is high more the people is independent in daily living.
Baseline
Depression
Time Frame: Baseline
Cornell Scale for Depression in Dementia scored on 38 points. More the score os high more the people is depressed with a threshold score of 10.
Baseline
Psychological and behaviors disorders
Time Frame: Baseline
Neuropsychiatric Inventory : hetero-evaluation of the psychological and behavioural disorders in 12 domains with the frequency of occurrence of the disorder, the intensity and the resounding on caregivers.
Baseline
Quality of life
Time Frame: Baseline
Hetero-evaluation scale named Alzheimer's Disease Related Quality of life expressed in percentage. A high score means a good quality of life.
Baseline

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Paris West University Nanterre La Défense

Collaborators

Radboud University Medical Center

Investigators

  • Principal Investigator: Jean-Bernard Mabire, University Paris Ouest - EA 4430 - 200, Avenue de la République - 92001 Nanterre cedex

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2012

Primary Completion (Actual)

January 1, 2015

Study Completion (Actual)

February 1, 2015

Study Registration Dates

First Submitted

March 16, 2015

First Submitted That Met QC Criteria

March 25, 2015

First Posted (Estimate)

March 31, 2015

Study Record Updates

Last Update Posted (Estimate)

March 31, 2015

Last Update Submitted That Met QC Criteria

March 25, 2015

Last Verified

March 1, 2015

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • SID010

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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