Doll Therapy on Patients With Moderate and Severe Dementia

Effect of Doll Therapy on the Cognitive States and Agitation Levels of Patients With Moderate and Severe Dementia

Sponsors

Lead Sponsor: Aksaray University Training and Research Hospital

Source Aksaray University Training and Research Hospital
Brief Summary

Doll therapy is one of the non-pharmacological methods that can be practiced in managing the symptoms of dementia patients. Nurses can practice doll therapy independently, and literature reports that it has positive effects on the behaviors, moods, emotions, cognitive states and social life of patients with moderate and severe dementia. Our country had no study that investigated the effect of doll therapy in managing the cognitive and behavioral symptoms of dementia patients. This project is a randomized controlled trial that aims to investigate the effect of Doll therapy on the cognitive states and agitation levels of patients with moderate and severe dementia.

Detailed Description

Dementia is a progressive neurodegenerative disease increasing in prevalence due to the aging population that grows in parallel with the increased life expectancy at birth in recent years. It is characterized with a progressive deterioration in cognitive abilities and memory. Due to the increasing losses in cognitive and physical functions, people with dementia become in need of nursing over time. Agitation is the most common behavioral symptom.

Agitation is defined as improper verbal, vocal and motor activity that are not purposeful and are not caused by confusion. Verbal and physical aggression, restlessness, aimless wandering, profanity, self-harm, continuous and repetitive questioning behavior emerges.Agitation should be managed with reliable and tolerable, effective methods in order to affect the quality of life of both the patient and the caregiver negatively.

Doll therapy is one of the non-pharmacological methods that can be practiced in managing the symptoms of dementia patients. Nurses can practice doll therapy independently, and literature reports that it has positive effects on the behaviors, moods, emotions, cognitive states and social life of patients with moderate and severe dementia.Our country had no study that investigated the effect of doll therapy in managing the cognitive and behavioral symptoms of dementia patients. This study is a randomized controlled trial that aims to investigate the effect of Doll therapy on the cognitive states and agitation levels of patients with moderate and severe dementia.

Overall Status Recruiting
Start Date April 8, 2019
Completion Date October 30, 2019
Primary Completion Date October 30, 2019
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Standardized Mini Mental Test 2 months after the beginning intervention.
Cohen-Mansfield Agitation Inventory 2 months after the beginning intervention
Enrollment 30
Condition
Intervention

Intervention Type: Behavioral

Intervention Name: Doll therapy

Description: The patient will then be given the doll to be used in the research by the caregiver and the researcher. Intervention group (accepting the baby) will be evaluated in terms of interaction with the baby, communication with employees and other patients and participation in daily life activities for 60 days. In addition, the agitation symptoms of the patients during the 60 days they spend with the baby will be evaluated by CMAI and cognitive level by MMSE.

Arm Group Label: Doll therapy

Intervention Type: Other

Intervention Name: Routine nursing care

Description: The nursing care provided by the institution was applied to the dementia patients in the routine nursing care group. Routine nursing care group interventions in the institution; Monitoring of life signs, application of drug treatments, participation in social activities such as listening to music, reading prayer, initiatives such as assisting patients in performing daily living activities.

Arm Group Label: Routine nursing care

Eligibility

Criteria:

Inclusion Criteria:

- Diagnosed with moderate to severe dementia (those with a SMMT score of 17 or less)

- Having dexterity to hold or caress a baby

- No problem with communication obstruction

- Dementia patients who agree to participate in the study

Exclusion Criteria:

- Mild stage dementia,

- Diagnosed with neurological or psychiatric diseases other than dementia, not accepting the baby despite two attempts,

- Rarely agitated dementia patients with baby dolls

Gender: All

Minimum Age: N/A

Maximum Age: 90 Years

Healthy Volunteers: No

Overall Official
Last Name Role Affiliation
Cemile KÜTMEÇ YILMAZ, Dr Principal Investigator Aksaray University, Faculty of Health Science, Nursing Department, Turkey
Overall Contact

Last Name: Cemile KÜTMEÇ YILMAZ, Dr

Phone: +9003822882771

Email: [email protected]

Location
Facility: Status: Contact: Contact Backup: Cemile KÜTMEÇ YILMAZ Cemile K YILMAZ 3822882771 [email protected]
Location Countries

Turkey

Verification Date

October 2019

Responsible Party

Type: Principal Investigator

Investigator Affiliation: Aksaray University Training and Research Hospital

Investigator Full Name: Cemile KÜTMEÇ YILMAZ

Investigator Title: Principal Investigator

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: Doll therapy

Type: Experimental

Description: Experimental: Doll Therapy Intervention A total of 30 patients were included in the study. All patients that meet the study inclusion criteria will be included in the study The patients in the intervention group will have Doll therapy for 60 days and weekly patient visits. The study will be started with control group patients. At the beginning of the study and after 60 days, "Introductory Information Form", Mini Standard Mini Mental Test "and" Cohen-Mansfield Agitation Inventory "will be applied to patients in intervention and control groups for data collection. Dementia patients will be given a baby, patients will be followed for two months. There will be monitoring once a week.

Label: Routine nursing care

Type: Active Comparator

Description: The nursing care provided by the institution was applied to the dementia patients in the routine nursing care group. Routine nursing care group interventions in the institution; Monitoring of life signs, application of drug treatments, participation in social activities such as listening to music, reading prayer, initiatives such as assisting patients in performing daily living activities. There was no intervention other than routine care. The patients were followed up for two months.The patients were followed up for two months.Data collection forms were applied at the beginning, first and second months of the study.

Patient Data No
Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Supportive Care

Masking: None (Open Label)

Source: ClinicalTrials.gov