Conducting randomized controlled trials with older people with dementia in long-term care: Challenges and lessons learnt

被引:23
作者
Murfield, Jenny
Cooke, Marie [1 ]
Moyle, Wendy [2 ]
Shum, David [3 ]
Harrison, Scott [4 ]
机构
[1] Griffith Univ, Sch Nursing & Midwifery, Griffith Inst Hlth & Med Res, Brisbane, Qld 4111, Australia
[2] Griffith Univ, Res Ctr Clin & Community Practice Innovat, Griffith Inst Hlth & Med Res, Brisbane, Qld 4111, Australia
[3] Griffith Univ, Sch Psychol, Brisbane, Qld 4111, Australia
[4] Griffith Univ, Sch Educ & Profess Studies, Brisbane, Qld 4111, Australia
基金
英国医学研究理事会;
关键词
crossover design; dementia; methodology; randomized controlled trial; research design; MUSIC-THERAPY; PSYCHOSOCIAL TREATMENTS; INTERVENTION RESEARCH; ELDERLY PERSONS; SYMPTOMS; INTENTION; DEPRESSION; PREVALENCE; BEHAVIORS; ANXIETY;
D O I
10.1111/j.1440-172X.2010.01906.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Conducting randomized controlled trials with older people with dementia in long-term care: Challenges and lessons learnt The characteristics of older people with dementia and the long-term care environment can make conducting research a challenge and, as such, this population and setting are often understudied, particularly in terms of clinical or randomized controlled trials. This paper provides a critical discussion of some of the difficulties faced whilst implementing a randomized controlled trial exploring the effect of a live music programme on the behaviour of older people with dementia in long-term care. A discussion of how these challenges were addressed is presented to aid investigators planning the design of similar research and help encourage a proactive approach in dealing with research-related challenges right from project conception. The article is structured according to the three principles of a randomized controlled trial in order to keep experimental rigour at the forefront of this research area.
引用
收藏
页码:52 / 59
页数:8
相关论文
共 45 条
[1]  
[Anonymous], 2002, J WILEY
[2]   The effect of reminiscence music therapy sessions on changes in depressive symptoms in elderly persons with dementia [J].
Ashida, S .
JOURNAL OF MUSIC THERAPY, 2000, 37 (03) :170-182
[3]  
Australian Institute of Health and Welfare (AIHW), 2006, DEM AUSTR NAT DAT AN
[4]   Clinical features and assessment of severe dementia. A review [J].
Boller, F ;
Verny, M ;
Hugonot-Diener, L ;
Saxton, J .
EUROPEAN JOURNAL OF NEUROLOGY, 2002, 9 (02) :125-136
[5]  
Boso M, 2006, FUNCT NEUROL, V21, P187
[6]   Conceptualization and measurement of quality of life in dementia: The dementia quality of life instrument (DQoL) [J].
Brod, M ;
Stewart, AL ;
Sands, L ;
Walton, P .
GERONTOLOGIST, 1999, 39 (01) :25-35
[7]   The temporal limits of cognitive change from music therapy in elderly persons with dementia or dementia-like cognitive impairment: A Randomized controlled trial [J].
Bruer, Robert A. ;
Spitzriagel, Edward ;
Cloninger, C. Robert .
JOURNAL OF MUSIC THERAPY, 2007, 44 (04) :308-328
[8]   Defining empirically supported therapies [J].
Chambless, DL ;
Hollon, SD .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1998, 66 (01) :7-18
[9]  
Clair A., 1990, Journal of Applied Gerontology, V9, P299, DOI DOI 10.1177/073346489000900305
[10]   Nonpharmacologic interventions for inappropriate behaviors in dementia - A review, summary, and critique [J].
Cohen-Mansfield, J .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2001, 9 (04) :361-381