# REDUCING DISRUPTIVE BEHAVIORS IN DEMENTED ELDERLY

> **NIH NIH R01** · UNIV OF ARKANSAS FOR MED SCIS · 1992 · $691,697

## Abstract

Although it has been widely recognized that elderly nursing home residents
with dementia display a wide range of disruptive behaviors, little data are
available on the course of those behaviors over time or effective methods
to prevent or manage them.  The overall goal of this study, therefore, is
to test intervention strategies designed to reduce disruptive behaviors in
nursing home residents with dementia.  A secondary goal is to describe,
over time, the occurrence and course of disruptive behaviors.

Based on a series of planned preliminary studies and pilot data analysis,
this study will compare the effectiveness of a Psychosocial Activity
Intervention (PSA), an Activities of Daily Living Intervention (ADL), and
a combination of the two interventions (CB) in decreasing the frequency,
duration, and intensity of disruptive behaviors in demented elderly
residents.  The relationship between disruptive behaviors and
psychological, cognitive, and functional status of the elders will be
profiled.  Data collected will ascertain the course and occurrence of
disruptive behaviors in these elders.

A controlled field experiment of the interventions will be tested with
randomly assigned groups of a total of 100 residents (25 in each of four
nursing homes) with a diagnosis of dementia who exhibit disruptive
behaviors.  Following pretesting, using a variety of behavioral, cognitive,
and physical functioning status instruments, random assignments will be
made to five groups:  PSA, ADL, CB, a PSA Placebo group, or a No-
Intervention Control Group.  Each resident (with the exception of the
control group) will follow a treatment structure and format.  Post-testing
will be conducted at one and two months after the treatment period.  During
the treatment period, residents will be videotaped during the treatment
activity, AM care, and the noon meal.

A longitudinal descriptive profile of all nursing home residents in two
additional homes will be conducted with an anticipated total sample size of
150 (75 in each home).  Using a battery of cognitive, psychological,
observational, and physical examination measures, the elders' disruptive
behaviors will be examined over two month periods for two years.

Data analysis will consist of descriptive and correlational procedures.
Comparison of the treatment groups will be analyzed using analysis of
variance with preplanned contrasts.  Longitudinal data will be analyzed
using repeated measures and multivariate linear modeling techniques.

## Key facts

- **NIH application ID:** 3122289
- **Project number:** 1R01AG010321-01
- **Recipient organization:** UNIV OF ARKANSAS FOR MED SCIS
- **SAM.gov UEI:** VDFYLZPJEAV6
- **Principal Investigator:** Cornelia Marie Beck
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1992
- **Award amount:** $691,697
- **Award type:** 1
- **Project period:** 1992-01-15 → 1994-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3122289

## Citation

> US National Institutes of Health, RePORTER application 3122289, REDUCING DISRUPTIVE BEHAVIORS IN DEMENTED ELDERLY (1R01AG010321-01). Retrieved via MORVS 2026-10-25 from https://api.morvs.ai/grant/nih/3122289. Licensed CC0.

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