# BEHAVIOR MANAGEMENT FOR PERSONS WITH DEMENTIA

> **NIH NIH R01** · NYSDOH/HEALTH RESEARCH, INC. · 1991 · $63,926

## Abstract

The New York State Department of Health (NYSDOH, the applicant) has
developed a comprehensive system for its Adult Day Health Care Program
(ADHC).  Building on this system the proposed project will (a) use
taxometric analysis to develop behavioral typologies of subgroups among
current clients of ADHC programs, and (b) based on this analysis and on
input from several other sources including an Advisory Committee, will
further develop and target program and community-based specific
interventions to each subgroup.

With rare consistency studies have shown adult health related daycare to be
relatively ineffective in terms of preventing or substantially postponing
long term institutional placement.  As Holmes (the proposed Senior
Scientist) has pointed out, this seeming lack of success in part may be
attributed to failure to identify subgroups among the daycare population
with consequent tailoring of program elements to identifiably different
needs.  Further, such a focus on reducing institutional placement overlooks
a more fundamental issue:  enhancing -- or making less noxious -- the lives
of elderly persons with dementing illness and those charged with their
community-based care.  Dr. Koren (the proposed principal investigator) has
been particularly concerned about quality of life issues, and has
implemented a state-wide non-resistant use policy in long-term care
facilities.

Although the focus of the study will be on Adult Day Health Centers,
inclusion of Alzheimer's Association staff on the Advisory Committee will
ensure that resulting products are equally suitable for use by family
caregivers and others not necessarily in a group or program setting.

The hypotheses to be tested is:  Among clients with mild to moderate
cognitive impairment enrolled in Adult Day Health Care Programs, there are
identifiable subgroups in terms of patterns of disturbing behaviors
exhibited.  Differential intervention strategies will be logically
associated with each of these behavioral subgroups.  An implicit project
goal is to augment, permanently, all measures used by the applicant to
collected ADHC information which adequately represents key behavioral
domains.

## Key facts

- **NIH application ID:** 3122571
- **Project number:** 1R01AG010645-01
- **Recipient organization:** NYSDOH/HEALTH RESEARCH, INC.
- **SAM.gov UEI:** G9H6SUM59YC4
- **Principal Investigator:** ELIZABETH DICHTER
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1991
- **Award amount:** $63,926
- **Award type:** 1
- **Project period:** 1991-09-30 → 1993-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3122571

## Citation

> US National Institutes of Health, RePORTER application 3122571, BEHAVIOR MANAGEMENT FOR PERSONS WITH DEMENTIA (1R01AG010645-01). Retrieved via MORVS 2026-10-25 from https://api.morvs.ai/grant/nih/3122571. Licensed CC0.

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