# REDUCING AGGRESSIVE BEHAVIOR DURING BATHING SITUATIONS

> **NIH NIH R01** · OREGON HEALTH & SCIENCE UNIVERSITY · 1992 · $100,130

## Abstract

Aggressive behavior is a secondary symptom associated with dementia that is
among the most difficult for nursing home staff to manage.  The preliminary
investigation proposed here within will serve as a feasibility and pilot
study for a multiple site clinical trial that will address three long-range
goals.  These goals are: 1) to determine if implementing individualized
care plans for the specific personal care activity of bathing prevents and
reduces the occurrence of aggressive behavior in cognitively-impaired
elderly nursing home residents known to be aggressive; 2) to evaluate if
utilizing a geropsychiatric clinical nurse specialist (CNS) as a consultant
and resource person to nursing assistants (NAs) during bathing situations
is effective in enhancing their satisfaction with caregiving to aggressive
residents and their implementation of individualized bathing care plans;
and 3) to determine the efficiency of the model.  Specific aims of the
pilot study are: a) to document the precipitants and characteristics of
verbal and physical aggressive behavior directed at staff during and after
assistance with bathing; b) to document the process used by the CNS to
develop individualized bathing care plans collaboratively with NAs for
aggressive residents; c) to determine if the process used by the CNS
increases NAs' satisfaction with caregiving, enhances the quality of their
relationship with aggressive residents, and promotes their adoption of
individualized bathing care plans; d) to determine if implementation of the
plans decreases the frequency of verbal and physical aggressive behavior
during and after bathing; and e) to develop and test the methods to be used
in evaluating the efficiency of the model.  A pretest-post test control
group design will be used in which 20 residents and their NA caregivers
will be randomly assigned to experimental or control groups at each of two
sites (N=40).  Quantitative data on resident, staff and cost outcomes will
be collected pre and post-intervention and analyzed using repeated measures
ANOVA.  Qualitative data on the process and product of the intervention
will be collected and analyzed using inductive methods and content
analysis.

## Key facts

- **NIH application ID:** 3123428
- **Project number:** 1R01AG011504-01
- **Recipient organization:** OREGON HEALTH & SCIENCE UNIVERSITY
- **SAM.gov UEI:** NPSNT86JKN51
- **Principal Investigator:** BEVERLY M HOEFFER
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1992
- **Award amount:** $100,130
- **Award type:** 1
- **Project period:** 1992-09-30 → 1994-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3123428

## Citation

> US National Institutes of Health, RePORTER application 3123428, REDUCING AGGRESSIVE BEHAVIOR DURING BATHING SITUATIONS (1R01AG011504-01). Retrieved via MORVS 2026-10-25 from https://api.morvs.ai/grant/nih/3123428. Licensed CC0.

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