TY  - JOUR
A1  - Niemann-Mirmehdi, Mechthild
A1  - Häusler, Andreas
A1  - Gellert, Paul
A1  - Nordheim, Johanna
T1  - Perceived Overprotection and Its Association With Quality of Life in Dementia
JF  - Geropsych - The  Journal of gerontopsychology and geriatric psychiatry
N2  - To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.
KW  - dementia
KW  - perceived overprotection
KW  - perceived stress
KW  - depression
KW  - quality of life
Y1  - 2019
U6  - https://doi.org/10.1024/1662-9647/a000207
SN  - 1662-9647
SN  - 1662-971X
VL  - 32
IS  - 3
SP  - 125
EP  - 134
PB  - Hogrefe
CY  - Göttingen
ER  - 
TY  - JOUR
A1  - Rapp, Michael A.
A1  - Mell, Thomas
A1  - Majic, Tomislav
A1  - Treusch, Yvonne
A1  - Nordheim, Johanna
A1  - Niemann-Mirmehdi, Mechthild
A1  - Gutzmann, Hans
A1  - Heinz, Andreas
T1  - Agitation in Nursing Home Residents With Dementia (VIDEANT Trial) -  Effects of a Cluster-Randomized, Controlled, Guideline Implementation Trial
JF  - Journal of the American Medical Directors Association
N2  - Objective: To test the effect of a complex guideline-based intervention on agitation and psychotropic prescriptions.
 Design, Setting, Participants: Cluster randomized controlled trial (VIDEANT) with blinded assessment of outcome in 18 nursing homes in Berlin, Germany, comprising 304 dementia patients.
 Intervention: Training, support, and activity therapy intervention, delivered at the level of each nursing home, focusing on the management of agitation in dementia. Control group nursing homes received treatment as usual.
 Measurements: Levels of agitated and disruptive behavior (Cohen-Mansfield agitation inventory [CMAI]) as the primary outcome. Number of neuroleptics, antidepressants, and cholinesterase inhibitors (ChEIs) prescribed in defined daily dosages (DDDs).
 Results: Of 326 patients screened, 304 (93.3%) were eligible and cluster-randomized to 9 intervention (n = 163) and 9 control (n = 141) nursing homes. Data were collected from 287 (94.4%) patients at 10 months. At 10 months, compared with controls, nursing home residents with dementia in the intervention group exhibited significantly less agitation as measured with the CMAI (adjusted mean difference, 6.24; 95% CI 2.03-14.14; P = .009; Cohen's d = 0.43), received fewer neuroleptics (P < .05), more ChEIs (P < .05), and more antidepressants (P < .05).
 Conclusion: Complex guideline-based interventions are effective in reducing agitated and disruptive behavior in nursing home residents with dementia. At the same time, increased prescription of ChEIs and antidepressants together with decreased neuroleptic prescription suggests an effect toward guideline-based pharmacotherapy.
KW  - Dementia
KW  - agitation
KW  - nursing home
KW  - guideline
KW  - trial
Y1  - 2013
U6  - https://doi.org/10.1016/j.jamda.2013.05.017
SN  - 1525-8610
VL  - 14
IS  - 9
SP  - 690
EP  - 695
PB  - Elsevier
CY  - New York
ER  -