Application of Kinaesthetics on reducing challenging behavior during the support life activities of daily life (body care, moving, eating and drinking in persons with dementia: development of complex interventions
Organizational Data
- DRKS-ID:
- DRKS00006244
- Recruitment Status:
- Recruiting complete, study complete
- Date of registration in DRKS:
- 2014-07-16
- Last update in DRKS:
- 2019-05-22
- Registration type:
- Prospective
Acronym/abbreviation of the study
No Entry
URL of the study
No Entry
Brief summary in lay language
Aggressive behaviour seems to occur particularly frequently during body care, because people with dementia feel extremely troubled in this situation (Jackson et al., 1997; Beck et al., 1998, zit. in Halek & Bartholomeyczik, 2006, S. 46). Challenging behaviour is not only burdensome for person with dementia themselves but also for their social environment. Stress caused by challenging behaviour often evokes feelings of inadequacy and demoralization in nurses. With regard to physical activity and interaction the kinaesthetics approach could offer a way to a solution. In kinaesthetics, focused support of movements during activities of daily life promotes perception and thus facilitates self-control over the experience (Suter, Marty-Teuber, Knobel & Marty-Teuber, 2010). The aim of the study is to elaborate which factors are of particular importance for applying kineasthetics in order to reduce challenging behaviour in people with dementia during support in activities of daily living. The study is divided into four phases 1. A systematic review is performed to identify topically relevant knowledge. 2. Focus group interviews with kinaesthetics trainers and nurses are conducted to find out which factors are relevant for the application of kinaesthetics from the point of view of particular groups. 3. Observation aims to verify already existing data and to extend them. 4. Finally, on the basis of all data a model is elaborated, revealing different components of kinaestetics application as well as the interdependencies between the components.
Brief summary in scientific language
background: In the care of people with dementia often leads to challenging behavior, which is a demand-supply difficult, makes partly impossible and influenced the life quality of the people instrumental in supporting their life activities. Kinaesthetics as a concept to promote the perception of movement and self-control provides a targeted and appropriate interaction a possible solution. The concept has been used for years in the care of people with dementia. To date, there are no studies to what extent Kinaesthetics effect on challenging behavior during the support life activities. Objective: To develop an efficiency model (intervention, context, process, outcome) to reduce challenging behavior during the support life activities in people with dementia. The research project is oriented according to the guidelines of the Medical Research Council complex interventions based on three phases: First Phase: Describe evidence base for action of Kinaesthetics in people with dementia and challenging behavior Second Phase: Identify components of the Kinaesthetics intervention and their interrelationships Third Phase: Development and testing of Kinaesthetics-effect model. Method: Exploratory sequential mixed-methods design 1 Systematic Review 2 Four focus group interviews with Kinaesthetics-experts, nurses in two different institutions 3 video recordings during the support life activities at 5-8 people per institution, for 10 days (morning and evening). results: Through the study, new insights into the significance of the interaction of Kinaesthetics with challenging behaviors in people with dementia be gained and developed an impact model. Project financing: - Alzheimer's Association Switzerland - Ebnet Foundation - Swiss professional association nursing staff / care professionals.
Health condition or problem studied
- Free text:
- Challenging behavior in dementia
- Healthy volunteers:
- No Entry
Interventions, Observational Groups
- Arm 1:
- Application of Kinaesthetics by nurses with people with dementia two weeks, and then application of Kinaesthetics by Kinaestheticscoaches two weeks each morning and every evening
- Arm 2:
- Observation of nursing support in daily activities of life before intervention
Endpoints
- Primary outcome:
- Effect model of Kinaesthetics
- Secondary outcome:
- Challenging behavior in activities of daily living, which are captured by video sequences and analysed by qualitative content analysis and also descriptive quantitative
Study Design
- Purpose:
- Other
- Allocation:
- Non-randomized controlled study
- Control:
-
- Control group receives no treatment
- Phase:
- N/A
- Study type:
- Interventional
- Mechanism of allocation concealment:
- No Entry
- Blinding:
- No
- Assignment:
- Other
- Sequence generation:
- No Entry
- Who is blinded:
- No Entry
Recruitment
- Recruitment Status:
- Recruiting complete, study complete
- Reason if recruiting stopped or withdrawn:
- No Entry
Recruitment Locations
- Recruitment countries:
-
- Switzerland
- Number of study centers:
- Multicenter study
- Recruitment location(s):
-
- Other Spital Limmatal Schlieren
- Other Lindenfeld Suhr
- Other Kompetenzzentrum Gesundheit und Alter St. Gallen
- Other Zentrum Passwang für Gesundheit und Wohlbefinden Passwang
- Other Alterszentrum Etzel
Recruitment period and number of participants
- Planned study start date:
- 2014-10-01
- Actual study start date:
- 2014-10-01
- Planned study completion date:
- No Entry
- Actual Study Completion Date:
- 2018-02-23
- Target Sample Size:
- 60
- Final Sample Size:
- 153
Inclusion Criteria
- Sex:
- All
- Minimum Age:
- 65 Years
- Maximum Age:
- no maximum age
- Additional Inclusion Criteria:
- Focus group interview: Nurses, Kinaestheticstrainer observation: Nursing home residents with moderate and severe dementia Nurses Kinaestheticstrainer Informed consent of all participants
Exclusion Criteria
Residents in a critical illness situation, Nurses do not know the residents
Addresses
Primary Sponsor
- Address:
- FHS St.Gallen Institut für Angewandte PflegewissenschaftProf. Dr. Andrè FringerRosenbergstrasse 599001 St.GallenSwitzerland
- Telephone:
- 0041 71 226 1524
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
- Investigator Sponsored/Initiated Trial (IST/IIT):
- Yes
Contact for Scientific Queries
- Address:
- Hochschule für Angewandte WissenschaftenMScN Andrea RenzRosenbergstrasse 599001 St.GallenSwitzerland
- Telephone:
- 0041 71 226 15 08
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Contact for Public Queries
- Address:
- Hochschule für Angewandte WissenschaftenMScN Andrea RenzRosenbergstrasse 599001 St.GallenSwitzerland
- Telephone:
- 0041 71 226 15 08
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Principal Investigator
- Address:
- Hochschule für Angewandte WissenschaftenMScN Andrea RenzRosenbergstrasse 599001 St.GallenSwitzerland
- Telephone:
- 0041 71 226 15 08
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Sources of Monetary or Material Support
Private sponsorship (foundations, study societies, etc.)
- Address:
- Schweizerische AlzheimervereinigungRue des Pecheurs 8E1400 Yverdon-les-BainsSwitzerland
- Telephone:
- No Entry
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Private sponsorship (foundations, study societies, etc.)
- Address:
- Ebnet Stiftung9053 TeufenSwitzerland
- Telephone:
- No Entry
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Private sponsorship (foundations, study societies, etc.)
- Address:
- Schweizer Berufsverband der Pflegefachfrauen und Pflegefachmänner3001 BernSwitzerland
- Telephone:
- No Entry
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Ethics Committee
Address Ethics Committee
- Address:
- Ethikkommission Kantonsspital St.Gallen /Flurhof 7 [Kantonale Ethikkommission St. Gallen]Rorschacherstrasse 95CH-9007 St.GallenSwitzerland
- Telephone:
- No Entry
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- http://www.sg.ch/home/gesundheit/ethikkommission.html
Vote of leading Ethics Committee
- Vote of leading Ethics Committee
- Date of ethics committee application:
- 2014-04-04
- Ethics committee number:
- EKSG 14/034
- Vote of the Ethics Committee:
- Approved
- Date of the vote:
- 2014-05-19
Further identification numbers
- Other primary registry ID:
- No Entry
- EudraCT Number:
- No Entry
IPD - Individual Participant Data
- Do you plan to make participant-related data (IPD) available to other researchers in an anonymized form?:
- No Entry
- IPD Sharing Plan:
- No Entry
Study protocol and other study documents
- Study protocols:
- No Entry
- Study abstract:
- No Entry
- Other study documents:
- Renz, A., Hantikainen, V., & Fringer, A. (2014, November). Konzept Kinaesthetics bei Personen mit Demenz: Verminderung von herausforderndem Verhalten während der Unterstützung der Lebensaktivitäten. Schweizerische Akademie der Medizinischen Wissenschaften. Symposium: Versorgungsforschung - interdisziplinär und multiprofessionell. 3. Symposium zur Versorgungsforschung im Gesundheitswesen, Bern.
- Background literature:
- No Entry
- Related DRKS studies:
- No Entry
Publication of study results
- Planned publication:
- No Entry
- Publikationen/Studienergebnisse:
- No Entry
- Date of first publication of study results:
- No Entry
- DRKS entry published for the first time with results:
- No Entry
Basic reporting
- Basic Reporting / Results tables:
- No Entry
- Brief summary of results:
- No Entry