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Evid Based Nurs 3:25 doi:10.1136/ebn.3.1.25
  • Treatment

A behavioural intervention improved cognitive function and depression in elderly people in residential homes

(1999) Lancet 354, 26. Proctor R, Burns A, Stratton Powell H. , et al.. Behavioural management in nursing and residential homes: a randomised controlled trial.. Jul 3;. :. –9.


 
 QUESTION: In elderly people living in residential and nursing homes, can a behavioural intervention by a geriatric mental health outreach team improve cognitive function, depression, behavioural problems, and functional disability?

Design

Randomised (allocation concealed), blinded (patients), controlled trial with 6 months of follow up.

Setting

10 residential homes and 2 nursing homes in Manchester, UK.

Patients

120 elderly people (10 per home, mean age 82 y, 82% women) who lived in residential or nursing homes and whom staff identified as being difficult to manage. 88% completed the study.

Intervention

Residential or nursing homes were matched by size and accreditation status. 1 home in each of the 6 pairs was randomised to the intervention and the other to a control group. In …

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