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64 results

Master's Thesis

Impact of Montessori-Based Dementia Programming on Engagement and Affect of Older Adults with Dementia

Available from: University of San Francisco

Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)

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Abstract/Notes: The COVID-19 pandemic has profoundly impacted the Adult Day Services program and Adult Day programs across the country. As the Adult Day Services program transitions to an in-person format, goals within the organization include developing appropriate programming, increasing group size, and keeping clients entertained. The framework guiding this quality improvement project is Montessori-Based Dementia Programming ® (MBDP). This project aims to increase client engagement, decrease client anxiety, and decrease staff workload. This will be measured by a self-developed staff workload survey, the Menorah-Park Engagement, and the Affect rating scale. Implementation of MBDP at the Adult Day Center did not meet all projected goals, however benefits of MBDP were observed. The benefits of MBDP include improved affect and engagement of clients when participating in MBDP.

Language: English

Published: San Francisco, California, 2022

Book

The Montessori Method for Connecting to People with Dementia: A Creative Guide to Communication and Engagement in Dementia Care

Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)

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Abstract/Notes: Creative activities can support people with dementia, leading to moments of reconnection and joy. This book shows how the Montessori method - with its arts-based, person-centred and positive focus - can help caregivers connect to people with dementia. Drawing on 20 years of experience, Tom and Karen Brenner explain the philosophy of the Montessori method, provide clearly-written steps to follow when applying it, and share a wealth of case studies and stories from their personal work using this method with people with dementia. This includes reading circles, art programmes, drum circles, poetry, and video diaries. Supported by research of the importance of creativity and the arts in dementia care, it is made clear throughout how every aspect of the Montessori method can help those with dementia to rediscover the world around them, maximising the opportunities they have to reconnect with their peers, family, friends, and support staff.

Language: English

Published: Philadelphia, Pennsylvania: Jessica Kingsley Publishers, 2020

ISBN: 978-1-78592-813-0 978-1-78450-873-9 1-78450-873-X

Article

✓ Peer Reviewed

Effectiveness of DementiAbility Methods: The Montessori Way on Agitation in Long-term Care Home Residents with Dementia in Hong Kong

Available from: Wiley Online Library

Publication: International Journal of Geriatric Psychiatry, vol. 34, no. 9

Pages: 1352-1358

Alzheimer's disease, Asia, China, Dementia, East Asia, Gerontology, Hong Kong, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)

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Abstract/Notes: Objective To investigate the effect of the DementiAbility Methods: The Montessori Way (DMMW) on agitation in long-term care home residents with dementia. The activities using the DMMW are hypothesized to reduce agitation in terms of its frequency and disruptiveness to greater extent than structured social activities as control. Methods Forty-six long-term care home residents with dementia were randomly allocated to receive the DMMW (n = 23) or structured social activities as control (n = 23). Each participant received six intervention sessions of 45 minutes each within 2 weeks, at long-term care home. Agitation in terms of frequency and disruptiveness before and after the intervention were compared. Results The results showed that the DMMW resulted in significant reduction in overall frequency and disruptiveness of agitation. The DMMW group had significant reduction in frequency and disruptiveness of verbal aggressive, physical nonaggressive, and physical aggressive behaviors after the intervention. Conclusions The present findings support the potential of the DMMW as a safe and efficacious therapeutic intervention for addressing agitation in long-term care home residents with dementia, relevant to Hong Kong culture.

Language: English

DOI: 10.1002/gps.5063

ISSN: 1099-1166

Article

✓ Peer Reviewed

Using a Montessori Method to Increase Eating Ability for Institutionalised Residents with Dementia: A Crossover Design

Available from: Wiley Online Library

Publication: Journal of Clinical Nursing, vol. 20, no. 21-22

Pages: 3092-3101

Alzheimer's disease, Asia, Dementia, East Asia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI), Taiwan

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Abstract/Notes: Aims. To investigate the efficacy of applying a Montessori intervention to improve the eating ability and nutritional status of residents with dementia in long-term care facilities. Background. An early intervention for eating difficulties in patients with dementia can give them a better chance of maintaining independence and reduce the risk of malnutrition. Methods. An experimental crossover design was employed. Twenty-nine residents were chosen from two dementia special care units in metropolitan Taipei. To avoid contamination between participants in units using both Montessori and control interventions, two dementia special care units were randomly assigned into Montessori intervention (I1) and routine activities (I2) sequence groups. A two-period crossover design was used, with 15 residents assigned to Montessori intervention sequence I (I1, I2) and 14 residents assigned to Montessori intervention sequence II (I2, I1). On each intervention day, residents were given their assigned intervention. Montessori intervention was provided in 30-min sessions once every day, three days per week, for eight weeks. There was a two-week washout period between each intervention. Results. There was a significant reduction in the Edinburgh Feeding Evaluation in Dementia score for the Montessori intervention period but not for the routine activities period, while the mean differences for the Eating Behavior Scale score, self-feeding frequency and self-feeding time were significantly higher than those of the routine activities period. Except for the Mini-Nutritional Assessment score post-test being significantly less than the pre-test for the routine activities period, no significant differences for any other variables were found for the routine activities period. Conclusion. This study confirms the efficacy of a Montessori intervention protocol on eating ability of residents with dementia. Adopting Montessori intervention protocols to maintain residents’ self-feeding ability in clinical practice is recommended. Relevance to clinical practice. Montessori-based activities could provide caregivers with an evidence-based nursing strategy to deal with eating difficulties of people with dementia.

Language: English

DOI: 10.1111/j.1365-2702.2011.03858.x

ISSN: 1365-2702

Article

✓ Peer Reviewed

Comparing Responses to Horticultural-Based and Traditional Activities in Dementia-Care Programs

Available from: SAGE Journals

Publication: American Journal of Alzheimer's Disease and Other Dementias, vol. 25, no. 8

Pages: 657-665

Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)

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Language: English

DOI: 10.1177/1533317510385810

ISSN: 1082-5207, 2162-9986

Article

The Montessori Method Adapted for Persons with Dementia

Publication: Montessori Matters, no. 2

Pages: 5–6

Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)

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Language: English

Article

Montessori and Dementia: A New Frontier

Available from: ProQuest

Publication: Montessori Life, vol. 27, no. 2

Pages: 6

Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI), Richard A. Ungerer - Writings

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Abstract/Notes: [...]we can also use the Montessori method to improve the quality of life of individuals with memory disorders, particularly Alzheimer's disease and other forms of dementia.While Montessori doesn't offer a cure for Alzheimer's, Montessori practitioners are uniquely positioned to create enriching environments, using Montessori materials, and offer patients music activities, art therapy, and gardening projects designed to engage the senses and increase engagement in and enjoyment of their daily lives.

Language: English

ISSN: 1054-0040

Article

Montessori and Dementia: A New Vision

Publication: Montessori International, vol. 76

Pages: 38–40

Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)

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Language: English

ISSN: 1470-8647

Article

✓ Peer Reviewed

Study Protocol: A Montessori Approach to Dementia-related, Non-Residential Respite Services in Australia

Available from: ScienceDirect

Publication: Archives of Gerontology and Geriatrics, vol. 77

Pages: 24-30

Alzheimer's disease, Australasia, Australia, Australia and New Zealand, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI), Oceania

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Abstract/Notes: Given the social burden and significant cost of dementia care in Australia, finding evidence-based approaches that improve outcomes, maintain independence, and reduce the impact on patients and families is essential. Finding effective ways to train and assist the healthcare staff who support these individuals is also critical, as they are considered to be at risk of workplace stress, burnout, and other psychological disturbances which negatively affects standards of care. The current paper describes a protocol for evaluating the effects of a Montessori-based approach to dementia care, in non-residential respite centres. An 18 month prospective observational, cohort controlled design is suggested that will compare participants from a community respite service that has undergone a Montessori-based workplace culture change and those from a service that provides a person-centred ‘care as usual’ approach. To achieve this, the protocol includes the assessment of participants across multiple variables on a monthly basis including the cognitive, behavioural, and emotional functioning of clients with dementia, levels of caregiver burden experienced by informal carers, and burnout, compassion satisfaction and workplace engagement among respite staff. The protocol also employs a qualitative evaluation of program fidelity. This approach will provide further insight into the potential benefits of early intervention with Montessori approaches for persons living with dementia in the community, their caregivers, and the staff and volunteers who assist them.

Language: English

DOI: 10.1016/j.archger.2018.03.013

ISSN: 0167-4943

Article

✓ Peer Reviewed

Montessori Intervention for Individuals with Dementia: Feasibility Study of a Culturally Adapted Psychosocial Intervention in Pakistan (MIRACLE)

Available from: Cambridge University Press

Publication: BJ Psych Open, vol. 6, no. 4

Pages: e69

Alzheimer's disease, Asia, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI), Pakistan, South Asia

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Abstract/Notes: Globally, nearly two-thirds of people with dementia reside in low- and middle-income countries (LMICs), yet research on how to support people with dementia in LMIC settings is sparse, particularly regarding the management of behavioural and psychological symptoms of dementia. Understanding how best to manage these symptoms of dementia with non-specialist approaches in LMICs is critical. One such approach is a non-pharmacological intervention based on the Montessori method. To evaluate the feasibility and acceptability of a culturally adapted, group-based Montessori intervention for care home residents with dementia and their study partners, who were paid care workers in Pakistan. This was a two-stage study: a cultural adaptation of the Montessori intervention and a single-arm, open-label, feasibility and acceptability study of 12 participant dyads. Feasibility and tolerability of the intervention and study procedures were determined through the recruitment rate, adherence to the protocol and acceptance of the intervention. Qualitative interviews were undertaken with the study partners. A pre–post exploratory analysis of ratings of behavioural and psychological symptoms of dementia, functional ability and quality of life were also conducted. The recruitment and retention rates of people with dementia were acceptable, and the intervention was well tolerated by participant dyads. Findings show a reduction in agitation levels and improvement in mood and interest for the activities. Feasibility studies of low-cost, easy-to-deliver and culturally adapted interventions are essential in laying the groundwork for subsequent definitive effectiveness and/or implementation trials for dementia in LMICs, where awareness and resources for dementia are limited.

Language: English

DOI: 10.1192/bjo.2020.49

ISSN: 2056-4724

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