Abstract/Notes: Montessori for Dementia and Ageing (MDA) is a philosophy to support person-centered care (PCC) and autonomy of older adults. This quality improvement project documented outcomes of implementation of the MDA philosophy in a long-term care memory neighborhood. After an initial training session, MDA was implemented with weekly, 2-hour on-site coaching sessions over the course of two semesters (28 weeks) with a community of 20 female persons living with dementia (PWD). Primary outcomes were negative responsive behaviors of PWD, whereas the secondary outcome included percentage of active engagement of PWD. Mean number of negative responsive behaviors was 62.21 at baseline, which decreased to 33.82 at the end of the project per the Cohen-Mansfield Agitation Inventory. At baseline, PWD were actively engaged in 18.15% of observed opportunities, according to the Engage portion of the Resident-Centered Assessment of Interactions with Staff and Engagement Tool. At the end of the project, PWD were actively engaged in 40.56% of observed opportunities. Results suggest that MDA is feasible to implement PCC in a long-term care memory neighborhood. [Journal of Gerontological Nursing, 48(8), 6–9.]

Language: English

DOI: 10.3928/00989134-20220629-02

ISSN: 1938-243X, 0098-9134

Abstract/Notes: Objectives To construct a training protocol for spaced retrieval (SR) and to investigate the effectiveness of SR and Montessori-based activities in decreasing eating difficulty in older residents with dementia. Methods A single evaluator, blind, and randomized control trial was used. Eighty-five residents with dementia were chosen from three special care units for residents with dementia in long-term care facilities in Taiwan. To avoid any confounding of subjects, the three institutions were randomized into three groups: spaced retrieval, Montessori-based activities, and a control group. The invention consisted of three 30–40 min sessions per week, for 8 weeks. Results After receiving the intervention, the Edinburgh Feeding Evaluation in Dementia (EdFED) scores and assisted feeding scores for the SR and Montessori-based activity groups were significantly lower than that of the control group. However, the frequencies of physical assistance and verbal assistance for the Montessori-based activity group after intervention were significantly higher than that of the control group, which suggests that residents who received Montessori-based activity need more physical and verbal assistance during mealtimes. In terms of the effects of nutritional status after intervention, Mini-Nutritional Assessment (MNA) in the SR group was significantly higher than that of the control group. Conclusion This study confirms the efficacy of SR and Montessori-based activities for eating difficulty and eating ability. A longitudinal study to follow the long-term effects of SR and Montessori-based activities on eating ability and nutritional status is recommended. Copyright © 2010 John Wiley & Sons, Ltd.

Language: English

DOI: 10.1002/gps.2433

ISSN: 1099-1166

Abstract/Notes: Many older individuals have cohort-specific knowledge that may not be known by young caregivers. By providing familiar information, using Montessori principles that key into the remaining abilities of those with dementia, it is possible for the younger caregivers to successfully facilitate satisfying, interactive programs. Forty activity directors and staff, age 25–50, in long-term care settings interacted with residents age 56–100 in groups of 10 or more in both an activity intervention and standard activities. The younger caregivers indicated positive responses to the activity intervention and demonstrated increases in positive attitudes toward cognitively impaired, elderly residents, which was due to the intervention that provides the structure and materials to overcome both the skills gap and intergenerational knowledge gap for those staff that have them.

Language: English

DOI: 10.1080/15350770.2011.568340

ISSN: 1535-0770

Abstract/Notes: Tom and Karen Brenner describe their experience of using Montessori activities with people with dementia – and with intergenerational groups involving young people too.

Language: English

ISSN: 1351-8372

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

Language: English

DOI: 10.1017/S1041610220000149

ISSN: 1041-6102, 1741-203X

Abstract/Notes: Persons with dementia are viewed as individuals who need continual supervision, who cannot learn or remember, and who continually exhibit challenging behaviors. They are often confined to institutional settings where they can be continually monitored and their behaviors can be controlled. Such environments are often cold and impersonal with an emphasis on safety and security rather than personhood and engagement. Just as Maria Montessori’s revolutionary ideas were originally applied to freeing children from the tyranny of early twentieth-century schools, Montessori pedagogy is now being expanded to improve the lives of persons living with dementia. This chapter examines progressive forms of dementia and the opportunity Montessori’s teachings offer for re-envisioning the final years of a lifetime not as dependency and disengagement but instead as meaningful participation in a supportive community.

Language: English

Published: New York, New York: Bloomsbury Academic, 2023

ISBN: 978-1-350-27561-4 978-1-350-27560-7 978-1-350-27562-1

Series: Bloomsbury Handbooks

Abstract/Notes: This study was designed to analyze the effects of intervention guided by Montessori Method on patients with dementia. Methods: 85 patients diagnosed with Alzheimer’s disease (AD) in our hospital were included for retrospective analysis and were divided into 2 groups by double-blind randomized method. The control group (n=42) received routine guides on dieting, and the observation group (n=43) was intervened under the guides of Montessori Method. The 2 groups were compared for cognitive function, feeding capacity score, feeding difficulty, voluntary feeding time, and nutriture. Results: (1) After intervention, the observation group yielded a higher MMSE score for cognitive function than the control group (P<0.001); (2) The scores of feeding capacity in both groups achieved increase, which in the observation group was higher than that in the control group 1 month after intervention (P<0.001); (3) The scores of feeding difficulty in both groups achieved decrease, which in the observation group was lower than that in the control group after intervention (P<0.001); (4) For voluntary feeding time as intervention completed, 1 month and 3 months after intervention, the observation group reported prominent extension (P<0.001) while the control group achieved shortening gradually (P<0.001), and the voluntary feeding time in the observation group was longer than that in the control group (P<0.001). Conclusion: Intervention guided by Montessori Method helps patients with dementia by reducing their feeding difficulty and improving their cognitive function, feeding capacity, and nutriture. It is a method deserving popularization.

Language: English

ISSN: 1940-5901

Abstract/Notes: LEAD IT! is an app that enables persons with early and middle stage dementia to lead activities for their peers—i.e., other persons with dementia (PWD). An alpha version of the app was tested in a Phase 1 SBIR project. The alpha version included three Montessori-inspired activities. While PWD ostensibly view LEAD IT! as a set of enjoyable activities, it is actually an evidenced-based intervention aimed at reducing responsive behaviors and enabling PWD to fill meaningful social roles. A total of 24 PWD participated in the Phase 1 study: five leaders and 19 players. LEAD IT! Programming was implemented for six weeks, twice per week. LEAD IT! produced higher levels of positive engagement and affect, and lower levels of negative engagement, as compared to standard, baseline activities—i.e., non-digital activities led by staff. More specifically, when compared to baseline programming, players exhibited an 82% increase in Constructive Engagement (P=0.000), 80% increase in Passive Engagement (P=0.000), 60% reduction in Other Engagement (P=0.035), and 171% increase in Pleasure (P=0.000). One limitation of the Phase 1 study is that, at least insofar as the intervention is only implemented twice per week for six weeks, the positive outcomes seem to be limited to the period of time during which PWD are participating in the activity—i.e., changes on global measures, such as quality of life and depression were not detected. Still, the promising results of this study suggest that LEAD IT! is worthy of further development and evaluation in a planned Phase 2 study.

Language: English

DOI: 10.1093/geroni/igaa057.878

ISSN: 2399-5300

Abstract/Notes: Background: Increasingly more attention has been paid to non-pharmacological interventions as treatment of agitated behaviors that accompany dementia. The aim of the current study is to test if personalized one-to-one interaction activities based on Montessori principles will improve agitation, affect, and engagement more than a relevant control condition.Methods: We conducted a randomized crossover trial in nine residential facilities in metropolitan Melbourne, Australia (n = 44). Personalized one-to-one activities that were delivered using Montessori principles were compared with a non-personalized activity to control for the non-specific benefits of one-to-one interaction. Participants were observed 30 minutes before, during, and after the sessions. The presence or absence of a selected physically non-aggressive behavior was noted in every minute, together with the predominant type of affect and engagement.Results: Behavior counts fell considerably during both the Montessori and control sessions relative to beforehand. During Montessori activities, the amount of time spend actively engaged was double compared to during the control condition and participants displayed more positive affect and interest as well. Participants with no fluency in English (all from non-English speaking backgrounds) showed a significantly larger reduction in agitation during the Montessori than control sessions.Conclusion: Our results show that even non-personalized social contact can assist in settling agitated residents. Tailoring activities to residents’ needs and capabilities elicit more positive interactions and are especially suitable for people who have lost fluency in the language spoken predominantly in their residential facility. Future studies could explore implementation by family members and volunteers to avoid demands on facilities’ resources.Trial Registration: Australian New Zealand Clinical Trials Registry – ACTRN12609000564257.

Language: English

DOI: 10.1017/S1041610212002128

ISSN: 1041-6102, 1741-203X