Abstract/Notes: Effectively adapting evidence-based interventions for nursing home (NH) implementation is a critical, yet under-examined, component of improving care quality. Montessori-based activity programming (MAP) is an evidence-based intervention that promotes person-centered care, engages persons living with dementia, and mitigates distress behaviors. Currently, there is sparse examination of MAP in Department of Veterans Affairs NHs (i.e., Community Living Centers, CLCs). We report on the use of the Framework for Reporting Adaptations and Modifications-Enhanced (FRAME) to track adaptations made to MAP – providing a pre-implementation exemplar for NH clinicians and implementation scientists. Qualitative and quantitative data were collected across two phases (i.e., pre-implementation and pilot implementation) at eight VA CLCs between 2017-2019. We used an iterative, rapid content analytic approach to triangulate findings across data sources (e.g., advisory panel, staff interviews, training evaluations, field notes, fidelity assessments) and identify needed adaptations for the CLC setting and population. More than 300 frontline VA CLC staff participated in qualitative interviews and/or provided feedback on quantitative staff training. Thirty-six adaptations were made. Most adaptions occurred during the pre-implementation phase, were reactive, focused on training/evaluation, and involved researchers, intervention developers, and practitioners. All were fidelity-consistent with MAP. The most common goal across adaptations was increased reach/engagement of the intervention. CLCs and community NHs can use findings to support intervention adaptation, and adapt and implement MAP to improve meaningful engagement for persons living with dementia and other residents. Future research should further evaluate and standardize FRAME for diverse users of complex interventions.

Language: English

DOI: 10.1093/geroni/igad104.1142

ISSN: 2399-5300

Abstract/Notes: Grazia Honegger Fresco was one of Maria Montessori’s pupils, and she built on her teacher’s theories on the development and care of the infant and toddler child. She completed lengthy studies demonstrating how deeply Montessori investigated newborn children from the beginning of her research on human infancy. Montessori and Honegger Fresco introduced groundbreaking ideas, including: the fundamental role of the caregiver–child relationship, the importance of a young child’s environment responding to their particular sensitive periods of development, and the vision of a competent and active child even in the birth to 3 age group. The chapter provides an understanding of how the adult can prepare for the life of a young infant.

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: Montessori-based interventions (MBIs) were developed to promote guided participation in meaningful activities by people with dementia patients. In this study, we assessed nursing home volunteers’ fidelity to an MBI, relying primarily on a qualitative descriptive design. We completed a deductive content analysis of eight volunteer interviews using the Conceptual Framework for Intervention Fidelity. We also calculated average volunteer and resident scores on the Visiting Quality Questionnaire (VQQ), which assesses volunteers’ and residents’ perceptions of visits. We found good evidence that volunteers attended scheduled visits, made use of pre-designed activities, and attended to training recommendations. Most reported enjoying the visits (VQQ = 6.12, standard deviation [SD] = 0.75) and receiving a positive response from residents (VQQ = 5.46, SD = 0.88). Nevertheless, use of pre-designed activities and response to the MBI was lower for volunteers working with residents who had late-stage dementia. Therefore, overall, fidelity depended on the cognitive status of the resident., RÉSUMÉLes interventions basées sur la méthode Montessori (IBM) ont été développées en vue de promouvoir la participation guidée de personnes atteintes de démence à des activités significatives. Dans cette étude, la fidélité à l’IBM de bénévoles œuvrant en centres de soins a été évaluée à partir d’un devis principalement descriptif et qualitatif. Nous avons effectué une analyse déductive du contenu de huit entretiens avec des bénévoles en utilisant le cadre conceptuel sur la fidélité aux interventions. Nous avons également calculé les scores moyens des bénévoles et des résidents dans le Visiting Quality Questionnaire (VQQ), qui permet d’évaluer la perception des visites par les bénévoles et les résidents. Les résultats montrent clairement que les bénévoles ont assisté aux visites prévues, qu’ils ont utilisé des activités prédéfinies et ont suivi les recommandations des formations. La plupart ont déclaré avoir apprécié les visites (VQQ = 6,12, ET = 0,75) et avoir reçu une réponse positive des résidents (VQQ = 5,46, ET = 0,88). Néanmoins, l’utilisation d’activités prédéfinies et la réponse à l’IBM ont été plus faibles pour les bénévoles s’occupant de résidents atteints de démence avancée. Ainsi, dans l’ensemble, la fidélité dépendait de l’état cognitif du résident.

Language: English

DOI: 10.1017/S071498082000029X

ISSN: 0714-9808, 1710-1107

Abstract/Notes: Montessori methods are used with individuals with dementia to create meaningful, inclusive, failure-free activities that enhance quality of life. This research qualitatively explored the barriers to implementing a Montessori-based intervention for people living with dementia in a 24-hr memory care setting. A lens comprised of key Montessori values and principles guided a content analysis of field note data to create an overall framework for understanding implementation barriers, which are rarely addressed in the literature. Interestingly, the four themes that emerged as barriers—the absence of respect, interdependence, meaningful activity, and structure—permeated implementation efforts and represent the opposite of Montessori principles. These findings confirm literature that identifies similar barriers across diverse interventions. Findings underscore the need for formal documentation of implementation barriers and extensive pre-implementation work to accomplish culture change in long-term care.

Language: English

DOI: 10.1177/0733464820938270

ISSN: 0733-4648

Abstract/Notes: Montessori-based interventions (MBIs) have potential to improve the life quality of long-term care residents with dementia. In this study, we aimed to understand the processes by which staff integrated a volunteer-led MBI into practice within a special dementia care unit, and to explore staff members ’ perceptions of associated strengths and limitations.This study relied on a qualitative descriptive design. Following a 3-month period of volunteer involvement, we conducted 21 interviews with staff members to document perceptions of the new program and subjected interview transcripts to qualitative content analysis, guided by normalization process theory.During the implementation of the volunteer-led MBI, staff members developed a shared understanding of the intervention, a sense of commitment, practical ways to support the intervention, and opinions about the value of the residents. Overall, we found that the volunteer-led MBI was quickly and successfully integrated into practice and was perceived to support both residents and staff members in meaningful ways. Nevertheless, some limitations were also identified.Volunteer-delivered MBIs are a useful adjunct to practice within a special dementia care unit. This article raises attention to some strengths and limitations associated with this approach.

Language: English

DOI: 10.1093/geront/gny103

ISSN: 0016-9013

Language: English

Published: Amsterdam, The Netherlands: Montessori-Pierson Publishing Company, 2018

ISBN: 978-90-79506-00-2

Series: The Montessori Series , 17

Abstract/Notes: Based on the results of the research data, it shows that the learning activities of students in class 3 at the beginning of the meeting can be categorized as low and the teaching materials used by class 3 teachers are very conventional, less effective and the teacher still uses lecture, discussion and assignment methods. based on some of the problems that occurred in the research, the researchers decided to make observations at Kalisalam 1 Elementary School regarding the Application of Montessori-based 2-dimensional learning media with the aim of knowing how Montessori-based 2-dimensional learning media can improve learning outcomes in science learning in class 3 students of Kalisalam Elementary School 1 Probolinggo Regency. The type of research used was Classroom Action Research (CAR) with the subjects in this study being grade 3 students at SDN Kalisalam 1, Probolinggo Regency, consisting of 28 students, namely 10 male students and 18 female students. The data collected in this study were student activities, student learning outcomes, observation, interview, test, and documentation during learning activities. Data analysis used by researchers is descriptive qualitative, namely data obtained from an analysis of student activities during teaching and learning activities and comparing student learning outcomes in the initial conditions before improvement with learning outcomes obtained after taking action in the first cycle. Based on the details of the results of the implementation of the action as much as 2 cycles in science learning. It can be concluded that learning science on the subject of weather, climate, season and its influence on the lives of living things using 2-dimensional montessori-based learning media can improve learning outcomes with mastery learning by 79.00% in cycle 2 where this figure is very significant when compared to the level of learning completeness in cycle 2. 1 which is 66.6%.

Language: Indonesian

DOI: 10.47233/jpst.v2i1.661

ISSN: 2963-5373

Language: English

Published: New York, New York, Feb 2019

Language: English

Published: New York, New York, Nov 2010

Language: English

Published: Port Elizabeth, South Africa, 1992