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Completed

NCT Number: NCT02403245

Social Interactions Between People With Dementia in Nursing Home

The aim of this study is to evaluate the direct impact of one session of social stimulation on social interactions of people with moderate dementia living in nursing home in comparison of one session without direct social stimulation.

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Key information

Conditions

Dementia Brain Diseases Central Nervous System Diseases Mental Disorders Nervous System Diseases Neurocognitive Disorders Social Interactions

Age range

75 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

60 people with moderate dementia living in a french nursing homme participated in this study. Residents gave oral consent twice to participate. They were classified in groups of six residents taking into account socio-demographic and medical characteristics. Two experimental conditions were proposed : 1. a social stimulation session (36 residents) and 2. a control group without direct social stimulation (24 residents). Collected socio-demographic and medical characteristics are age, gender, timf of institutionalization, sociocultural level, marital status and diagnostic hypothesis. Before the study, scales and questionnaires were used to assess cognitive status with the Mini Mental State Examination (Folstein et al, 1975); functional abilities with Instrumental Activities of Daily Living (Lawton and Brody, 1969); depression with the Cornell Scale for Depression in Dementia (Alexopoulos et al, 1988); psychological and behavioural disorders with the Neuropsychiatric Inventory (Cummings et al, 1994); and the quality of life with the Alzheimer's Disease Related Quality of Life (Rabins et al, 1999).

Social interactions are video taped and analyzed in a grid of observation.

The aim of the study is to see if there is an impact on social interactions after just one social stimulation session compared to a control group situation. Expected results are that residents of the social stimulation group will have more social interactions between us than the resident of the control group.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • presence of a diagnostic of dementia in medical report and a MMSE score between 9 and 20.

Exclusion criteria

  • arrival in the institution dating less than six months
  • invalidating visual or hearing disorders
  • phasic disorders not allowing a minimum of communication
  • significant behavioural disorders (which can disturb the meeting)
  • residents not fluent in French language

Treatment and study plan

Psychosocial stimulation

Other

Intervention consists in a session of social stimulation during about 40 minutes through where the speaker introduced himself to the residents and introduces the residents to each others. The date of the day was done to residents. Social stimulation consists here to an exercise about the four seasons. Residents are asked to mention the 4 seasons and to give all the characteristics they can about each season. Two exercises were proposed: 4 pictures of landscapes and residents were asked to tell which season is represent on the pictures and pictures of some fruits and residents tried to tell in which season we find the fruits. Finally, the psychologist speaks about the "four season" of the compositor Vivaldi and propose to the residents to listen some extracts of each pieces of music.

Primary outcomes

  1. Observed social behaviours

    Time frame: during 8 minutes before the session a

    social behaviours of residents observed and listed in an observations grid to analyze the results from observation in terms of components of behaviours expressed in means of observed behaviours.

  2. Observed social behaviours

    Time frame: during 8 minutes after the session

    social behaviours of residents observed and listed in an observations grid to analyze the results from observation in terms of components of behaviours expressed in means of observed behaviours.

Secondary outcomes

  1. Cognitive Status

    Time frame: Baseline

    Scale of the Mini Mental State of examination scored on 30 points.

  2. Functional abilities

    Time frame: Baseline

    Scale of the Instrumental Activities of Daily Living scored on 14 points. More the score is high more the people is independent in daily living.

  3. Depression

    Time frame: Baseline

    Cornell Scale for Depression in Dementia scored on 38 points. More the score os high more the people is depressed with a threshold score of 10.

  4. Psychological and behaviors disorders

    Time frame: Baseline

    Neuropsychiatric Inventory : hetero-evaluation of the psychological and behavioural disorders in 12 domains with the frequency of occurrence of the disorder, the intensity and the resounding on caregivers.

  5. Quality of life

    Time frame: Baseline

    Hetero-evaluation scale named Alzheimer's Disease Related Quality of life expressed in percentage. A high score means a good quality of life.

Sponsors and collaborators

Lead sponsor

Paris West University Nanterre La Défense

Other

Collaborators

  • Radboud University Medical Center

Registry information

Official study title

The Impact of a Social Stimulation on Social Interactions in Institutionalized People With Dementia

Important dates

Study start
2012
Primary completion
2015
Study completion
2015
First posted
Mar 31, 2015
Registry last updated
Mar 31, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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