The Effectiveness of Individual Counseling Focusing on the Aberrant Motor Behavior Problem of People Living with Dementia
Keywords:
individual counseling, abnormal motor behavior, persons with dementia, emotional, caregiver burdenAbstract
Background and objectives: Aberrant motor behavior (AMB), such as roaming, taking things out , and touching or scratching repetitively is a group of common behavior problems in people with dementia. These symptoms may be annoying, endangered, and burdensome to caregivers. This study aimed to investigate the effectiveness of focused individual counseling for AMB in dementia on burden of caregivers.
Methods: A quasi-experimental, 2-arm, pre-post, interventional study recruited primary caregivers of dementia patients. The active group received a weekly individual counseling for 7 weeks with telephone follow-up for 15 – 40 minutes, and the control group received routine standard care. Data collection included demographic data, the neuropsychiatric inventory (NPI) and the Zarit burden interview (ZBI). Data analyses used descriptive statistics, Wilcoxon signed rank test and Mann-Whitney U test.
Results: From a total of 30 caregivers (n = 15 each group), the AMB severity score, the impact score on emotion from NPI, and the burden score from ZBI at baseline were not significantly different between groups (p > .05). After 7 weeks, the AMB severity score in the intervention group significantly decreased (p < 0.05) compared to the baseline, while both burden score and emotional impact score of the caregivers were not significantly changed (p > 0.05).
Conclusion: Individualized counseling program focused on AMB in dementia demonstrated effectiveness in alleviating of AMB, without significant changes in emotional distress and burden of the caregivers. Further trials with larger sample size and statistical rigorous methods should be conducted to confirm the results.
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