By measuring biomedical variables, such as movement, temperature, heart rate variability, blood volume pulse and skin conductance, by means of a wearable (wristband), stress-related parameters can be measured easily and continuously. It is…
Brief title
Health condition
Dementia
Challenging behavior
BPSD
Sponsors and support
- SIA RAAK postdoc grant
Intervention
Outcome measures
Primary outcome
the relationship between challenging behaviour ('golden standard') and biomedical variables ('index test') (sensitivity, positive predictive value)
Secondary outcome
• Determine the reaction of people with dementia regarding the putting on and wearing of the wearable. Do they show discomfort?
• The identification of environmental factors preceding challenging behaviour and/or increase in stress-related parameters as measured by the wearable.
• The usability of aforementioned objective data as starting point for a conversation between involved stakeholders (health professionals, care givers) to, based on this insight, prevent stress and/or behavioural problems.
Background summary
In nursing homes, dementia is often (up to 80%) accompanied by challenging behaviour, such as anxiety, agitation, apathy, delusions, aberrant motor behaviour, nighttime behaviour disturbances and disinhibition. Stress plays an important role in the cause of challenging behaviour. This negatively influences the quality of life of the specific resident and his environment. The cause of challenging behaviour can be treated psychosocially, by means of a thorough analysis of behaviour and context. However, behavioural analysis is very complex, among other things caused by the client’s limited communicative capabilities. They cannot indicate themselves what they experience as being stressful. This hampers the identification of the stressors which cause challenging behaviour. By measuring biomedical variables, such as movement, temperature, heart rate variability, blood pressure and skin conductance, by means of a wearable (wristband), stress-related parameters can be measured easily and continuously.
The purpose of this research is to determine the usability of a wearable regarding the care of people with dementia showing challenging behaviour in a nursing home (geriatric psychiatry department). The relationship between biomedical data and behavioural observations will be investigated, as the conditions under which a wearable can be used in practice. How can biomedical data be visualized best, and how can information (e.g. training) be operationalized regarding the use/implementation in practice, considering multiple perspectives (e.g. health professionals and caregivers) and optimal guaranteeing privacy?
Study objective
By measuring biomedical variables, such as movement, temperature, heart rate variability, blood volume pulse and skin conductance, by means of a wearable (wristband), stress-related parameters can be measured easily and continuously. It is hypothesized that these values are related to challenging behaviours, and they can be used to predict an/or detect challenging behaviours.
Study design
1
Intervention
none
Inclusion criteria
Subjects can participate when they are:
- diagnosed with dementia
- resident of a geriatric psychiatry department in a nursing home
- show challenging behaviour (established by involved health care professionals): anxiety, agitation, aberrant motor behaviour and/or disinhibition
Exclusion criteria
Subjects are excluded in case of circumstances which cause an unrepresentative picture of the situation (e.g. in the case of an infection)
Design
Recruitment
IPD sharing statement
(Historical) registrations known in this register
In other registers
| Register | ID |
|---|---|
| NTR-new | NL7604 |
| CCMO | NL67835.015.19 |