Off-campus UMass Amherst users: To download dissertations, please use the following link to log into our proxy server with your UMass Amherst user name and password.

Non-UMass Amherst users, please click the view more button below to purchase a copy of this dissertation from Proquest.

(Some titles may also be available free of charge in our Open Access Dissertation Collection, so please check there first.)

Calming music and hand massage with agitated elderly

Ruth Remington, University of Massachusetts Amherst

Abstract

Agitated behavior is a widespread problem that adversely affects the health of nursing home residents and increases the cost of their care. Agitated nursing home residents are more likely to be physically or chemically restrained, to fall and to have a lower quality of life. Current strategies to reduce agitated behavior tend to be costly. ^ This dissertation research examined a relatively inexpensive intervention to reduce the agitated behavior of cognitively impaired nursing home residents. The specific aim was to compare the effect of calming music or hand massage or a combination of calming music and hand massage on the level and type of agitated behavior over time. This four group, repeated measures design used the Progressively Lowered Stress Threshold model (Hall & Buckwalter, 1987) to test the effect of exposure to calming music and hand massage on agitation. This model proposes that in the context of agitation, the stress response can be altered and functionally adaptive behavior achieved by modifying environmental demands and controlling for factors that correlate with the perception of stress. ^ Power calculations indicated that a sample size of 68 would be adequate to detect significant results. Subjects were randomly assigned to one of four intervention groups: (1) calming music, (2)hand massage, (3) calming music and hand massage simultaneously, or (4) control. Level of agitation was assessed during each of four ten minute observation periods, immediately before the intervention, during the intervention, immediately after the intervention, and at 60 minutes. ^ Each of the experimental interventions produced a reduction in agitation that was greater than that achieved in the absence of any intervention. The benefit was sustained and increased over time. The level of increased benefit over tune was similar in each of the experimental intervention groups. When syndromes of agitated behaviors were examined separately, there were differential levels of reduction of physically aggressive, physically non-aggressive and verbally agitated behaviors. Results of this study provide information on an easily administered intervention that can improve the quality of life for nursing home residents and potentially decrease the cost of their care. ^

Subject Area

Gerontology|Nursing|Public health|Developmental psychology

Recommended Citation

Remington, Ruth, "Calming music and hand massage with agitated elderly" (1999). Doctoral Dissertations Available from Proquest. AAI9920645.
http://scholarworks.umass.edu/dissertations/AAI9920645

Share

COinS