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Psychosocial behaviour management programme for home-dwelling people with dementia: A cluster-randomized controlled trial
Nakanishi M, Endo K, Hirooka K, Granvik E, Minthon L, Nägga K, Nishida A.. International journal of geriatric psychiatry, 2017-08-31
Topic: Risk, prevention and care in population studies
Little is known about the effectiveness of a psychosocial behaviour management programme on home-dwelling people with dementia. We developed a Behaviour Analytics & Support Enhancement (BASE) programme for care managers and professional caregivers of home care services in Japan. We investigated the effects of BASE on challenging behaviour of home-dwelling people with dementia. Methods A cluster-randomized controlled trial was conducted with home care providers from 3 different districts in Tokyo. Each provider recruited persons with dementia aged 65 years or older to receive home care in the BASE programme in August 2016. An online monitoring and assessment system was introduced to the intervention group for repeated measures of challenging behaviour with a total score of the Neuropsychiatric Inventory. Care professionals in both the intervention and control groups evaluated challenging behaviour of persons with dementia at baseline (September 2016) and follow-up (February 2017). Results A majority of persons with dementia had Alzheimer disease (59.3%). One-hundred and forty-one persons with dementia were included in the intervention group and 142 in the control group. Multilevel modelling revealed a significant reduction in challenging behaviour in the intervention group after 6 months (mean score, 18.3 to 11.2) compared with that of the control group (11.6 to 10.8; P Conclusion The implementation of the BASE programme resulted in a reduction of challenging behaviour of home-dwelling people with dementia. Future research should examine the long-term effects of behaviour management programmes on behaviour, nursing home placement, and hospital admission of home-dwelling people with dementia.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Nakanishi, M., Endo, K., Hirooka, K., Granvik, E., Minthon, L., Nägga, K., et al. (2018). Psychosocial behaviour management programme for home-dwelling people with dementia: A cluster-randomized controlled trial. International journal of geriatric psychiatry. https://doi.org/10.1002/gps.4784
Vancouver
Nakanishi M, Endo K, Hirooka K, Granvik E, Minthon L, Nägga K, et al. Psychosocial behaviour management programme for home-dwelling people with dementia: A cluster-randomized controlled trial. International journal of geriatric psychiatry. 2018. doi:10.1002/gps.4784. PMID: 28857263.
BibTeX
@article{nakanishi2018-28857263,
author = {Nakanishi, M. and Endo, K. and Hirooka, K. and Granvik, E. and Minthon, L. and Nägga, K. and Nishida, A.},
title = {{Psychosocial behaviour management programme for home-dwelling people with dementia: A cluster-randomized controlled trial}},
journal = {International journal of geriatric psychiatry},
year = {2018},
doi = {10.1002/gps.4784},
pmid = {28857263},
url = {https://doi.org/10.1002/gps.4784}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 7 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
Key findings
- Results A majority of persons with dementia had Alzheimer disease (59.3%).
- Multilevel modelling revealed a significant reduction in challenging behaviour in the intervention group after 6 months (mean score, 18.3 to 11.2) compared with that of the control group (11.6 to 10.8; P < .05).
Why it matters
A programme for care managers and professional caregivers reduced challenging behaviour in home-dwelling people with dementia over 6 months compared with usual care. This is a treatment approach for managing symptoms, not a cure or prevention.
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Study details
- Study designrandomized controlled trial
- Effect size59.3%
- Evidence strengthHigh
How this study scored 57/100
Published in a peer-reviewed journal, and it is a randomised controlled trial. Scored zero for sample size because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (International journal of geriatric psychiatry) |
| Journal's citation record | 2 / 4 | International Journal of Geriatric Psychiatry: journal h-index 190 (OpenAlex, 2026-10-29) |
| Study design | 11 / 12 | A randomised controlled trial |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 2 / 5 | 2018 — within 10 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (pubmed indexes it as a clinical or observational study) |
| Randomised / blinded | 1 / 2 | Randomised (as stated in the record) |
| Times cited | 3 / 7 | Cited 30 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 3.0 citations a year over 10 year(s) since 2018 |
| Impact for its field and year | 2 / 6 | Cited 2.4× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 10 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Atsushi Nishida: h-index 33 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Lund University: institution h-index 1,119 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 28857263) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 57 / 100 | — |
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