Dementia Interventions
Topics are organized alphabetically.
- Activity Program
- Acupressure
- Aroma Therapy
- Behavioral Programming
- Communication Programs
- Environmental Modification
- Gentlecare
- Horticulture
- Massage
- Memory Aids
- Miscellaneous
- Music Therapy
- Music Therapy & Massage
- Nutritional Supplements/Meal Modification
- Pain management
- Pet Therapy
- Reminiscence
- Rocking Chair Therapy
- Snoezelen
- Therapeutic Touch
- Therapeutic Touch & Massage
- Validation Therapy
Activity Program
- Bowlby, Carol. (1993). Therapeutic activities with persons disabled by Alzheimer’s disease and related disorders. Gaithersburg, MD: Aspen Publishers.
Acupressure
- Chen, Y. (1992,) Clincial research on treating senile dementia by combining acupuncture with acupoint-injection. Acupuncture & Electrotherapeutics Research, 17(2), 61-73.
Aroma Therapy
Journal Articles
- Holmes, C., Hopkins, V., Hensford, C., MacLaughlin, V., Wilkinson, D.,& Rosenvinge, H. (2002). Lavender oil as a treatment for agitated behavior in severe dementia: a placebo controlled study. International Journal of Geriatric Psychiatry, 17(4), 305-308.
- Flanagan, N. (1995) The clinical use of aromatherapy in Alzheimer’s patients. Alternative and Complementary Therapies, 377-80.
- MacMahon, S., & Kermode, S. (1998). A clinical trial of the effectof aromatherapy on motivational behavior in a dementia care setting using a single subject design. Aust J Holist Nurs, 5(2) 47-49.
- Maloney, C.C. & Daily, T. (1986) Eclectic group program for nursing home residents with dementia. Physical and Occupational Therapy in Geriatrics,4(3), 55-80.
- Tobin, P. (1995) Aromatherapy and its application in the management of people with dementia. Lamp, 52(5), 34.
Websites
- “Aromatherapy: The impact on symptoms and well being of those with advanced dementia,” Mental Health in Later Life website. Full report available as a PDF document.
Behavioral Programming
- Cohen-Mansfield, J., Werner, P., Culpepper, W. J. n., & Barkley,D. (1997). Evaluation of an in-service training program on dementia andwandering. Journal of Gerontological Nursing, 23(10), 40-47.
- Cohn, Margaret. (1994) The A-B-Cs of Behavior Change: Skills for Workingwith Behavior Problems in Nursing Homes. State College, Pennsylvania:Venture Pub.
- DeYoung, S., Just, G., & Harrison, R. (2002). Decreasing aggressive,agitated, or disruptive behavior: participation in a behavior management unit. Journal of Gerontological Nursing, 28(6), 22-31.
- Hagen, B., & Sayers, D. (1995) When Caring Leaves Bruises: The Effectsof Staff Education on Resident Aggression. Journal of Gerontological Nursing.21(11), 7-17.
- Kaasalainen, S. (2002). Staff development and long-term care of patientswith dementia. Journal of Gerontological Nursing, 28(7), 39-46.
- Kaplan, M., & Hoffman, S. (1998) Behaviors in Dementia: Best Practicesfor Successful Management. Baltimore, Maryland: Health Professions Press.
- Mintzer, J. E. et al. (1997). Effectiveness of a continuum of careusing brief and partial hospitalization for agitated dementia patients.Psychiatr Serv, 48(11), 1435-1439.
Communication Programs
- Santo Pietro, M.J., & Boczko, F. (1998) Results of a study examiningthe effectiveness of a multi-modality group communication treatment. American Journal of Alzheimer’s Disease,146-158.
- Tappen, R., et. al. (1997) Communicating with individuals with Alzheimer’s disease: examination of recommended strategies. Archives of PsychiatricNursing, 11(5), 249-256.
- Touzinsky, L. (1998) Validation Therapy: restoring communication betweenpersons with Alzheimer’s disease and their families. American Journal of Alzheimer’s Disease, 13(2), 96-101.
- http://www.ec-online.net/Knowledge/Articles/communication.html
Environmental Modification
- Eriksson, S. (2000). Impact of the environment on behavioral and psychological symptoms of dementia. International Psychogeriatrics, 12(Suppl1), 89-91.
- Kittur, S. D., & Ruskin, P. (1999). Environmental modification for treatment +of agitation in Alzheimer’s patients. NeuroRehabilitation-,12, 211-214.
- Luxenberg, J. S. (1997). Environmental Modifications Tailored for theDementia Patient. Semin Clin Neuropsychiatry, 2(2), 132-137.
Gentlecare
- (1997) Gentlecare: changing the experience of Alzheimer disease in apositive way, Bibliotheca medica Canadiana. 18(4), 1.
Horticulture
- Bassen, S., & Baltazar, V. (1997). Flowers, flowers everywhere:creative horticulture programming at the Hebrew Home for the Aged at Riverdale.Geriatric Nursing, 18(2), 53-56.
- Ebel, S. (1991) Designing stage-specific horticulture therapy interventions for patients with Alzheimer’s disease. Journal of Therapeutic Horticulture,5.
- Hewson, M.L.(1995) Plant projects for patients with Alzheimer’s disease. Gaithersburg, MD: American Horticulture Association, 1995.
- Hoover, R. (1995) Healing gardens & Alzheimer’s disease. American Journal of Alzheimer’s Disease, 10(2), 1-9.
Massage
- Mayers, K. (1994) Calming the agitated demented patient: use of self-soothing techniques. American Journal of Alzheimer’s Care and Related Disorders& Research, 9(4), 2-5.
- Nelson, D. (1995) The use of massage therapy in Alzheimer’s care.Massage Magazine, 35(1).
- Rowe, M., & Alfred, D. (1999). The effectiveness of slow-stroke massage in diffusing agitated behaviors in individuals with Alzheimer’s disease. Journal of Gerontological Nursing, 25(6), 22-34.
- Snyder, M., Egan, El. C., & Burns, K.R. (1995). Efficacy of hand massage in decreasing agitation behaviors associated with care activitiesin persons with dementia. Geriatric Nursing, 16(2), 60-63.
- Snyder, M., Egan, E.C., & Burns, K.R. (1995) Interventions for decreasingagitation behaviors in persons with dementia. Journal of Gerontological Nursing, 21(7), 34-40.
Memory Aids
- Bourgeois, M. S. (1990). Enhancing conversation skills in patients with Alzheimer’s disease using a prosthetic memory aid. J Appl Behav Anal,23(1), 29-42.
- Camp, C. J, Foss, J. W., O’Hanlon, A. M., & Stevens, A. B. (1996).Memory interventions for persons with dementia. Applied Cognitive Psychology,10(3), 193-210.
- Cherry, K. E., Simmons, D’Gerolamo., & Shannon. S. (1999). Effects of a target object orientation task on recall in older adults with probableAlzheimer’s disease. Clinical-Gerontologist, 20(4), 39-63.
- Clare, L., Wilson, B. A., Carter, G., Breen, K., Gosses, A., &Hodges, J. R. (2000). Intervening with everyday memory problems in dementia of Alzheimer type: an errorless learning approach. Journal of Clinicaland Experimental Neuropsychology, 22(1), 132-146.
- Namazi, K. H., Rosner, T. T., & Rechlin, L. (1991). Long-term memorycuing to reduce visuo-spatial disorientation in Alzheimer’s disease patients in a special care unit. American Journal of Alzheimer’s Care and RelatedDisorders and Research, 6(6), 10-15.
- McPherson, A. F., Sdogati,C., Cesaroni,F., Tartaglini,B., & Lindesay,J.(2001). Effects of individualized memory aids on the conversation of persons with severe dementia: A pilot study. Aging and Mental Health, 5(3), 289-294.
- Nolan, B. A. D., Mathews, R. M., & Harrison, M. (2001). Using external memory aids to increase room finding by older adults with dementia. Activities-Directors’ Quarterly for Alzheimer’s and Other Dementia Patients, 2(4), 13-17.
- Werner, P. (2000). Assessing the effectiveness of a memory club for elderly persons suffering from mild cognitive deterioration. ClinicalGerontologist, 22, 3-14.
Miscellaneous
- Finnema, E.J., et al. (1998). The design of a large-scale experimental study into the effect of emotion-oriented care on demented elderly and professional careers in nursing homes. Archives-of-Gerontology-and-Geriatrics,Supple 6, 193-200.
- Kovach, C. R., Weissman, D. E., Griffie, J., Matson, S., & Muchka,S. (1999). Assessment and treatment of discomfort for people with late-stage dementia. Journal of Pain and Symptom Management, 18(6), 412-419.
Music Therapy
Journal Articles
- Ashida, S. (2000). The effect of reminiscence music therapy sessions on changes in depressive symptoms in elderly persons with dementia. Journal of Music Therapy, 37(3), 170-182.
- Gardiner, J. C., Furois, M., Tansley, D. P., & Morgan, B. (2000).Music therapy and reading as intervention strategies for disruptive behavior in dementia. Clinical Gerontologist, 22(1), 31-46.
- Groene, R. W. (1993). Effectiveness of music therapy 1:1 intervention with individuals having Senile Dementia of the Alzheimer’s Type. Journal of Music Therapy, 30(3), 138-157.
- Groene, R. W. (1993). Effectiveness of music therapy intervention with individuals having senile dementia of the Alzheimer’s type. University of Minnesota.
- Johnson, J. K., Cotman, C. W., Tasaki, C. S., & Shaw, G. L. (1998).Enhancement of spatial-temporal reasoning after a Mozart listening condition in Alzheimer’s disease: a case study. Neurol Res, 20(8), 666-672.
- Koger, S. M., & Brotons, M. (2000). Music therapy for dementia symptoms. Cochrane Database Syst Rev, 3.
- Koger, S. M., Chapin, K., & Brotons, M. (1999). Is music therapy an effective intervention for dementia? A meta-analytic review of literature.Journal of Music Therapy, 36(1), 2-15.
- Runci, S., Doyle, C., & Redman, J. (1999). An empirical test of language-relevant interventions for dementia. International Psychogeriatrics,11(3), 301-311.
Websites
- American Music Therapy Association
- Music, Art, and Other Therapies, Alzheimer’s Association
- MusicTherapy in Alzheimer’s Disease, Alzheimer’s Association
Music Therapy & Massage
Journal Article
- Snyder, M., & Olson, J. (1996). Music and hand massage interventionsto produce relaxation and reduce aggressive behaviors in cognitively impaired elders: A pilot study. Clinical Gerontologist, 17(1), 64-69.
Nutritional Supplements/Meal Modification
- Summary of Recent Research and Food Suggestions for Combating Alzheimer’s (Dementia)http://www.foodandlife.com/dementia.htm
- Vitamins.comand Health Notes information on Alzheimer’s and Dementia. Click on“Health Centers,” then click on “Aging Well Health Center,”and then choose “Alzheimer’sDisease.” To see the page without any navigation options, go directly to the Alzheimer’s page.
Pain management
- Bachino, C., Snow, A. L., Kunik, M. E., Cody, M., & Wristers, K.(2001). Principles of pain assessment and treatment in non-communicative demented patients. Clinical Gerontologist, 23(3-4), 97-115.
- Billings, J. A. (2000). Recent advances: Palliative care. British MedicalJournal, 321(7260), 555-558.
Pet Therapy
Journal Articles
- Draper, R. J., Gerber, G. J., & Layng, E. M. (1990). Defining therole of pet animals in psychotherapy. Psychiatr J Univ Ott, 15(3), 169-172.
- Greer, K. L., Pustay, K. A., Zaun, T. C., & Coppens, P. (2001).A comparison of the effects of toys versus live animals on the communication of patients with dementia of the Alzheimer’s type. Clinical Gerontologist,24(3-4), 157-182.
- Kanamori, M., et al. (2001). Day care program and evaluation of animal-assistedtherapy (AAT) for the elderly with senile dementia. American Journal of Alzheimer’s Disease and Other Dementias, 16 (4), 234-239.
- Katsinas, R. P. (2000). Use and implications of a canine companionin a therapeutic day program for nursing home residents with dementia.Adaptation and Aging, 25(1), 13-30.
- Zisselman, M. H., Rovner, B. W., Shmuely, Y., & Ferrie, P. (1996).A pet therapy intervention with geriatric psychiatry inpatients. American Journal of Occupational Therapy, 50(1), 47-51.
Websites
- Nonpharmacologic Interventions in Behavioral Problems Related to Dementia: Pet Therapy
- Animal-Assisted Activitiesand Therapy Bibliography
Reality Orientation
- Ferrario, E., et al. (1991). Reality orientation therapy in institutionalizedelderly patients: Preliminary results. Archives of Gerontology and Geriatrics,2, 139-142.
- Finnema, E. J., et al. (1998). The design of a large-scale experimental study into the effect of emotion-oriented care on demented elderly andprofessional careers in nursing homes. Archives of Gerontology and Geriatrics,6, 193-200.
- Holden, U. P., & Woods, R. T. (1982). Reality orientation: psychological approaches to the confused elderly. New York, NY and Edinburgh, Scotland:Churchill Livingstone.
- Johnson, C. H., McLaren, S. M., & McPherson, F. M. (1981). The comparative effectiveness of three versions of ‘classroom’ reality orientation. AgeAgeing, 10(1), 33-35.
- Metitieri, T., et al. (2001). Reality Orientation Therapy to delay outcomesof progression in patients with dementia: A retrospective study. Clinical Rehabilitation, 15(5), 471-478.
- Mitchel, S. (1980). A reassessment of the effectiveness of reality orientationfor the confused aged. Long Term Care Health Serv Adm Q, 4(2), 103-114.
- Phillips, E. & Elias, J.W. (1980) Combining sensory stimulationwith reality orientation to promote sensory orientation. American HealthCare Association Journal, 6(1), 48-50.
- Reeve, W., & Ivison, D. (1985). Use of environmental manipulationand classroom and modified informal reality orientation with institutionalized,confused elderly patients. Age Ageing, 14(2), 119-121.
- Scanland, S.G. & Emershaw, L.E. (1993) Reality orientation and validationtherapy: dementia, depression, and functional status. Journal of Gerontological Nursing, 19(6), 7-11.
- Spector, A., Davies, S., Woods, B., & Orrell, M. (2000). Realityorientation for dementia: A systematic review of the evidence of effectivenessfrom randomized controlled trials. Gerontologist, 40(2), 206-212.
- Spector, A., Orrell, M., Davies, S., & Woods, B. (2000). Realityorientation for dementia. Cochrane Database Syst Rev, 4.
- Spector, A., Orrell, M., Davies, S., & Woods, B. (2001). Can realityorientation be rehabilitated? Development and piloting of an evidence-basedprogramme of cognition-based therapies for people with dementia. NeuropsychologicalRehabilitation, 11(3-4), 377-397. Williams, R., Reeve, W., Ivison, D.,& Kavanagh, D. (1987). Use of environmental manipulation and modified informal reality orientation with institutionalized, confused elderly subjects: a replication. Age and Ageing, 16(5), 315-318. Woods, R. T.(1992). What can be learned from studies on reality orientation? In Jones,Gemma & Miesen, Bere (Ed). Care giving in dementia: Research and applications.(pp. 121 136). New York, NY: Tavistock/Routledge.
- Yesavage, J.A. & Karasu, T.B. (1982) Psychotherapy with elderlypatients. American Journal of Psychotherapy, 36(1), 41-55.
- Zanetti, O., Bianchetti, A., & Trabucchi, M. (1998). Practice guidelinefor the treatment of patients with Alzheimer’s disease and other dementiasof late life. American Journal of Psychiatry, 155(10), 1461.
- Zepelin, H., Wolfe, C. S., & Kleinplatz, F. (1981). Evaluation ofa yearlong reality orientation program. Gerontologist, 1981, 36(1), 70-77.
Reminiscence
- Bass, B. A., & Greger, L. M. (1996). Stimulus complexity in reminiscencetherapy and scores on the Beck Depression Inventory of a small group ofnursing-home residents. Perceptual and Motor Skills, 82(3, Pt 1), 973-974.
- Spector, A., Orrell, M., Davies, S., & Woods, R. T. (2000). Reminiscence therapy for dementia.Cochrane Database Syst Rev, 4.
- Thorgrimsen, L., Schweitzer, P., & Orrell, M. (2002). Evaluating reminiscence for people with dementia: A pilot study. Arts in Psychotherapy, 29(2), 93-97.
Rocking Chair Therapy
- Snyder, M., et al. (2001). A glider swing intervention for people with dementia. Geriatr Nurs, 22(2), 86-90.
- Watson, N. M., Wells, T. J., & Cox, C. (1998). Rocking chair therapyfor dementia patients: its effect on psychosocial well-being and balance. American Journal of Alzheimer’s Disease, 13(6), 296-308.
Special Care Units/Alzheimer’s Units
- Bellelli, G., et al. (1998). Special care units for demented patients:A multicenter study. Gerontologist, 38(4), 456-462.
- Bono, G., Raineri, C., Greco, L., Mauri, M., Maurizio Clerici, A.,& Merlo, P. (1997). Medium-term outcomes of Alzheimer patients inspecial care units. Functional Neurology: New Trends in Adaptive and Behavioral Disorders, 12(3-4), 219-220.
- Buckwalter, K. C. (1991). Segregating the cognitively impaired: Aredementia units successful? In P. R. Katz & R. L. Kane (Eds.), Advances in long term care, Vol. 1 (pp. 43-60). New York, NY: Springer PublishingCo.
- Frisoni, G. B., et al., (1998). Special care units for dementia in nursing homes: A controlled study of effectiveness. Archives of Gerontologyand Geriatrics, 6, 215-224.
- Kovach, C. R., & Stearns, S. A. (1994). DSCUs: a study of behavior before and after residence. Journal-of-Gerontological-Nursing, 20(12),33-39.
- Lawton, M. P., Van, H. K., Klapper, J., Kleban, M. H., Katz, I. R.,& Corn, Julie. (1998). Stimulation-retreat special care unit for elders with dementing illness. International-Psychogeriatrics, 10 (4), 379-395.
- Lefroy, R.B., Hyndman, J. & Hobbs, M.S.T. (1997). Special Dementia Unit (hostel): review of the first eleven years operation. AustralianJournal on Ageing. 16(1), 16-19.
- Leon, J., & Ory, M. G. (1999). Effectiveness of special care unit (SCU) placements in reducing physically aggressive behaviors in recently admitted dementia nursing home residents. American Journal of Alzheimer’sDisease, 14(5), 270-277.
- Maslow, K. (1996). Relationship between patient characteristics andthe effectiveness of nonpharmacologic approaches to prevent or treat behavioral symptoms. International Psychogeriatrics, 8(Suppl 1), 73-76.
- Roberts, J., Browne, G., Gafni, A., Varieur, M., Loney, P., & deRuijter, M. (2000). Specialized continuing care models for persons with dementia: A systematic review of the research literature. Canadian Journalon Aging, 19(1), 106-126.
- Sloane, P.D., Lindeman, D.A., Phillips, C., Moritz, D.J., & Koch,G.(1995). Evaluating Alzheimer’s special care units: reviewing the evidence and identifying potential sources of study bias. Gerontologist, 35 (1),103-111.
- Thomson, K., Turner, L.C., & Wiebe, P. (1993-94). How SCUs help residents with mental health problems. Journal of Long Term Care Administration,21(4), 25-29.
Snoezelen
Journal Articles
- Ashby, M., Lindsay, W.R., Pitcaithly, D., Broxholme, S., & Geelen,N. (1995). Snoezelen: its effects on concentration and responsiveness in people with profound multiple handicaps. British Journal of Occupational Therapy, 58(7), 303-307.
- Baker, R., Dowling, Z., Wareing, L.A., Dawson, J., & Assey, J.(1997). Snoelzelen: Its long term and short term effects on older people with dementia. British Journal of Occupational Therapy, 60(5), 213-218.
- Lancioni, G. E., Cuvo, A. J., & O’Reilly, M. F. (2002). Snoezelen: An overview of research with people with disabilities and dementia. Disability and Rehabilitation: An International Multidisciplinary Journal, 24(4),175-184.
- Pinkney, L. (1997). A comparison of the Snoezelen environment and a music relaxation group on the mood and behavior of patients with senile dementia. British Journal of Occupational Therapy, 60(5), 209-212.
Websites
- ROMPA® – the home of Snoezelen®
- School of Health Professions and Rehabilitation Sciences Snoezelen Page
- Purchase SNOEZELEN products at Alternative Solutions in Long Term Care
Therapeutic Touch
- Aveyard, B., Sykes, M., & Doherty, D. (2002). Therapeutic touch in dementia care. Nurs Older People, 14(6), 20-21.
- Woods, D. L. (1999). The effect of therapeutic touch on glucocorticoids and agitated behavior in individuals with dementia of the Alzheimer type.University of Washington.
Therapeutic Touch & Massage
- Snyder, M., Egan, E. C., & Burns, K. R. (1995). Interventions fordecreasing agitation behaviors in persons with dementia. Journal of GerontologicalNursing, 21(7), 34-40.
Validation Therapy
- Babins, L. (1998). Conceptual analysis of validation therapy. Int JAging Hum Dev, 26(3), 161-168.
- Feil, N. (1993) The validation breakthrough: simple techniques for communicating with people with Alzheimer’s type dementia. Baltimore, MD: P. BrookesPublishers
- Fine, J. I., & Rouse, B. S. (1995). Using validation techniquesto improve communication with cognitively impaired older adults. Journal of Gerontological Nursing, 21(6), 39-45.
- Morton, I., & Bleathman, C. (1991). The effectiveness of validation therapy in dementia: A pilot study. International Journal of Geriatric Psychiatry, 6(5), 327-330.
- Neal, M., & Briggs, M. (2000).Validation therapy for dementia.Cochrane Database Syst Rev, 2.
- Toseland, R. W., Diehl, M., Freeman, K., Manzanares, T., Naleppa, M.,& McCallion, P. (1997). The impact of validation group therapy on nursing home residents with dementia. Journal of Applied Gerontology,16(1), 31-50.

