J Korean Acad Community Health Nurs.  2017 Sep;28(3):260-270. 10.12799/jkachn.2017.28.3.260.

The Effect of a Dementia Preventive Intervention based on Motivational Interviewing among the Elderly over 75 Years of Age in Nursing Homes

Affiliations
  • 1Department of Nursing Science, Vision College of Jeonju, Jeonju · Graduate School, Ewha Womans Univesrity, Seoul, Korea.
  • 2College of Nursing, Ewha Womans University, Seoul, Korea. suksunkim@ewha.ac.kr

Abstract

PURPOSE
The purpose of this study was to examine the effects of the motivational interviewing (MI) dementia preventive intervention on dementia preventive behaviors, depression and cognitive function among elderly over 75 years of age in nursing homes.
METHODS
A nonequivalent control group pretest-posttest design was used. A total of 57 participants were divided into three groups; 18 in the MI dementia preventive intervention (Group A), 20 in the dementia preventive program (Group B) and 19 in the control group. Dementia preventive behaviors, depression, and cognitive function were assessed at pre, post, and 1 month after the intervention. Data were analyzed using descriptive statistics, t-test, ANOVA and repeated measure ANOVA.
RESULTS
The results reported that there were significant differences in dementia preventive behaviors and depression among Group A, B, and C. Also, there were significant differences in dementia preventive behaviors and cognitive function during time periods. There was a significant interaction between groups and times in relation to depression. Results suggested that the effects of MI dementia preventive program was persistent after 1 month following the intervention.
CONCLUSION
Further research needs to develop dementia preventive programs considering physical and mental traits of the elderly in late years staying at nursing homes.

Keyword

Nursing home; Elderly; Motivational interviewing; Dementia

MeSH Terms

Aged*
Cognition
Dementia*
Depression
Humans
Motivational Interviewing*
Nursing Homes*
Nursing*

Reference

References

1. Min SG. Modern psychiatry. 6th ed. Seoul: Ichokak;2015. p. 943.
2. National Institute of Dementia. National institute of dementia annual report 2014 [Internet]. Gyeonggi: National Institute of Dementia;2015. [cited 2015 April 6]. Available from:. http://www.nid.or.kr/info/dataroom_view.aspx?bid=129.
3. Ministry of Health and Welfare. 2013 report data [Internet]. Sejong: Ministry of Health and Welfare;2013. [cited 2015 October 14]. Available from:. http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=286138.
4. Kim JW, Lee TY, Kang DH, Kim JK, Park SY. The effect of constructed exercise program on quality of life and depression for elderly in a care facility. The Journal of Occupational Therapy for the Aged and Dementia. 2013; 7(1):34–45.
5. Chang HS, Lee HS, Kim CM, Kim EM. Institutionalized persons and personnel of nursing homes for elders. Journal of Korean Academy of Rural Health Nursing. 2011; 6(1):15–22.
6. So HY, Kim HL. Cognitive and physical function by the social disengagement in institution and community living elderly. The Korean Journal of Rehabilitation Nursing. 2007; 10(1):5–11.
7. Kang EN, Lee MH. An exploratory study of social network type among nursing home residents: Focusing on external relationship resources of nursing facilities. Health and Social Welfare Review. 2014; 34(2):133–160.
8. Yu JO, Kim JS. Effects of a physical activity program using ex-ergame with elderly women. Journal of Korean Academy of Nursing. 2015; 45(1):84–96. https://doi.org/10.4040/jkan.2015.45.1.84.
Article
9. Han YR, Song MS, Lim JY. The effects of a cognitive enhancement group training program for community-dwelling elders. Journal of Korean Academy of Nursing. 2010; 40(5):724–735. https://doi.org/10.4040/jkan.2010.40.5.724.
Article
10. Choi AN, Kim YH, Cheung KJ. A study on the effects of music therapy activity on day-care elders cognitive function and depression. Journal of Arts Psychotherapy. 2010; 6(1):103–121.
11. Ji EJ, Kim OS. Effect of the laughter therapy combined with cognitive reinforcement program for the elderly with mild cognitive impairment. The Journal of Korean Academic Society of Adult Nursing. 2014; 26(1):34–45. https://doi.org/10.7475/kjan.2014.26.1.34.
Article
12. Rollnick S, Miller W, Butler C. Motivational interviewing in health care: Helping patients change behavior. Shin SK, Cho SH, translator. Seoul: Sigmapress;2009.
13. Purath J, Keck A, Fitzgerald CE. Motivational interviewing for older adults in primary care: A systematic review. Geriatric Nursing. 2014; 35(3):219–224. https://doi.org/10.1016/j.gerinurse.2014.02.002.
Article
14. Markland D, Ryan RM, Tobin VJ, Rollnick S. Motivational interviewing and self-determination theory. Journal of Social and Clinical Psychology. 2005; 24(6):811–831.
Article
15. Kim YK, Kim TH, Hong HS. Effects of the cognitive training program on cognitive function, stress and depression of elderly patients in geriatric hospitals. Journal of Korean Biological Nursing Science. 2010; 12(3):140–147.
16. Yu JY. The study on the dementia preventive behavior, self-efficacy and cognitive function in elderly [master's thesis]. [Seoul]: Ewha Womons University;2011. p. 57.
17. Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of the Korean Neuropsychiatric Association. 1996; 35(2):298–307.
19. Miller WR, Rollnick S. Motivational interviewing: Helping people change. 3rd ed. New York: The Guilford press;2012. p. 482.
18. Kwon YC, Park JH. Development of the test for the elderly= Korean version of Mini-Mental State Examination (MMSEK). Journal of the Korean Neuropsychiatric Association. 1989; 28(1):125–135.
20. Ministry of Health and Welfare. Dementia guide book [Internet]. Sejong: Ministry of Health and Welfare;2014. [cited 2014 December 16]. Available from:. http://www.mohw.go.kr/front_new/jb/sjb030301vw.jsp.
21. Kang HY, Gu MO. Development and effects of a motivational interviewing self-management program for elderly patients with diabetes mellitus. Journal of Korean Academy of Nursing. 2015; 45(4):533–543. https://doi.org/10.4040/jkan.2015.45.4.533.
Article
22. Moral RR, Torres LAPD, Ortega LP, Larumbe MC, Villalobos AR, Garcı´a JAF, et al. Effectiveness of motivational interviewing to improve therapeutic adherence in patients over 65 years old with chronic diseases: A cluster randomized clinical trial in primary care. Patient Education and Counseling. 2015; 98(8):977–983. https://doi.org/10.1016/j.pec.2015.03.008.
Article
23. Mertens VC, Goossens MEJB, Verbunt JA, Köke AJ, Smeets RJEM. Effects of nurse-led motivational interviewing of patients with chronic musculoskeletal pain in preparation of rehabilitation treatment (PREPARE) on societal participation, attendance level, and cost-effectiveness: Study protocol for a randomized controlled trial. Trials. 2013; 14:1–14. https://doi.org/10.1186/1745-6215-14-90.
Article
24. Gabbay RA, Anel-Tiangco RM, Dellasega C, Mauger DT, Adelman A, Van Horn DHA. Diabetes nurse case management and motivational interviewing for change (DYNAMIC): Results of a 2-year randomized controlled pragmatic trial. Journal of Diabetes 5. 2013; 5(3):349–357. https://doi.org/10.1111/1753-0407.12030.
25. Hoek W, Marko M, Fogel J, Schuurmans J, Gladstone T, Bradford N, et al. Randomized controlled trial of primary care physician motivational interviewing versus brief advice to engage adolescents with an Internet-based depression prevention intervention: 6-month outcomes and predictors of improvement. Translational Research. 2011; 158(6):315–325. https://doi.org/10.1016/j.trsl.2011.07.006.
Article
26. Sink KM, Espeland MA, Castro CM, Cohen R, Dodson R, Gu-ralnik J, et al. Effect of a 24-month physical activity intervention vs health education on cognitive outcomes in sedentary older adults the LIFE randomized trial. The Journal of the American Medical Association. 2015; 314(8):781–790. https://doi.org/10.1001/jama.2015.9617.
27. Shin MK, Shin SJ. Effects of group exercise program tailored by physical fitness on perceived health status, physical strength, depression and cognitive function of the elderly. The Korean Academic Society of Adult Nursing. 2008; 20(4):613–625.
28. Kim HS, Yi YJ, Park KH, Kang UK, Lee BM. Effects of cognition promoting program on cognitive function, depression and quality of life in elderly. The Korea Contents Society. 2010; 10(8):228–239. https://doi.org/10.5392/JKCA.2010.10.8.227.
Article
29. Rojas GJ, Villa V, Iturry M, Harris P, Serrano CM, Herrera JA, et al. Efficacy of a cognitive intervention program in patients with mild cognitive impairment. International Psychogeriatrics. 2013; 25(5):825–831. https://doi.org/10.1017/S1041610213000045.
Article
30. Bang EJ, Yun SY. Health needs of the elderly in long-term care Facilities: Using RAI-MDS-FC. Journal of Korean Academy of Community Health Nursing. 2010; 21(2):263–272. https://doi.org/10.12799/jkachn.2010.21.2.263.
Article
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