Our Research
           
            
            Introduction
          
 In 2008, we completed a project that suggests it is possible to
              improve the quality of life for dementia patients. Our project
              was inspired by and based on the research findings of Barbara
              Derrick, PhD, a clinical psychologist in South Carolina.
              (Please refer  Dr.
              Derrick’s research on our website.)
              (Please refer to Venture Inward, July/August
              2004 for additional information about Dr. Derrick’s work.)
              Dr. Derrick has shown that dementia residents who listen to daily
              positive affirmation tapes have marked improvements in their behavior
              and their level of happiness. In addition, the caregivers who listen
              daily to a tape that affirms their positive and nurturing role
              with the patients have a significantly lower rate of absenteeism. 
             
              Method 
            Our project was conducted at the Del Sol Residential Facility
              for the Elderly in Mission Viejo, California. Thirteen out of twenty-three
              families consented to have their family member participate in our
              project. We developed two CDs with positive affirmations; Affirmative
              Therapy for Dementia Patients and Affirmative
              Therapy for Caregivers.
              We administered and scored a preliminary Mini-Mental
              Status Examination (MMSE) on each of the participating residents.
              We also held an orientation training program with the staff. With
              the help of the caregiver staff, we identified specific behavior
              challenges for each of the participating residents (e.g., yelling,
              lack of cooperation with grooming or meals). Each of the 13 participating
              residents listened to the CD twice a day (once in the morning and
              once in the evening before bed). A senior staff member recorded
              observations of the frequency of behavioral challenges for each
              resident. Three months later, we administered a follow-up MMSE
              and reviewed the behavior records. 
             
              Results 
            Unforunately, by the end of the study, three of the participants
              had passed away. Of the remaining 10 participants, three demonstrated
              an improved behavior pattern and seven remained the same. Equally
              interesting and encouraging were the follow-up MMSE scores. One
              score remained the same, five scores were lower, and four participants
              actually demonstrated improved scores. 
             
              Discussion 
            Although our study did not have a control group, this preliminary
              evidence, as well as that of Barbara Derrick, PhD, suggests that
              dementia patients benefit from listening to a positive affirmation
              tape, especially when their caregivers also listen to a tape that
              affirms the importance of their role as caregivers. Our findings
              offer mostly subjective; however, we are open to providing
              assistance with further research in this arena. Meanwhile, we encourage
              healthcare providers and caregivers in any arena to add our Affirmative
              Therapy Products to their daily routine. These audio products offer
              an improved quality of life for dementia patients and  ”respite
              in a CD” for caregivers. 
             
                Barbara Klein-Robuck, MS, RN, HN-BC
                   
              Donna A. McCullough, PhD 
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