Skip to main content
American Journal of Alzheimer's Disease and Other Dementias logoLink to American Journal of Alzheimer's Disease and Other Dementias
. 2007 Feb-Mar;22(1):27–36. doi: 10.1177/1533317506297895

Resident-Assisted Montessori Programming (RAMP™): Use of a Small Group Reading Activity Run by Persons With Dementia in Adult Day Health Care and Long-Term Care Settings

Michael J Skrajner 1, Cameron J Camp 2
PMCID: PMC10697202  PMID: 17533999

Abstract

Six persons in the early to middle stages of dementia (“leaders”) were trained in Resident-Assisted Montessori Programming (RAMP™) to lead a reading activity for 22 persons with more advanced dementia (“participants”) in an adult day health center (ADHC) and a special care unit (SCU) in a skilled nursing facility. Researchers assessed the leaders’ abilities to learn and follow the procedures of leading a group, as well as their satisfaction with their roles. In addition, participants’ engagement and affect were measured, both during standard activities programming and during client-led activities. Results of this study suggest that persons with dementia can indeed successfully lead small group activities, if several important prerequisites are met. Furthermore, the engagement and affect of participants was more positive in client-led activities than in standard activities programming.

Keywords: early stage dementia, social roles, engagement, procedural memory

Full Text

The Full Text of this article is available as a PDF (78.4 KB).

Contributor Information

Michael J. Skrajner, Myers Research Institute of the Menorah Park Center for Senior Living, 27100 Cedar Road, Beachwood, Ohio.

Cameron J. Camp, Myers Research Institute of the Menorah Park Center for Senior Living, 27100 Cedar Road, Beachwood, Ohio, ccamp@myersri.com .

References

  1. United States. Department of Health and Human Services, CMS Manual System. State Operations Provider Certification. Guidance to Surveyors for Long Term Care Facilities, Transmittal 19. June 1, 2006:74-76.
  2. Beuttner LL. A team approach to dynamic programming on the special care unit. Journal of Geronotological Nursing. 1998;24: 23-30. [DOI] [PubMed] [Google Scholar]
  3. Teri L, Gibbons LE, McCurry SM, et al. Exercise plus behavioral management in patients with Alzheimer’s disease: A randomized controlled trial. JAMA 2003;290: 2015-2022. [DOI] [PubMed] [Google Scholar]
  4. Tilly J, Reed P, ed. Dementia Care Practice Recommendations for Assisted Living Residences and Nursing Homes - Phases 1 and 2. Chicago, IL: Alzheimer’s Association; 2006. [Google Scholar]
  5. Orsulic-Jeras S, Judge KS, Camp CJ. Montessori-based activities for long-term care residents with advanced dementia: effects on engagement and affect. The Gerontologist. 2000;40: 107-111. [DOI] [PubMed] [Google Scholar]
  6. Orsulic-Jeras S, Schneider NM, Camp CJ. Montessori-based activities for long-term care residents with dementia: outcomes and implications for geriatric rehabilitation. Top Geriatr Rehabil. 2000;16: 78-91. [Google Scholar]
  7. Schneider NM, Diggs S, Orsulic S, Camp CJ. N.A.s teaching Montessori teaching Montessori activities. J Nurse Assist. 1999:March;13-15. [Google Scholar]
  8. Camp CJ, ed. Montessori-based Activities for Persons With Dementia: Volume 1. Beachwood, OH: Menorah Park Press; 1999. [Google Scholar]
  9. Camp CJ. Montessori-Based Dementia Programming® in Long-term Care: A Case Study of Disseminating an Intervention for Persons With Dementia. In: Intrieri RC, Hyer L, eds. Clinical Applied Gerontological Interventions in Long-term Care. New York: Springer; 2006:295-314. [Google Scholar]
  10. Camp CJ, Cohen-Mansfield J, Capezuti EA. Use of nonpharmacologic interventions among nursing home residents with dementia. Psychiat Serv. 2002;53: 1397-1401. [DOI] [PubMed] [Google Scholar]
  11. Gorzelle GJ, Kaiser K, Camp CJ. Montessori-based training makes a difference for home health workers and their clients. CARING Magazine. 2003;January: 40-42. [PubMed] [Google Scholar]
  12. Montessori M. The Montessori method. New York: Schocken Press; 1912/1964. [Google Scholar]
  13. Lilliard AS. Montessori: The Science Behind the Genius. New York: Oxford University Press; 2005. [Google Scholar]
  14. Chattin-McNichols J. The Montessori Controversy. Albany, NY: Delmar Publishers; 1992. [Google Scholar]
  15. Camp CJ, Skrajner MJ. Resident-Assisted Montessori Programming (RAMP): Training persons with dementia to serve as group activity leaders. Gerontologist. 2004;44: 426-431. [DOI] [PubMed] [Google Scholar]
  16. Camp CJ, Skrajner MJ, Kelly M. Early stage dementia client as group leader. Clin Gerontol. 2005;28: 81-85. [Google Scholar]
  17. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state” a practical method for grading the cognitive state of patients for the clinician. J Psychiat Res. 1975:12; 189-198. [DOI] [PubMed] [Google Scholar]
  18. Lawton MP, Van Haitsma K, Klapper J. Observed affect in nursing home residents with Alzheimer’s disease. J Gerontol: Psychol Sci. 1996;51: 3-14. [DOI] [PubMed] [Google Scholar]

Articles from American Journal of Alzheimer's Disease and Other Dementias are provided here courtesy of SAGE Publications

RESOURCES