Skip to main content
American Journal of Alzheimer's Disease and Other Dementias logoLink to American Journal of Alzheimer's Disease and Other Dementias
. 2009 Dec;24(6):450–455. doi: 10.1177/1533317509350153

The Effect of Multisensory Stimulation on Persons Residing in an Extended Care Facility

Peggy Ward-Smith 1, Sarah M Llanque 2, Denise Curran 3
PMCID: PMC10846236  PMID: 19846683

Abstract

Background: Non-pharmacological interventions, such as multisensory stimulation environments (MSSE), have demonstrated the ability to reduce inappropriate behavior among individuals with Alzheimer’s disease. Methods: In this study, we compared the incidences of problematic behavior among individuals with Alzheimer’s disease residing in a long-term care facility who were and were not exposed to an MSSE. Retrospective data were obtained using the Psychotic Behavior Assessment Record (PBAR), mandated by Medicare to be used when antipsychotic medications are administered. Psychotic Behavior Assessment Record data were collected using the first and sixth month of admission for residents after appropriate consent was secured. Results: Documented disruptive behavior included pacing, exit-seeking activities, hitting, yelling, and aggressive talking. The use of the MSSE resulted in a decrease in the number of incidences of disruptive behavior, but not the behaviors present. Conclusion: The use of MSSE, as a non-pharmacological intervention, demonstrates the ability to decrease the number of incidences of disruptive or problematic behavior. The use of these interventions, where feasible, should be considered prior to the use of pharmacological methods.

Keywords: Alzheimer’s disease, dementia, multisensory stimulation, disruptive behavior

Full Text

The Full Text of this article is available as a PDF (112.6 KB).

Contributor Information

Peggy Ward-Smith, School of Nursing, University of Missouri, Kansas City, Missouri, wardsmithp@umkc.edu .

Sarah M. Llanque, School of Nursing, University of Missouri, Kansas City, Missouri.

Denise Curran, LaVerna Village and Apartments, Savannah, Missouri.

References

  1. Alzheimer’s Association. Alzheimer’s Disease Facts and Figures; 2009. http://www.alz.org/national/documents/reportalzfactsfigures2009.pdf. Accessed March 29, 2009. [DOI] [PubMed] [Google Scholar]
  2. Cohen-Mansfield J. Agitated behaviors in the elderly. II. Preliminary results in the cognitively deteriorated. J Am Geriatr Soc . 1986;34(10):722-727. [DOI] [PubMed] [Google Scholar]
  3. van Weert JC , van Dulmen AM, Spreeuwenberg PM, Ribbe MW, Bensing JM Behavioral mood effects of Snoezelen integrated into 24-hour dementia care. J Am Geriatr Soc. 2005;53(1):24-33. [DOI] [PubMed] [Google Scholar]
  4. Phillips CD, Spry KM, Sloane PD, Hawes C. Use of physical restraints and psychotropic medications in Alzheimer special care units in nursing homes. Am J Public Health. 2000;90(1):92-96. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Ballard CG, Gauthier S., Cumming JL, et al. Management of agitation and aggression associated with Alzheimer disease. Nat Rev Neurol. 2009;5(5):245-255. [DOI] [PubMed] [Google Scholar]
  6. Kovach CR Sensoristasis and imbalance in persons with dementia. J Nurs Scholarsh. 2000;32(4):379-384. [DOI] [PubMed] [Google Scholar]
  7. Beck C., Frank L., Chumbler NR, et al. Correlates of disruptive behavior in severely cognitively-impaired nursing home residents. Gerontologist. 1998. ;38(2): 189-198. [DOI] [PubMed] [Google Scholar]
  8. Cohen-Mansfield J. Agitated behavior and cognitive functioning in nursing home resident. Clinical Gerontologist. 1988;7(3):11-22. [Google Scholar]
  9. Hall GR, Buckwalter KC Progressively lowered stress threshold: a conceptual model for care of adults with Alzheimer’s disease. Arch Psychiatr Nurs. 1987; 1(6):399-406. [PubMed] [Google Scholar]
  10. Scarmeas N. , Brandt J., Blacker D., et al. Disruptive behavior as a predictor in Alzheimer disease. Arch Neurol. 2007;64(12):1755-1761. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Gerdner LA Effects of individualized versus classis ‘‘relaxation’’ music on the frequency of agitation in elderly persons with Alzheimer’s disease and related disorders. Int Psychogeriatr. 2000;12(1):49-65. [DOI] [PubMed] [Google Scholar]
  12. Burns I., Cox H., Plant H. Leisure or therapeutics? Snoezelen and the care of older persons with dementia . Int J Nurs Pract. 2000;6(3):118-126. [DOI] [PubMed] [Google Scholar]
  13. Livingston G., Johnston K., Katona C., Paton J., Lyketsos CG and the Old Age Task Force of the World Federation of Biological Psychiatry. Systematic review of psychological approaches to the management of neuropsychiatric symptoms of dementia. Am J Psychiatry. 2005;162(11):1996-2021. [DOI] [PubMed] [Google Scholar]
  14. Cavet J. Multisensory environments. Snoezelen-your questions answered. Commun Living. 1994;7(3):26. [Google Scholar]
  15. Hogg J., Cavet J., Lambe L., Smeddle M. The use of ‘Snoezelen’ as multisensory stimulation with people with intellectual disabilities: a review of the research. Res Dev Disabil. 2001;22(5):353-372. [DOI] [PubMed] [Google Scholar]
  16. Ball J., Haight BK Creating a multisensory environment for dementia: the goals of a Snoezelen room. J Gerontol Nurs. 2005;31(10):4-10. [DOI] [PubMed] [Google Scholar]
  17. Riley-Doucet CK Use of multisensory environment in the home for people with dementia. J Gerontol Nurs. 2009;35(5):42-52. [DOI] [PubMed] [Google Scholar]
  18. Milev RV, Kellar T., McLean M., et al. Multisensory stimulation for elderly with dementia: a 24-week single-blind randomized controlled pilot study. Am J Alzheimers Dis Other Demen. 2008;23(4):372-376. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Lancioni GE , Cuvo AJ, O’Reilly MF Snoezelen: an overview of research with people with developmental disabilities and dementia. Disabil Res. 2002;24(4):175-184. [DOI] [PubMed] [Google Scholar]
  20. Chung Jjcc, Lai Ccky. Snoezelen for dementia. Cochrane Database Syst Rev. 2002;(4):CD003152. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. American Association of Multi Sensory Environments. Position paper; 2009. http://www.aamse.us/research.php . Accessed July 7, 2009. [Google Scholar]
  22. Hutchison R. Sensory Environments. Chesterfield: Whittington Hall Hospital; 1994. [Google Scholar]
  23. Reisberg B. Diagnostic criteria in dementia: a comparison of current criteria, research challenges, and implications for DSM-V. J Geriatr Psychiatry Neurol. 2006; 19(3):137-146. [DOI] [PubMed] [Google Scholar]

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

RESOURCES