Results from the multisite implementation of STAR-VA: a multicomponent psychosocial intervention for managing challenging dementia-related behaviors of veterans

Karlin, Bradley E., Visnic, Stephanie, McGee, Jocelyn S. and Teri, Linda (2013) Results from the multisite implementation of STAR-VA: a multicomponent psychosocial intervention for managing challenging dementia-related behaviors of veterans. Psychological Services, Online First 1-9. doi:10.1037/a0033683

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Author Karlin, Bradley E.
Visnic, Stephanie
McGee, Jocelyn S.
Teri, Linda
Title Results from the multisite implementation of STAR-VA: a multicomponent psychosocial intervention for managing challenging dementia-related behaviors of veterans
Journal name Psychological Services   Check publisher's open access policy
ISSN 1541-1559
1939-148X
Publication date 2013-08-12
Sub-type Article (original research)
DOI 10.1037/a0033683
Volume Online First
Start page 1
End page 9
Total pages 9
Place of publication Washington, DC, United States
Publisher American Psychological Association
Collection year 2014
Language eng
Formatted abstract
Dementia is often associated with challenging behaviors that can significantly impact the quality of life of individuals with dementia and pose great difficulty for long-term care staff. Antipsychotic medications, historically the mainstay approach for managing such behaviors, have increasingly been associated with limited efficacy and increased death risk with older dementia patients. In an effort to promote and realize the promise of nonpharmacological management of challenging dementia-related behaviors, the U.S. Department of Veterans Affairs (VA) health care system has developed and implemented STARVA, an interdisciplinary behavioral intervention for managing challenging dementia-related behaviors of veterans, in 17 VA nursing homes, as part of a pilot implementation initiative. Sixty-four veterans with challenging behaviors associated with dementia participated in the STAR-VA intervention coordinated by Mental Health Providers completing specialized training. Challenging behaviors clustered into 6 behavior types: resistance to care, agitation, violence/aggression, vocalization, wandering, and other. Results indicate that STAR-VA led to significant reductions in the frequency and severity of challenging dementia-related behaviors, with overall effect sizes of approximately 1. In addition, the intervention led to significant reductions in depression and anxiety. Overall, the results support the feasibility and effectiveness of STAR-VA for managing challenging dementia-related behaviors in veterans in realworld, nursing home settings.
Keyword Dementia
Challenging behaviors
Older adults
Veterans
Nursing homes
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 5 times in Thomson Reuters Web of Science Article | Citations
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Created: Tue, 10 Dec 2013, 22:50:28 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work