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Related Experiment Videos

Reducing wandering by persons with dementia using differential reinforcement.

K Heard1, T S Watson

  • 1Mississippi State University, Starkville 39762, USA.

Journal of Applied Behavior Analysis
|October 8, 1999
PubMed
Summary

Differential reinforcement of other behavior (DRO) significantly reduced wandering in geriatric dementia patients. This behavioral intervention proved effective in long-term care settings.

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Area of Science:

  • Gerontology
  • Behavioral Science
  • Clinical Psychology

Background:

  • Wandering behavior is a common and challenging issue for geriatric patients with dementia in long-term care settings.
  • Understanding the maintaining consequences of wandering is crucial for developing effective interventions.
  • Direct behavioral observation provides a method for identifying these maintaining consequences.

Observation:

  • Four geriatric patients with dementia participated in the study.
  • Direct behavioral observations were used to assess wandering behavior.
  • Consequences that maintained wandering were identified for each patient.

Findings:

  • A differential reinforcement of other behavior (DRO) procedure was implemented, focusing on reinforcing the absence of wandering.

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  • The effectiveness of the DRO procedure was evaluated using an ABAB research design.
  • Results demonstrated significant reductions in wandering behavior during the DRO treatment phases.

    • Implications:

    • The findings suggest that DRO is an effective behavioral intervention for reducing wandering in dementia patients.
    • This intervention can be applied in long-term care facilities to improve patient management and quality of life.
    • Further research could explore the long-term sustainability of DRO and its applicability to other challenging behaviors in dementia.