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Implementing Montessori Methods for Dementia: A Scoping Review.

Sander L Hitzig1,2,3, Christine L Sheppard4

  • 1St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

The Gerontologist
|January 8, 2017
PubMed
Summary

Montessori-based programming (MBP) in dementia care shows varied implementation, with resident-assisted approaches being the most standardized. This review offers guidance for optimizing MBP across different settings, considering practical challenges.

Keywords:
Alzheimer’s diseaseCaregiving—formalDementiaMontessori-based activitiesPerson-centered care

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Area of Science:

  • Gerontology
  • Dementia Care Research
  • Non-pharmacological Interventions

Background:

  • Montessori-based programming (MBP) offers a person-centered approach for individuals with dementia.
  • Understanding the diverse implementation strategies of MBP is crucial for effective dementia care.

Purpose of the Study:

  • To conduct a scoping review of Montessori-based programming (MBP) in dementia care.
  • To identify optimal implementation strategies for MBP across various care settings.

Main Methods:

  • A comprehensive search of six peer-reviewed databases was performed.
  • Two independent reviewers screened articles and book chapters published by January 2016.
  • Twenty-five sources met the inclusion criteria for the review.

Main Results:

  • Four primary MBP implementation approaches were identified: staff-assisted, intergenerational, resident-assisted, and volunteer/family-assisted.
  • Significant variability exists in MBP delivery, with no universal best practices established.
  • Resident-assisted MBP demonstrated the most consistent protocol among the identified approaches.

Conclusions:

  • This scoping review provides a foundational roadmap for implementing MBP in dementia care settings.
  • Successful MBP implementation requires careful consideration of pragmatic and logistical factors, regardless of the chosen approach.
  • Further research may be needed to establish standardized protocols and best practices for various MBP delivery models.