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The Influence of Everyday Acoustic Environments on the Challenging Behavior in Dementia: A Participatory Observation Study in Nursing Homes

Challenging behavior (CB) is a group of behaviors, reactions and symptoms due to dementia, which can be challenging for the caregivers. The study aims to research the influence of acoustics on CB in people with dementia (PwD). An ethnographic method was used to study the daily life of PwD in their n...

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Autores principales: Talebzadeh, Arezoo, Decoutere, Ine, Vander Mynsbrugge, Tara, Botteldooren, Dick, Devos, Paul, Aletta, Francesco, Van de Velde, Dominique, De Vriendt, Patricia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002302/
https://www.ncbi.nlm.nih.gov/pubmed/36901204
http://dx.doi.org/10.3390/ijerph20054191
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author Talebzadeh, Arezoo
Decoutere, Ine
Vander Mynsbrugge, Tara
Botteldooren, Dick
Devos, Paul
Aletta, Francesco
Van de Velde, Dominique
De Vriendt, Patricia
author_facet Talebzadeh, Arezoo
Decoutere, Ine
Vander Mynsbrugge, Tara
Botteldooren, Dick
Devos, Paul
Aletta, Francesco
Van de Velde, Dominique
De Vriendt, Patricia
author_sort Talebzadeh, Arezoo
collection PubMed
description Challenging behavior (CB) is a group of behaviors, reactions and symptoms due to dementia, which can be challenging for the caregivers. The study aims to research the influence of acoustics on CB in people with dementia (PwD). An ethnographic method was used to study the daily life of PwD in their nursing homes with a specific focus on how people react to everyday environmental sounds. Thirty-five residents were included in the sample based on purposeful, homogeneous group characteristics and sampling. Empirical data were collected using 24/7 participatory observations. The collected data were analyzed using a phenomenological–hermeneutical method: a naïve understanding, a structural analysis and a comprehensive understanding. The result shows that the onset of CB depends on whether the resident feels safe and is triggered by an excess or lack of stimuli. The excess or shortage of stimuli and whether and when it affects a person is personal. It depends on various factors, the person’s state and the time of day, the nature of the stimuli, familiarity, or strangeness is also a determining factor for the onset and progression of CB. The results can form an essential basis for developing soundscapes to make the PwD feel safe and reduce CB.
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spelling pubmed-100023022023-03-11 The Influence of Everyday Acoustic Environments on the Challenging Behavior in Dementia: A Participatory Observation Study in Nursing Homes Talebzadeh, Arezoo Decoutere, Ine Vander Mynsbrugge, Tara Botteldooren, Dick Devos, Paul Aletta, Francesco Van de Velde, Dominique De Vriendt, Patricia Int J Environ Res Public Health Article Challenging behavior (CB) is a group of behaviors, reactions and symptoms due to dementia, which can be challenging for the caregivers. The study aims to research the influence of acoustics on CB in people with dementia (PwD). An ethnographic method was used to study the daily life of PwD in their nursing homes with a specific focus on how people react to everyday environmental sounds. Thirty-five residents were included in the sample based on purposeful, homogeneous group characteristics and sampling. Empirical data were collected using 24/7 participatory observations. The collected data were analyzed using a phenomenological–hermeneutical method: a naïve understanding, a structural analysis and a comprehensive understanding. The result shows that the onset of CB depends on whether the resident feels safe and is triggered by an excess or lack of stimuli. The excess or shortage of stimuli and whether and when it affects a person is personal. It depends on various factors, the person’s state and the time of day, the nature of the stimuli, familiarity, or strangeness is also a determining factor for the onset and progression of CB. The results can form an essential basis for developing soundscapes to make the PwD feel safe and reduce CB. MDPI 2023-02-26 /pmc/articles/PMC10002302/ /pubmed/36901204 http://dx.doi.org/10.3390/ijerph20054191 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Talebzadeh, Arezoo
Decoutere, Ine
Vander Mynsbrugge, Tara
Botteldooren, Dick
Devos, Paul
Aletta, Francesco
Van de Velde, Dominique
De Vriendt, Patricia
The Influence of Everyday Acoustic Environments on the Challenging Behavior in Dementia: A Participatory Observation Study in Nursing Homes
title The Influence of Everyday Acoustic Environments on the Challenging Behavior in Dementia: A Participatory Observation Study in Nursing Homes
title_full The Influence of Everyday Acoustic Environments on the Challenging Behavior in Dementia: A Participatory Observation Study in Nursing Homes
title_fullStr The Influence of Everyday Acoustic Environments on the Challenging Behavior in Dementia: A Participatory Observation Study in Nursing Homes
title_full_unstemmed The Influence of Everyday Acoustic Environments on the Challenging Behavior in Dementia: A Participatory Observation Study in Nursing Homes
title_short The Influence of Everyday Acoustic Environments on the Challenging Behavior in Dementia: A Participatory Observation Study in Nursing Homes
title_sort influence of everyday acoustic environments on the challenging behavior in dementia: a participatory observation study in nursing homes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002302/
https://www.ncbi.nlm.nih.gov/pubmed/36901204
http://dx.doi.org/10.3390/ijerph20054191
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