{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T06:15:28Z","timestamp":1780380928122,"version":"3.54.1"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2002,1,14]],"date-time":"2002-01-14T00:00:00Z","timestamp":1010966400000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2002,1]]},"abstract":"Abstract<\/jats:title>Objectives<\/jats:title>To test the premise that individually tailored psychosocial, nursing and medical interventions to nursing home residents with dementia will reduce the frequency and severity of behavioural symptoms.<\/jats:p><\/jats:sec>Methods<\/jats:title>A four\u2010member team comprising a psychiatrist, psychologist and nurses conducted detailed assessments of 99 nursing home residents with advanced dementia who were rated by staff as having frequent, severe behavioural disturbances. Residents were then randomly assigned to an \u2018early\u2019 or \u2018late\u2019 intervention group and observed for four weeks. Interventions encompassed psychosocial strategies, nursing approaches, psychotropic medications and management of pain. Outcome measures included the frequency and severity of disruptive behaviours and assessments of change by senior nursing home staff.<\/jats:p><\/jats:sec>Results<\/jats:title>While improvements in behaviour were noted in both groups from the outset of observations, pointing to a powerful Hawthorne effect, consultancies were associated with a modest but statistically significant decrease in challenging behaviours. Staff assessments of the interventions were highly favourable.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The consultancies were effective and well received by staff. The change\u2010inducing nature of any new endeavour is an integral part of research in a long\u2010term setting. Copyright \u00a9 2002 John Wiley & Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.493","type":"journal-article","created":{"date-parts":[[2002,10,6]],"date-time":"2002-10-06T11:25:48Z","timestamp":1033903548000},"page":"6-13","source":"Crossref","is-referenced-by-count":63,"title":["Challenging behaviours in nursing home residents with dementia: a randomized controlled trial of multidisciplinary interventions"],"prefix":"10.1002","volume":"17","author":[{"given":"Janet","family":"Opie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"Doyle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel W.","family":"O'Connor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2002,1,14]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610200006773"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/44.3.M77"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610297004547"},{"issue":"3","key":"e_1_2_1_5_1","first-page":"215","article-title":"New focus on behavioural and psychological signs and symptoms of dementia","volume":"8","author":"Finkel SI","year":"1996","journal-title":"Int Psychogeriatr"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_2_1_7_1","first-page":"839","article-title":"Behavioural complications of dementia: can they be treated?","volume":"10","author":"Hinchliffe AC","year":"1995","journal-title":"Int J Psychogeriatr"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.156.6.835"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1614.1999.00652.x"},{"key":"e_1_2_1_10_1","first-page":"4","article-title":"Queen Elizabeth behavioural assessment graphical system","volume":"9","author":"Prodger N","year":"1991","journal-title":"Aust J Advanced Nursing"},{"key":"e_1_2_1_11_1","volume-title":"Care Needs of People with Dementia and Challenging Behaviour Living in Residential Facilities: Resident Profile Survey","author":"Rosewarne RC","year":"1997"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1996.tb05631.x"},{"issue":"3","key":"e_1_2_1_13_1","first-page":"375","article-title":"Meta\u2010analysis of controlled pharmacologic trials","volume":"8","author":"Schneider LS","year":"1996","journal-title":"Int Psychogeriatr"},{"key":"e_1_2_1_14_1","volume-title":"Clinical Gerontology: A Guide to Assessment and Intervention","author":"Shiekh J","year":"1986"},{"key":"e_1_2_1_15_1","volume-title":"Using Multivariate Statistics","author":"Tabachanick BG","year":"1989"}],"container-title":["International Journal of Geriatric Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fgps.493","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.493","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,19]],"date-time":"2023-11-19T10:27:54Z","timestamp":1700389674000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/gps.493"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2002,1]]}},"alternative-id":["10.1002\/gps.493"],"URL":"https:\/\/doi.org\/10.1002\/gps.493","archive":["Portico"],"relation":{},"ISSN":["0885-6230","1099-1166"],"issn-type":[{"value":"0885-6230","type":"print"},{"value":"1099-1166","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,1]]}}}