{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:15:24Z","timestamp":1791303324844,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T00:00:00Z","timestamp":1732838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Delirium is a complex neurocognitive disorder characterized by an acute disturbance in attention, awareness, and perception. It is a dangerous syndrome that is independently associated with higher rates of morbidity and mortality, inpatient complications, and is a predictor of long\u2010term cognitive dysfunction. Although delirium can occur in persons of all ages, the prevalence among and impact on older adults is particularly significant. Current gold standard approaches for delirium include treating medical precipitants and physiological perturbations and optimizing the environment using multicomponent nonpharmacological interventions. Although these approaches are proven effective in preventing delirium, evidence has not shown them to significantly improve delirium once it occurs. The need for a safe, effective, and specific treatment for the phenotype of delirium itself is an urgent priority worldwide. The intervention described in this article, Attention and Awareness Through Movement technique followed by Movement To\u00a0Capacity (AATM\/MTC), targets cortical dysfunction through sustained sequential touch, cranial nerve stimulation, and muscular movement. It raises the tantalizing possibility that a specific method to reduce inattention and normalize arousal levels may not only be feasible but also safe and inexpensive. For these reasons, preliminary observations are described in the hope of stimulating interest in further exploration of this novel approach to delirium therapy.<\/jats:p>","DOI":"10.1111\/jgs.19254","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T07:24:28Z","timestamp":1732865068000},"page":"1008-1016","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Innovation in delirium care: A standardized intervention to reverse inattention using touch and movement"],"prefix":"10.1111","volume":"73","author":[{"given":"Dana E.","family":"Bisson","sequence":"first","affiliation":[{"name":"Concord Hospital  Concord New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon C.","family":"Clancy Burgess","sequence":"additional","affiliation":[{"name":"Concord Hospital  Concord New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle E.","family":"Gamache","sequence":"additional","affiliation":[{"name":"Concord Hospital  Concord New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen P.","family":"Dunn","sequence":"additional","affiliation":[{"name":"Concord Hospital  Concord New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee B.","family":"Valeras","sequence":"additional","affiliation":[{"name":"Concord Hospital  Concord New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyn S.","family":"Lindpaintner","sequence":"additional","affiliation":[{"name":"Concord Hospital  Concord New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,29]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010014\u20100141\u20102"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2015.04.013"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1301372"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/6612187"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.3130"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2023.1071854"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/20451253231198462"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm12050760"},{"key":"e_1_2_16_11_1","unstructured":"Delirium: prevention diagnosis and management in hospital and long\u2010term care | Guidance | NICE.2010. Accessed September 23 2024.https:\/\/www.nice.org.uk\/guidance\/cg103"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603\u2010016\u20100719\u20109"},{"issue":"4","key":"e_1_2_16_13_1","first-page":"269","article-title":"Implementing a delirium prevention and recognition program","volume":"26","author":"Marsh E","year":"2017","journal-title":"Medsurg Nurs"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2018.06.007"},{"key":"e_1_2_16_15_1","unstructured":"WaszynskiC.Impact of a multi\u2010sensory stimulation environment on cognitive arousal states of hospitalized persons with dementia. Paper presented at: 2023 Annual Meeting of the American Delirium Society June 9\u201311 2023; Providence Rhode Island."},{"key":"e_1_2_16_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14511"},{"key":"e_1_2_16_17_1","unstructured":"InouyeSK.The Short Confusion Assessment Method (Short CAM): Training manual and coding guide.2014. Accessed March 3 2024.https:\/\/americandeliriumsociety.org\/wp-content\/uploads\/2021\/08\/CAM-S_TrainingManual.pdf"},{"key":"e_1_2_16_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2019.11.009"},{"key":"e_1_2_16_19_1","unstructured":"MartinsC.Operational excellence improvement |KAIZEN\u2122 Article.2023. Accessed July 30 2024.https:\/\/kaizen.com\/insights\/operational-excellence-organizational-improvement\/"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2017.09.024"},{"key":"e_1_2_16_21_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.121.035733"},{"key":"e_1_2_16_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4823"},{"key":"e_1_2_16_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0013-4694(49)90219-9"},{"key":"e_1_2_16_24_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.271.5248.512"},{"key":"e_1_2_16_25_1","volume-title":"StatPearls","author":"Basinger H","year":"2024"},{"key":"e_1_2_16_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/NEN.0b013e3182588293"},{"key":"e_1_2_16_27_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2012.11060976"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.19254","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T11:04:29Z","timestamp":1762167869000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.19254"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,29]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/jgs.19254"],"URL":"https:\/\/doi.org\/10.1111\/jgs.19254","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,29]]},"assertion":[{"value":"2024-08-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}