{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:10:32Z","timestamp":1790698232783,"version":"4.1.0"},"reference-count":57,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,4,27]],"date-time":"2017-04-27T00:00:00Z","timestamp":1493251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Poydras Home of New Orleans","award":["Standard, independent research contract between af"],"award-info":[{"award-number":["Standard, independent research contract between af"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dementia"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Literature regarding Montessori-based activities with older adults with dementia is fairly common with early stages of dementia. Conversely, research on said activities with individuals experiencing late-stage dementia is limited because of logistical difficulties in sampling and data collection. Given the need to understand risks and benefits of treatments for individuals with late-stage dementia, specifically regarding their mental and behavioral health, this study sought to evaluate the effects of a Montessori-based activity program implemented in a long-term care facility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Utilizing an interrupted time series design, trained staff completed observation-based measures for 43 residents with late-stage dementia at three intervals over six months. Empirical measures assessed mental health (anxiety, psychological well-being, quality of life) and behavioral health (problem behaviors, social engagement, capacity for activities of daily living).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Group differences were observed via repeated measures ANOVA and paired-samples t-tests. The aggregate, longitudinal results\u2014from baseline to final data interval\u2014for the psychological and behavioral health measures were as follows: problem behaviors diminished though not significantly; social engagement decreased significantly; capacities for activities of daily living decreased significantly; quality of life increased slightly but not significantly; anxiety decreased slightly but not significantly; and psychological well-being significantly decreased.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Improvements observed for quality of life and problem behaviors may yield promise for Montessori-based activities and related health care practices. The rapid physiological and cognitive deterioration from late-stage dementia should be considered when interpreting these results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1471301217703242","type":"journal-article","created":{"date-parts":[[2017,4,28]],"date-time":"2017-04-28T01:37:54Z","timestamp":1493343474000},"page":"1373-1392","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Montessori-Based Activities Among Persons with Late-Stage Dementia: Evaluation of Mental and Behavioral Health Outcomes"],"prefix":"10.1177","volume":"18","author":[{"given":"Scott E","family":"Wilks","sequence":"first","affiliation":[{"name":"Louisiana State University, Baton Rouge, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P August","family":"Boyd","sequence":"additional","affiliation":[{"name":"Seaside Behavioral Center, Metairie, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha M","family":"Bates","sequence":"additional","affiliation":[{"name":"The Ohio State University, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daphne S","family":"Cain","sequence":"additional","affiliation":[{"name":"The University of Mississippi, Oxford, MS, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer R","family":"Geiger","sequence":"additional","affiliation":[{"name":"Louisiana State University, Baton Rouge, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,4,27]]},"reference":[{"key":"bibr1-1471301217703242","doi-asserted-by":"publisher","DOI":"10.1159\/000094971"},{"key":"bibr2-1471301217703242","unstructured":"Alzheimer\u2019s Association. (2015).\n                      Alzheimer\u2019s & dementia\n                      . Retrieved from http:\/\/www.alz.org\/."},{"key":"bibr3-1471301217703242","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-2-52"},{"key":"bibr4-1471301217703242","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckt014"},{"key":"bibr5-1471301217703242","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.20.2182"},{"key":"bibr6-1471301217703242","doi-asserted-by":"publisher","DOI":"10.1016\/0165-0327(95)00072-0"},{"key":"bibr7-1471301217703242","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2005.072983"},{"issue":"4","key":"bibr8-1471301217703242","first-page":"1","volume":"18","author":"Bognar J. 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(2005).\n                      End-of-life care for people with dementia in residential care settings\n                      . 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