{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T03:22:30Z","timestamp":1782357750362,"version":"3.54.5"},"reference-count":46,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Alzheimers Dis Other Demen"],"published-print":{"date-parts":[[2020,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The STAR-VA program in Veterans Health Administration Community Living Centers (CLCs, nursing home settings) trains teams to implement a psychosocial intervention with residents with behavioral symptoms of dementia (BSD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Across 71 CLCs, 302 residents selected as training cases had target behaviors categorized into one of 5 types: physically aggressive (PA), physically nonaggressive, verbally aggressive, verbally nonaggressive, and behavior deficit (BD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Across all groups, there were significant declines in team-rated behavior frequency (36%) and severity (44%), agitation (10%), distress behaviors (42%), depression (17%), and anxiety (20%). The magnitude of changes varied across behavior category. For example, those with a PA target behavior experienced a greater percentage decline in agitation and distress behavior scores, and those with a BD target behavior experienced a greater percentage decline in depressive and anxiety symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>STAR-VA, a multicomponent intervention, is generally effective across various types of behavioral symptoms associated with dementia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1533317520911577","type":"journal-article","created":{"date-parts":[[2020,4,2]],"date-time":"2020-04-02T05:59:32Z","timestamp":1585807172000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Addressing Behavioral Symptoms of Dementia Through STAR-VA Implementation: Do Outcomes Vary by Behavior Type?"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2350-1273","authenticated-orcid":false,"given":"Jenefer M.","family":"Jedele","sequence":"first","affiliation":[{"name":"Serious Mental Illness Treatment Resource Evaluation Center, Office of Mental Health and Suicide Prevention, Department of Veterans Affairs, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5342-0370","authenticated-orcid":false,"given":"Kim","family":"Curyto","sequence":"additional","affiliation":[{"name":"Center for Integrated Healthcare, VA Western NY Healthcare System, Department of Veterans Affairs, Batavia, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian M.","family":"Ludwin","sequence":"additional","affiliation":[{"name":"New England Geriatric Research Education and Clinical Center, Edith Nourse Rogers Memorial Veterans Hospital, Department of Veterans Affairs, Bedford, MA, USA"},{"name":"VA Boston Healthcare System, Department of Veterans Affairs, Brockton, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele J.","family":"Karel","sequence":"additional","affiliation":[{"name":"Office of Mental Health and Suicide Prevention, Department of Veterans Affairs, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,4,2]]},"reference":[{"key":"bibr1-1533317520911577","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610214002282"},{"key":"bibr2-1533317520911577","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2012.09.027"},{"key":"bibr3-1533317520911577","doi-asserted-by":"publisher","DOI":"10.1177\/0891988706292762"},{"key":"bibr4-1533317520911577","doi-asserted-by":"publisher","DOI":"10.1080\/13607860410001649590"},{"key":"bibr5-1533317520911577","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h369"},{"key":"bibr6-1533317520911577","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2013.05.019"},{"key":"bibr7-1533317520911577","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-5-13"},{"key":"bibr8-1533317520911577","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0115248"},{"key":"bibr9-1533317520911577","doi-asserted-by":"publisher","DOI":"10.1002\/gps.3858"},{"key":"bibr10-1533317520911577","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4014"},{"key":"bibr11-1533317520911577","doi-asserted-by":"publisher","DOI":"10.1177\/1533317516650806"},{"key":"bibr12-1533317520911577","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2015.173501"},{"key":"bibr13-1533317520911577","unstructured":"American Geriatric Society. Don\u2019t use antipsychotics as the first choice to treat behavioral and psychological symptoms of dementia. 2015. http:\/\/www.choosingwisely.org\/clinician-lists\/american-geriatrics-society-antipsychotics-for-dementia\/. 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