‘The Chitchatters’: a leisure activity for people withdementia to stimulate social interaction.N. Nijhof Msc., dr. J.E.W.C...
Introduce… PhD student University of Twente  www.eHealthresearchcentre.com Projectmanager Focus Cura  www.focuscura.nl  ...
Dementia worldwideIf dementia care were a country, it would be the world’s 18th largest             economy, ranking betwe...
Dementia           Research results ‘the Chitchatters’   6-12-2010   4
Use of leisure activities for people with dementia Use of technology innovative in leisure activities Use of technology ...
The Chitchatters (www.deklessebessers.nl)                                                        Movie                    ...
Research question       How does the Chitchatters game  differentiate in terms of social interaction   compared to the Que...
ResearchMorning: Chitchatters (45 min)                            Afternoon: Questiongame (45 min)    (with technology)   ...
Study and Research design Study design 4 different groups from 3 to 8 persons assisted by 1 or 2 activity therapists Ga...
Method: Oshkosh (behavior scale) Verbal, non-verbal and activism Behavior; person initiated, therapist initiated and act...
Method: Oshkosh                  Research results ‘the Chitchatters’   6-12-2010   11
Method: Oshkosh                  Research results ‘the Chitchatters’   6-12-2010   12
Results data analysisPerson level: Significant differences for 3 persons between games:• Less handling objects for KB (p=...
Results data analysis   Behavioral code differences between games:•   Less comments for KB (p=0,005)•   Less sentences re...
Results data analysis Behavioral category differences between games:• Less verbalism for KB (p=0,000)• Less activism for ...
Results data analysis MMSE differences for the Chitchatters:  MMSE <10 = low• Less comments for low MMSE (p=0,028)• Less ...
Results coding interviews   Easy to use, sometimes checking ‘how it works’   Supportive in work   Supports interaction...
Conclusions The Chitchatters:•   stimulate more and more advanced conversations without distraction•   makes people more ...
Contact and questions? Nienke Nijhof n.nijhof@utwente.nl                         Research results ‘the Chitchatters’   6-1...
Discussion  Technology shouldn’t be used in leisure    activities for people with dementia, it     causes stress and agita...
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Medicine 2.0'10: 'The Chitchatters': a leisure activity for people with dementia to stimulate social interaction

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"'The Chitchatters': a leisure activity for people with dementia to stimulate social interaction" as presented at Medicine 2.0'10 in Maastricht

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Medicine 2.0'10: 'The Chitchatters': a leisure activity for people with dementia to stimulate social interaction

  1. 1. ‘The Chitchatters’: a leisure activity for people withdementia to stimulate social interaction.N. Nijhof Msc., dr. J.E.W.C.van Gemert-Pijnen, H. van Rijn Msc., dr. J. van Hoof, prof. dr. E.R.Seydel30 november 2010 6-12-2010 Presentatietitel: aanpassen via 1 Beeld, Koptekst en voettekst
  2. 2. Introduce… PhD student University of Twente www.eHealthresearchcentre.com Projectmanager Focus Cura www.focuscura.nl Research results ‘the Chitchatters’ 6-12-2010 2
  3. 3. Dementia worldwideIf dementia care were a country, it would be the world’s 18th largest economy, ranking between Turkey and Indonesia. If it were a company, it would be the world’s largest by annual revenue exceeding Wal-Mart (US$414billion) and Exxon Mobil (US$311 billion).1 1. Alzheimer’s Disease International. World Alzheimer Report, The Global impact of dementia, 2010
  4. 4. Dementia Research results ‘the Chitchatters’ 6-12-2010 4
  5. 5. Use of leisure activities for people with dementia Use of technology innovative in leisure activities Use of technology focus on safety and monitoring for people with dementia Scientific research shows us that leisure activities can support: - make someone feel comfortable - create social contact - prevent boredom - prevent isolation - prevent agitation 1 1. Sterns HL, Camp CJ. Applied gerontechnology. Applied Psychology. 1998;47:175-198.
  6. 6. The Chitchatters (www.deklessebessers.nl) Movie http://www.klessebessers.nl/ ?page_id=6 Research results ‘the Chitchatters’ 6-12-2010 6
  7. 7. Research question How does the Chitchatters game differentiate in terms of social interaction compared to the Questiongame and are their differences in behavior in relation to the MMSE score? Research results ‘the Chitchatters’ 6-12-2010 7
  8. 8. ResearchMorning: Chitchatters (45 min) Afternoon: Questiongame (45 min) (with technology) (without technology) Social interaction (Oshkosh Behavior Coding Scale)1 1. McFadden SH, Lunsman M, Andel R. Comparative analysis and interrater reliability of the Oshkosh Social Behaviors Checklist (OSBC) for persons with dementia. Poster session presented at: the meeting of the Gerontological Society of America; 2007 November; San Francisco, CA.
  9. 9. Study and Research design Study design 4 different groups from 3 to 8 persons assisted by 1 or 2 activity therapists Games were played twice in period October and November 2009 Research design Two researchers observed Video taped all the sessions Oshkosh: verbal/nonverbal/activism (category) and person-/other-initiated (21 behavioral codes) Analyzed by SPSS 16.0; paired sample t-test (quantitative) Semi structured interviews 6 therapists (qualitative) Participants: N=21, 9 males, 12 females, Mean MMSE= 17, Range MMSE 3-28 Research results ‘the Chitchatters’ 6-12-2010 9
  10. 10. Method: Oshkosh (behavior scale) Verbal, non-verbal and activism Behavior; person initiated, therapist initiated and activity initiated 21 codes: - comments - questions - smiling - touching - sleeping - wandering - etc. -> cross the codes Research results ‘the Chitchatters’ 6-12-2010 10
  11. 11. Method: Oshkosh Research results ‘the Chitchatters’ 6-12-2010 11
  12. 12. Method: Oshkosh Research results ‘the Chitchatters’ 6-12-2010 12
  13. 13. Results data analysisPerson level: Significant differences for 3 persons between games:• Less handling objects for KB (p=0,049, MMSE=14; p=0,042, MMSE=28)• Less talking to self for KB (p=0,042, MMSE=14)• Less sentences responses for KB (p=0,049, MMSE=3) Research results ‘the Chitchatters’ 6-12-2010 13
  14. 14. Results data analysis Behavioral code differences between games:• Less comments for KB (p=0,005)• Less sentences responses for KB (p=0,000)• More story responses for KB (p=0,011)• Less questions for KB (p=0,028)• Less sing/hum/whistle for KB (p=0,002)• Less talking to self for KB (p=0,035)• More observing/listening for KB (p=0,007)• More wandering for KB (p=0,020)• Less handling objects for KB (p=0,000) Research results ‘the Chitchatters’ 6-12-2010 14
  15. 15. Results data analysis Behavioral category differences between games:• Less verbalism for KB (p=0,000)• Less activism for KB (p=0,000) Behavior initiated differences between games:• Less person initiated for KB (p=0,043)• Less activity therapist initiated for KB (p=0,005) Research results ‘the Chitchatters’ 6-12-2010 15
  16. 16. Results data analysis MMSE differences for the Chitchatters: MMSE <10 = low• Less comments for low MMSE (p=0,028)• Less story responses for low MMSE (p=0,0045)• More fidgeting/rocking for low MMSE (p= 0,0045)• More non verbal behavior for low MMSE (p=0,016) Research results ‘the Chitchatters’ 6-12-2010 16
  17. 17. Results coding interviews Easy to use, sometimes checking ‘how it works’ Supportive in work Supports interaction Lights aren’t noticed by the patients Choosing fragments is desirable Explanation fragments is desirable Hasn’t been used that much Teaching patient is necessary Unnatural not pointing out to object Research results ‘the Chitchatters’ 6-12-2010 17
  18. 18. Conclusions The Chitchatters:• stimulate more and more advanced conversations without distraction• makes people more wandering during the game• prompts communication• supports activity therapists in their work• stimulate especially for persons with high MMSE (>10)• is easy to use and easy to understand The Chitchatters is a suitable leisure activity to stimulate social interaction, it supports activity therapist in their work, but the content of the Chitchatters should be focused more on younger people with dementia as well. Research results ‘the Chitchatters’ 6-12-2010 18
  19. 19. Contact and questions? Nienke Nijhof n.nijhof@utwente.nl Research results ‘the Chitchatters’ 6-12-2010 19 ’
  20. 20. Discussion Technology shouldn’t be used in leisure activities for people with dementia, it causes stress and agitation, cause they’re not used to it. Research results ‘the Chitchatters’ 6-12-2010 20 ’

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