Items 1-11 of 11
1: Cochrane Database Syst Rev 2002;(4):CD003152 Related Articles, Links
Snoezelen for dementia (Cochrane Review).
Chung JC, Lai CK, Chung PM, French HP.
Dept of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, HONG KONG. firstname.lastname@example.org
[I have this on file and can e-mail it to you] - Ad.
2: Disabil Rehabil 2002 Mar 10;24(4):175-84 Related Articles, Links
Snoezelen: an overview of research with people with developmental disabilities and dementia.
Lancioni GE, Cuvo AJ, O'Reilly MF.
Department of Psychology, University of Leiden, The Netherlands. email@example.com
PURPOSE: This paper was to provide an overview of the research studies on snoezelen with people with developmental disabilities and dementia. METHOD: Computerized and manual searches were carried out to identify the aforementioned studies. Within-session, post-session, and longer-term effects of snoezelen were examined. RESULTS AND CONCLUSION: Twenty-one research studies were identified, 14 concerning people with developmental disabilities and seven people with dementia. Of those studies: 14 reported positive within-session effects; four positive post-session effects; and two positive longer-term effects. These findings were discussed in relation to: (1) methodological aspects (weaknesses) of the studies; (2) the cost of arranging a snoezelen programme and possibilities of reducing the range of stimuli available in the programme; and (3) some research issues for advancing the understanding and effectiveness of intervention programmes with people with developmental disabilities and dementia.
3: J Gerontol Nurs 2002 Mar;28(3):41-9
Snoezelen: a multisensory environmental intervention.
Chitsey AM, Haight BK, Jones MM.
Harrison Family Practice Clinic, Arkansas, USA.
Snoezelen is a multisensory intervention delivered in a specially designed room with high-tech instruments. It is especially useful for end-stage patients with Alzheimer's disease. Snoezelen provides an enabling atmosphere in a failure-free environment. It has been a popular intervention in Great Britain and is just beginning to appear in the United States.
4: Int J Nurs Pract 2000 Jun;6(3):118-26 Related Articles, Links
Leisure or therapeutics? Snoezelen and the care of older persons with dementia.
Burns I, Cox H, Plant H.
School of Nursing, Deakin University, Geelong, Victoria, Australia.
Snoezelen is the registered tradename for a multisensory environment approach initially established for purposes of leisure or therapeutics in the special education arena, but now expanding into a variety of client groups and settings, most notably in the care of older persons. Snoezelen is making its way into Australia at a rapid rate despite a lack of evidence-based research. This paper looks at the Snoezelen phenomenon and searches the literature to review the history and contemporary use of this multisensory environmental work. While most articles indicate positive outcomes Snoezelen is not without its critics, some of whom focus on the lack of rigorous research while others critique the artificiality. As a leisure approach Snoezelen appears to add quality to the culture of the care environment.
5: Int J Geriatr Psychiatry 2000 Feb;15(2):141-61 Related Articles, Links
The effects of emotion-oriented approaches in the care for persons suffering from dementia: a review of the literature.
Finnema E, Droes RM, Ribbe M, Van Tilburg W.
Institute for Research in Extramural Medicine (EMGO Institute), Faculty of Medicine, Vrije Universiteit, Amsterdam, The Netherlands. firstname.lastname@example.org
OBJECTIVE: This article presents an overview of the results of intervention studies in various emotion-oriented approaches in the care for people suffering from dementia. Recommendations are made with regard to clinical practice and future research.Data SOURCES: We searched for references (1990-99) in several bibliographical databases, i.e. Medline, PsycLit, Embase, Sociofile and Current Contents. The terms 'dementia' and 'Alzheimer's disease' were linked separately to the search terms: emotion-oriented, validation (therapy), sensory integration/sensory stimulation/snoezelen, simulated presence therapy and reminiscence (therapy)/life-review. Based on references in the articles found, other publications were traced. STUDY SELECTION: We started from the 'emotion-oriented' approaches used in 24-hour care distinguished by the American Psychiatric Association (1997) i.e. validation, sensory stimulation/integration, simulated presence therapy and reminiscence. We selected research articles that describe intervention, design, measuring instruments and results. DATA EXTRACTION: The articles were analyzed with regard to research group, setting, design, effect variables, intervention, measuring instruments, statistical analyses and results. DATA SYNTHESIS: It is shown that mainly positive results (including increased social interaction and decrease of behavior problems) are achieved with these emotion-oriented approaches. Unfortunately many studies have methodological limitations and are done independently, which makes comparison difficult. CONCLUSIONS: Despite the limited cogency of the studies we traced, the results are promising. Emotion-oriented care approaches offer the opportunity to tailor the care to the individual needs of dementing elderly and can be complemented with other psychosocial approaches (e.g. psychomotor therapy and music therapy) when necessary. The challenge for the care sector is to develop guidelines to determine which approach should be applied to whom and when. Scientific research can contribute by examining which emotion-oriented approaches, possibly in combination with each other or with psychosocial therapies, effect an increase in the well-being and improve functioning in which patients. Copyright 2000 John Wiley & Sons, Ltd.
6: Br J Clin Psychol 1998 Feb;37 ( Pt 1):69-82
Behavioural effects of long-term multi-sensory stimulation.
Martin NT, Gaffan EA, Williams T.
Department of Psychology, University of Reading, UK.
OBJECTIVES: Regular access to a multi-sensory environment (MSE or Snoezelen room) was compared with a non-complex sensory environment for individuals with learning disabilities. We also tested the prediction that those individuals whose challenging behaviour was maintained by sensory consequences would benefit most from exposure to the MSE. DESIGN: The conditions were compared over 16-week periods using a double crossover design, and were matched for social contact and attention from the enabler. Participants were randomly assigned to orders of treatments. METHODS: Participants were 27 adults with severe/profound learning disabilities who exhibited challenging behaviour. Behaviour was assessed before and after each treatment phase using both direct observation and standardized assessments (the Functional Performance Record and the Problem Behaviour Inventory). The behavioural observations formed the basis of a functional analysis of each individual's challenging behaviour. RESULTS: Some participants became more calm and relaxed while in the MSE, however, the objective measures of behaviour outside the treatment settings revealed no difference between the MSE and control conditions. Challenging behaviour maintained by sensory consequences showed no greater responsivity to the MSE than to the control condition. CONCLUSIONS: The multi-sensory environment had no effects beyond those that could be ascribed to the social interaction between participant and enabler. Anecdotal evidence of favourable responses within the MSE itself could not be confirmed outside the environment.
7: Verpleegkunde 1997 Nov;12(4):227-36 Related Articles, Links
[The effect of sensory stimulation in the sensory stimulation room on the well-being of demented elderly. A cross-over trial in residents of the R.C. Care Center Bernardus in Amsterdam]
[Article in Dutch]
Kragt K, Holtkamp CC, van Dongen MC, van Rossum E, Salentijn C.
GCP Hospital Research & Transfergroep Rotterdam en Omstreken.
A controlled cross-over experiment was carried out to investigate the effect of snoezelen in the snoezelenroom on the well-being of elderly people with dementia. Seventeen elderly residents from the Bernardus Nursing Home in Amsterdam participated. All were in a very advanced stage of dementia requiring a high level of care and nursing. In this study, the presence of behavioural problems was used as a basis for the measurement of well-being. The behaviour was registered by video cameras and analysed by means of certain subscales of a Dutch behavioural observation scale for intramural psychogeriatrics, the Gedragsobservatieschaal voor Intramurale Psychogeriatrie (GIP). The results showed that less behavioural problems were seen with the experimental intervention. This indicates a higher degree of well-being during the snoezelen activity in the snoezelen room than when the residents remained in the living room. The results of this study indicate the need for a large-scale study in which additional outcome parameters are measured.
8: Tijdschr Gerontol Geriatr 1997 Jun;28(3):124-8
[Effect of snoezelen on the behaviour of demented elderly]
[Article in Dutch]
Holtkamp CC, Kragt K, van Dongen MC, van Rossum E, Salentijn C.
R.K. Zorgcentrum Bernardus, Amsterdam.
A randomised cross-over trial was carried out at nursing home Bernardus in Amsterdam to investigate the effect of 'snoezelen' in a specially furnished room on the well-being of demented elderly people. The behaviour during the experimental intervention 'snoezelen' was compared with the behaviour during the control intervention, consisting of standard activities in the livingroom. Sixteen elderly persons participated in the study. They were all in a very advanced stage of dementia, requiring a high level of care and nursing. The occurrence of behavioural problems was registered, using video cameras and assessed with four subscales of the Gedragsobservatieschaal voor de Intramurale Psychogeriatrie (GIP) (behavioural observation scale for intramural psychogeriatrics). During the experimental intervention a relatively low level of behavioural problems was observed. This could indicate that snoezelen increases the wellbeing of demented elderly. The outcome of this study indicates the need of a larger-scale study in which additional outcome parameters should be included.
9: Nurs Stand 1997 Oct 8;12(3):38-40
Snoezelen: benefits for nursing older clients.
Morrissey M, Biela C.
Christ Church College, Canterbury.
In this article, the authors examine the possible benefits of Snoezelen for older clients. The authors suggest that nurses can be instrumental in developing and creating innovative therapeutic environments for this vulnerable client group.
10: Elder Care 1996 Dec-1997 Jan;8(6):20-1
Snoezelen for confused older people: some concerns.
School of Nursing and Midwifery, University of Southampton.
11: Elder Care 1995 Oct-Nov;7(5):11, 13 Related Articles, Links
Brightening the lives of elderly residents through Snoezelen.