Enhancing Calm in Arab Elderly With Dementia

NCT06216275 | Enrolling By Invitation

• 1 other identifier: Snoezelen_Demntia
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to evaluate the effectiveness of integrating Snoezelen methods with aromatherapy and personal items in reducing agitation in Arab elderly individuals with dementia. The main questions it aims to answer are: Does the combination of Snoezelen methods, aromatherapy, and the use of personal items significantly reduce agitation in elderly Arab patients with dementia compared to standard care practices? How do patients and caregivers perceive the impact of this integrated approach on the overall well-being and quality of life of the patients? Participants in this study will: Engage in sessions utilizing Snoezelen methods, a multi-sensory environment designed to deliver stimuli to various senses. Receive aromatherapy treatments with selected scents known for their calming properties. Be provided with personal items that are familiar and meaningful to them, to create a sense of comfort and security.

Conditions

Dementia; Agitation in Dementia, Including Alzheimer's Disease

Keywords

Dementia Care; Agitation in Elderly; Arab Elderly Dementia; Snoezelen Therapy; Aromatherapy in Dementia; Multi-sensory Stimulation

Outcome Measures

Primary Outcomes (1)

• Reduction in Agitation Levels

  The primary outcome measure is the reduction in agitation levels among the Arab elderly with dementia participating in the study. This will be quantitatively assessed using a validated agitation scale, such as the Cohen-Mansfield Agitation Inventory (CMAI) or a similar tool appropriate for dementia patients.

  4 weeks

Study Arms (2)

Intervention Arm

EXPERIMENTAL

Participants receiving the integrated approach of Snoezelen therapy, aromatherapy, and the use of personal items.

Behavioral: Integrated Snoezelen-Aromatherapy-Personal Item Therapy

Control Arm

NO INTERVENTION

Participants receiving standard care practices for dementia and agitation without the integrated approach.

Interventions

Integrated Snoezelen-Aromatherapy-Personal Item Therapy BEHAVIORAL

Intervention Description: This unique intervention combines three distinct therapeutic approaches specifically tailored for Arab elderly patients with dementia experiencing agitation. Snoezelen Therapy: Customized sessions in a Snoezelen environment - a specialized room designed to deliver controlled multi-sensory stimuli. This room features adaptable lighting, colors, sounds, and textures to provide a soothing and stimulating experience. Sessions are personalized based on each patient's response and preference, under the guidance of trained professionals. Aromatherapy: Carefully selected essential oils known for their calming properties are used in a culturally sensitive manner. These oils are diffused in the environment or used during individual sessions to provide a relaxing olfactory experience. The choice of oils and method of delivery are standardized

Intervention Arm

Eligibility Criteria

• Age: 60 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may not qualify if:

• Age: Participants must be 65 years to 90 years
• Diagnosis: Clinical diagnosis of dementia required.
• Ethnicity: Must be of Arab descent.
• Agitation Levels: Must show agitation signs based on a standardized scale.
• Cognitive Function: Adequate cognitive function for study participation, verified by standard assessment.
• Severe Medical Conditions: Individuals with severe medical conditions that could affect study participation or health.
• Advanced Dementia: Patients with very advanced dementia stages, unable to engage in study activities.
• Allergies: Known allergies to aromatherapy products used in the study.
• Recent Medication Changes: Significant changes in dementia medication regimen before the study.

Sponsors & Collaborators

• Mostafa Shaban: lead

Study Sites (1)

Cairo university

Giza, Egypt

Location

Related Publications (10)

• Smith BC, D'Amico M. Sensory-Based Interventions for Adults with Dementia and Alzheimer's Disease: A Scoping Review. Occup Ther Health Care. 2020 Jul;34(3):171-201. doi: 10.1080/07380577.2019.1608488. Epub 2019 May 8.

  PMID: 31066598 BACKGROUND

• Hogg J, Cavet J, Lambe L, Smeddle M. The use of 'Snoezelen' as multisensory stimulation with people with intellectual disabilities: a review of the research. Res Dev Disabil. 2001 Sep-Oct;22(5):353-72. doi: 10.1016/s0891-4222(01)00077-4.

  PMID: 11580163 BACKGROUND

• Burns I, Cox H, Plant H. Leisure or therapeutics? Snoezelen and the care of older persons with dementia. Int J Nurs Pract. 2000 Jun;6(3):118-26. doi: 10.1046/j.1440-172x.2000.00196.x.

  PMID: 11249409 BACKGROUND

• Merrick J, Cahana C, Lotan M, Kandel I, Carmeli E. Snoezelen or controlled multisensory stimulation. Treatment aspects from Israel. ScientificWorldJournal. 2004 May 11;4:307-14. doi: 10.1100/tsw.2004.30.

  PMID: 15167944 BACKGROUND

• Chitsey AM, Haight BK, Jones MM. Snoezelen: a multisensory environmental intervention. J Gerontol Nurs. 2002 Mar;28(3):41-9. doi: 10.3928/0098-9134-20020301-09.

  PMID: 11913515 BACKGROUND

• Carvalho SC, Martins FS, Martins AN, Barbosa RC, Vicente SG. Effectiveness of Snoezelen in older adults with neurocognitive and other pathologies: A systematic review of the literature. J Neuropsychol. 2024 Jun;18(2):312-331. doi: 10.1111/jnp.12346. Epub 2023 Sep 21.

  PMID: 37735859 BACKGROUND

• Seegers H, Serani I, Bogar M, Gei M, Baudet V, Witz L, Bouchard JP. [The Snoezelen approach in pain management in psychiatry]. Soins Psychiatr. 2019 Jan-Feb;40(320):35-40. doi: 10.1016/j.spsy.2018.11.008. French.

  PMID: 30654878 BACKGROUND

• Chung JC, Lai CK, Chung PM, French HP. Snoezelen for dementia. Cochrane Database Syst Rev. 2002;2002(4):CD003152. doi: 10.1002/14651858.CD003152.

  PMID: 12519587 BACKGROUND

• Sigal A, Sigal M. The Multisensory/Snoezelen Environment to Optimize the Dental Care Patient Experience. Dent Clin North Am. 2022 Apr;66(2):209-228. doi: 10.1016/j.cden.2021.12.001.

  PMID: 35365274 BACKGROUND

• Alruwaili AN, Alruwaili MM, Ramadan OME, Ali SI, Shaban M. Nursing strategies for enhancing calm in older Arabs with dementia: integrating Snoezelen methods, aromatherapy, and personal items to reduce agitation. Geriatr Nurs. 2024 Sep-Oct;59:379-391. doi: 10.1016/j.gerinurse.2024.07.017. Epub 2024 Aug 10.

  PMID: 39128143 DERIVED

MeSH Terms

Conditions

Dementia; Aberrant Motor Behavior in Dementia

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders; Behavioral Symptoms; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: January 8, 2024
• First Posted: January 22, 2024
• Study Start: January 5, 2024
• Primary Completion: February 1, 2024
• Study Completion: March 1, 2024
• Last Updated: February 6, 2024

Record last verified: 2024-02

Locations

EG (1)