Results

Evidence-Based Results for the I’m Still Here® Approach to Dementia Care

The evidence indicates that our I’m Still Here® approach works. Results of these studies and many others confirm the impact of Hearthstone’s I’m Still Here® programs on people living with dementia and their families, as well as on community care staff and care partners. The data summarized was obtained from a variety of sources, including NIH-funded studies, internal research on Hearthstone residents, literature reviews and pre/post surveys of I’m Still Here® trainees.

Domains Impacted by Hearthstone’s Programs and Approaches

Domain Measure(s) Sample(s) Findings
Aggression
(Any Type)
CMAI 15 Special,Care Units
(427 residents)
Residences that have fewer residents and have homelike qualities are correlated with reduced physical and/or verbal aggression
Aggression
(Verbal)
CMAI 15 Special Care Units
(427 residents)
Residences with an appropriate sensory environment are correlated with reduced verbal aggression
Antipsychotic Use % of Residents Taking Antipsychotics Persons with dementia residing in a nursing home with staff trained on the I’m Still Here® Approach Reduced percentage of participants taking antipsychotics after being trained on the I’m Still Here® Approach
Apathy NPI-NH Persons with dementia attending adult day centers and living at assisted living facilities and nursing homes Reduction in apathy after regular participation in level-adjusted reading groups
Challenging Behaviors CMAI New Hearthstone residents Reduction in challenging behaviors after living at Hearthstone for 3 months
Challenging Behaviors CMAI 15 Special Care Units
(427 residents)
The use of private rooms that contain personal belongings is correlated with reduced challenging behaviors
Cognition MMSE Persons with late stage dementia residing in long term care Improved cognition after regular participation in level-adjusted reading groups
Depression GDS Persons with dementia attending adult day centers and living at assisted living facilities and nursing homes, who also reported depression at baseline Reduction in depressive symptoms after regular participation in level-adjusted reading groups
Depression GDS Persons with dementia attending adult day centers and living at assisted living facilities and nursing homes, who also reported depression at baseline Reduction in depressive symptoms after taking part in two Scripted-IMPROV™ performances
Depression MOSES 15 Special Care Units
(427 residents)
The presence of camouflaged exits and easily accessible exit controls for staff is correlated with reduced depression
Eating, Self-Performance MDS New Hearthstone residents Increased independence with eating after living at Hearthstone for 3 months
Eating, Staff Assistance MDS New Hearthstone residents Reduced reliance on staff with eating after living at Hearthstone for 3 months
Engagement MPES Hearthstone residents vs. similar sample of residents residing in a comparable long-term care facility Higher levels of positive engagement for Hearthstone residents, as compared to residents at a similar type of residence
Engagement MPES Persons with dementia attending adult day centers and living at assisted living facilities and nursing homes Higher levels of positive engagement and lower levels of negative engagement, as compared to standard programming, for persons who took part in Scripted-IMPROV™ performances
Engagement MPES Persons with dementia attending adult day centers and living at assisted living facilities and nursing homes Higher levels of positive engagement and lower levels of negative engagement, as compared to standard programming, for persons who regularly took part in reading groups
Falls Falls Per Month (on Average Over a Full Year) Persons with dementia residing in a nursing home that was trained on the II’m Still Here® Approach Reduced falls per month after being trained on the I’m Still Here® Approach
Pleasure MPES Persons with dementia attending adult day centers and living at assisted living facilities and nursing homes Increase in pleasure, as compared to standard activities, for persons who took part in reading groups
Pleasure MPES Persons with dementia attending adult day centers and living at assisted living facilities and nursing homes Increase in pleasure, as compared to standard activities, for persons who took part in Scripted-IMPROV™
Psychiatric Problems BEHAVE-AD 15 Special Care Units
(427 residents)
The use of private rooms that contain personal belongings is correlated with reduced psychiatric problems
Psychiatric Problems BEHAVE-AD 15 Special Care Units
(427 residents)
Residences with an appropriate sensory environment are correlated with reduced psychiatric problems
Psychiatric Problems BEHAVE-AD 15 Special Care Units
(427 residents)
Residences with appropriate walking paths are correlated with reduced psychiatric problems
Quality of Life DEMQOL New Hearthstone residents Increase in quality of life after living at Hearthstone for 3 months
Quality of Life DEMQOL Persons with dementia attending adult day centers and living at assisted living facilities and nursing homes Increase in quality of life after regular participation in reading groups
Quality of Life DEMQOL Hearthstone residents vs. similar UK/USA samples Higher quality of life for Hearthstone residents, as compared to similar samples of residents in the US and the UK
Social Withdrawal MOSES 15 Special Care Units
(427 residents)
The presence of several unique common spaces is correlated with reduced social withdrawal
Staff Utilization of Best Practices I’m Still Here® Principles Checklist Staff/Family Member Training Attendees Increased use of I’m Still Here® principles after participation in I’m Still Here® trainings
Stigma Zeisel Stigma Scale Hearthstone residents vs. similar sample Higher percentage of Hearthstone residents believe that persons with dementia “know who they are” and “can remember things,” as compared to a similar sample
Stigma Zeisel Stigma Scale Staff/Family Member Training Attendees Reduced stigmatized beliefs after participation in an I’m Still Here® training

 

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