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Combining behavior management and mutual goal setting to reduce physical dependency in nursing home residents
Blair CE
Nursing Research 1995 May-Jun;44(3):160-165
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

The effectiveness of three nursing approaches in fostering self-care behaviors in elderly nursing home residents was compared. The study was conducted in three intermediate care nursing homes. Each home was randomly assigned to one of three conditions: a combination of behavior modification and mutual goal setting (condition 1), mutual goal setting only (condition 2), and routine nursing care (condition 3). Seventy-nine subjects completed the study. In-service training was provided to nursing staff in conditions 1 and 2 but not in condition 3. Over a period of 22 weeks, nursing staff encouraged subjects to do parts of their morning activities of daily living (ADLs) independently. When the groups were compared on self-care behaviors at the end of the 22 weeks, subjects who received the combination treatment performed significantly more self-care behaviors than those in the other two groups.

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