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American Journal of Alzheimer's Disease and Other Dementias®
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Effects of the Serial Trial Intervention on Discomfort and Behavior of Nursing Home Residents With Dementia

Christine R. Kovach, PhD, RN

University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, ckovach{at}uwm.edu

Brent R. Logan, PhD

University of Wisconsin-Milwaukee, Milwaukee, Wisconsin

Patricia E. Noonan, MSN, RN, CS, APNP

University of Wisconsin-Milwaukee, Milwaukee, Wisconsin

Andrea Matovina Schlidt, MSN, GNP

University of Wisconsin-Milwaukee, Milwaukee, Wisconsin

Jessica Smerz, MS

University of Wisconsin-Milwaukee, Milwaukee, Wisconsin

Michelle Simpson, MS

University of Wisconsin-Milwaukee, Milwaukee, Wisconsin

Thelma Wells, RN, PhD, FAAN, FRCN

University of Wisconsin-Milwaukee, Milwaukee, Wisconsin

This study tested the effectiveness of the Serial Trial Intervention (STI), an innovative clinical protocol for assessment and management of unmet needs in people with late-stage dementia. A double-blinded randomized experiment was conducted in 14 nursing homes with 114 subjects. The treatment group had significantly less discomfort than the control group at posttesting and more frequently had behavioral symptoms return to baseline. The group of nurses using the STI also showed more persistence in assessing and intervening than control group nurses did. There was a statistically significant difference between the groups in the use of pharmacological, but not nonpharmacological, comfort treatments. Results suggest that the STI is effective and that effective treatment of discomfort is possible for people with late-stage dementia.

Key Words: dementia • agitation • prevention • pain • dementia

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 21, No. 3, 147-155 (2006)
DOI: 10.1177/1533317506288949
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