{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1360004239352781440.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3233/jad-171077"}},{"identifier":{"@type":"URI","@value":"https://journals.sagepub.com/doi/pdf/10.3233/JAD-171077"}},{"identifier":{"@type":"URI","@value":"https://journals.sagepub.com/doi/full-xml/10.3233/JAD-171077"}},{"identifier":{"@type":"PMID","@value":"29914021"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@value":"Dementia Care Competence Among Care Professionals and Reduced Challenging Behavior of Home-Dwelling Persons with Dementia: A Pre- and Post-Intervention Data Analysis"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Background:</jats:title>\n                    <jats:p>We developed a psychosocial dementia care program to help care managers and professional caregivers manage challenging behavior in home-dwelling persons with dementia in Japan. The program consists of a web-based tool for ongoing monitoring and assessment for challenging behavior, and multi-agency discussion meetings. Results of a cluster-randomized controlled trial indicate a reduction in challenging behavior through this program.</jats:p>\n                  </jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Objectives:</jats:title>\n                    <jats:p>The present study aimed to identify a key component of the developed program that is associated with a reduction in challenging behavior.</jats:p>\n                  </jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Methods:</jats:title>\n                    <jats:p>We used consecutive data of the intervention and examined the association between challenging behavior in home-dwelling persons with dementia, professionals’ competence, and the frequency of revision of action plans. Challenging behavior was assessed using the total score of the Neuropsychiatric Inventory. A baseline and follow-up questionnaire was completed by care professionals using a Japanese version of the Sense of Competence in Dementia Care Staff scale.</jats:p>\n                  </jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Results:</jats:title>\n                    <jats:p>A total of 86 care professionals completed a 6-month intervention with 219 persons with dementia. The 86 care professionals significantly improved in their dementia care competence. Challenging behavior was significantly reduced among the 219 persons with dementia at follow-up regardless of the level of professionals’ competence or the frequency of revision of action plans. Less pain was significantly related to the lower levels of challenging behavior.</jats:p>\n                  </jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Conclusion:</jats:title>\n                    <jats:p>The ongoing multi-agency discussion meetings, with a focus on challenging behavior, may have been the key component in the psychosocial dementia care program. Pain management should be emphasized in action plans for challenging behavior.</jats:p>\n                  </jats:sec>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1420001326220640256","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"40502315"},{"@type":"NRID","@value":"1000040502315"},{"@type":"NRID","@value":"9000001916458"},{"@type":"NRID","@value":"9000415173237"},{"@type":"NRID","@value":"9000019063916"},{"@type":"NRID","@value":"9000258516566"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/miharu_nakanishi"}],"foaf:name":[{"@value":"Miharu Nakanishi"}],"jpcoar:affiliationName":[{"@value":"Tokyo Metropolitan Institute of Medical Science"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004239352781444","@type":"Researcher","foaf:name":[{"@value":"Kayo Hirooka"}],"jpcoar:affiliationName":[{"@value":"Tokyo Metropolitan Institute of Medical Science"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004239352781189","@type":"Researcher","foaf:name":[{"@value":"Yasuaki Imai"}],"jpcoar:affiliationName":[{"@value":"Suzuran Inc., Setagaya-ku, Tokyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004239352781448","@type":"Researcher","foaf:name":[{"@value":"Shintaro Inoue"}],"jpcoar:affiliationName":[{"@value":"Kokoronohiroba Ltd., Ome-shi, Tokyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004239352781060","@type":"Researcher","foaf:name":[{"@value":"Yukio Yukari"}],"jpcoar:affiliationName":[{"@value":"Zaitaku-Sogo-Shien-center Fukuro, Adachi-ku, Tokyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004239352781064","@type":"Researcher","foaf:name":[{"@value":"Chie Katayama"}],"jpcoar:affiliationName":[{"@value":"Sakura-shinmachi Urban Clinic, Setagaya-ku, Tokyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004239352781445","@type":"Researcher","foaf:name":[{"@value":"Yuki Miyamoto"}],"jpcoar:affiliationName":[{"@value":"The University of Tokyo"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004239352781442","@type":"Researcher","foaf:name":[{"@value":"Yumi Shindo"}],"jpcoar:affiliationName":[{"@value":"Bureau of Strategic Planning, National Center for Geriatrics and Gerontology, Obu-shi, Aichi, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004239352781197","@type":"Researcher","foaf:name":[{"@value":"Hideki Ueno"}],"jpcoar:affiliationName":[{"@value":"Chiba University Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004239352781056","@type":"Researcher","foaf:name":[{"@value":"Junichiro Toya"}],"jpcoar:affiliationName":[{"@value":"Sakura-shinmachi Urban Clinic, Setagaya-ku, Tokyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004239352781327","@type":"Researcher","foaf:name":[{"@value":"Yosuke Takano"}],"jpcoar:affiliationName":[{"@value":"Mental Home Clinic Setagaya, Setagaya-ku, Tokyo, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004239352781061","@type":"Researcher","foaf:name":[{"@value":"Atsushi Nishida"}],"jpcoar:affiliationName":[{"@value":"Tokyo Metropolitan Institute of Medical Science"}]}],"contributor":[{"@id":"https://cir.nii.ac.jp/crid/1380004239352781330","@type":"Researcher","foaf:name":[{"@value":"Elena Mariani"}],"role":"editor"}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13872877"},{"@type":"EISSN","@value":"18758908"}],"prism:publicationName":[{"@value":"Journal of Alzheimer’s Disease"}],"dc:publisher":[{"@value":"SAGE Publications"}],"prism:publicationDate":"2018-06-08","prism:volume":"64","prism:number":"2","prism:startingPage":"515","prism:endingPage":"523"},"reviewed":"false","dc:rights":["https://journals.sagepub.com/page/policies/text-and-data-mining-license"],"url":[{"@id":"https://journals.sagepub.com/doi/pdf/10.3233/JAD-171077"},{"@id":"https://journals.sagepub.com/doi/full-xml/10.3233/JAD-171077"}],"createdAt":"2018-06-12","modifiedAt":"2026-01-05","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Aged,%2080%20and%20over","dc:title":"Aged, 80 and over"},{"@id":"https://cir.nii.ac.jp/all?q=Counseling","dc:title":"Counseling"},{"@id":"https://cir.nii.ac.jp/all?q=Male","dc:title":"Male"},{"@id":"https://cir.nii.ac.jp/all?q=Social%20Behavior%20Disorders","dc:title":"Social Behavior Disorders"},{"@id":"https://cir.nii.ac.jp/all?q=Home%20Care%20Services","dc:title":"Home Care Services"},{"@id":"https://cir.nii.ac.jp/all?q=Professional%20Competence","dc:title":"Professional Competence"},{"@id":"https://cir.nii.ac.jp/all?q=Treatment%20Outcome","dc:title":"Treatment Outcome"},{"@id":"https://cir.nii.ac.jp/all?q=Caregivers","dc:title":"Caregivers"},{"@id":"https://cir.nii.ac.jp/all?q=Linear%20Models","dc:title":"Linear Models"},{"@id":"https://cir.nii.ac.jp/all?q=Cluster%20Analysis","dc:title":"Cluster Analysis"},{"@id":"https://cir.nii.ac.jp/all?q=Humans","dc:title":"Humans"},{"@id":"https://cir.nii.ac.jp/all?q=Dementia","dc:title":"Dementia"},{"@id":"https://cir.nii.ac.jp/all?q=Female","dc:title":"Female"},{"@id":"https://cir.nii.ac.jp/all?q=Aged","dc:title":"Aged"},{"@id":"https://cir.nii.ac.jp/all?q=Follow-Up%20Studies","dc:title":"Follow-Up Studies"}],"project":[{"@id":"https://cir.nii.ac.jp/crid/1040000781865878016","@type":"Project","projectIdentifier":[{"@type":"KAKEN","@value":"15K20796"},{"@type":"JGN","@value":"JP15K20796"},{"@type":"URI","@value":"https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15K20796/"}],"notation":[{"@language":"ja","@value":"長期療養環境における認知症の人のＱＯＬ"},{"@language":"en","@value":"Quality of life of people with dementia in long-term care settings"}]}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360011144904921216","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Need-driven dementia-compromised behavior: An alternative view of disruptive behavior"}]},{"@id":"https://cir.nii.ac.jp/crid/1360011145186443648","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Identification of the palliative phase in people with dementia: a variety of opinions between healthcare professionals"}]},{"@id":"https://cir.nii.ac.jp/crid/1360011146434955008","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Assessing the Impact of Neuropsychiatric Symptoms in Alzheimer's Disease: The Neuropsychiatric Inventory Caregiver Distress Scale"}]},{"@id":"https://cir.nii.ac.jp/crid/1360285705098500352","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Quality of care for people with dementia and professional caregivers' perspectives regarding palliative care in Japanese community care settings"}]},{"@id":"https://cir.nii.ac.jp/crid/1360285714329005312","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Japanese Care Location and Medical Procedures for People with Dementia in the Last Month of Life"}]},{"@id":"https://cir.nii.ac.jp/crid/1360292620689798912","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Validity of the Short-Memory Questionnaire in vascular dementia"}]},{"@id":"https://cir.nii.ac.jp/crid/1360292620846411136","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The Cost-Effectiveness of Two Forms of Case Management Compared to a Control Group for Persons with Dementia and Their Informal Caregivers from a Societal Perspective"}]},{"@id":"https://cir.nii.ac.jp/crid/1360294674846572672","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Abbey Pain Scale: Development and validation of the Japanese version"}]},{"@id":"https://cir.nii.ac.jp/crid/1360574095474265856","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Patient and Caregiver Characteristics and Nursing Home Placement in Patients With Dementia"}]},{"@id":"https://cir.nii.ac.jp/crid/1360574095943739392","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"An RCT to evaluate the utility of a clinical protocol for staff in the management of behavioral and psychological symptoms of dementia in residential aged-care settings"}]},{"@id":"https://cir.nii.ac.jp/crid/1360574096231913472","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Case conferences as interventions dealing with the challenging behavior of people with dementia in nursing homes: a systematic review"}]},{"@id":"https://cir.nii.ac.jp/crid/1360848655051953536","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Psychosocial behaviour management programme for home‐dwelling people with dementia: A cluster‐randomized controlled trial"}]},{"@id":"https://cir.nii.ac.jp/crid/1360855569248632960","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Effectiveness and Safety of Dementia Care Management in Primary Care"}]},{"@id":"https://cir.nii.ac.jp/crid/1360855570145920256","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Pain management at the end of life: A comparative study of cancer, dementia, and chronic obstructive pulmonary disease patients"}]},{"@id":"https://cir.nii.ac.jp/crid/1360857597142641536","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Environmental influences on agitation: An integrative summary of an observational study"}]},{"@id":"https://cir.nii.ac.jp/crid/1361418521440137984","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Effects of a Stepwise Multidisciplinary Intervention for Challenging Behavior in Advanced Dementia: A Cluster Randomized Controlled Trial"}]},{"@id":"https://cir.nii.ac.jp/crid/1361699993776557696","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Behavioural and psychological symptoms in dementia and the\n                        challenges for family carers: Systematic review"}]},{"@id":"https://cir.nii.ac.jp/crid/1361699993828137728","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The Namaste Care programme can reduce behavioural symptoms in care home residents with advanced dementia"}]},{"@id":"https://cir.nii.ac.jp/crid/1361699994109736704","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"White paper defining optimal palliative care in older people with dementia: A Delphi study and recommendations from the European Association for Palliative Care"}]},{"@id":"https://cir.nii.ac.jp/crid/1361699994420390144","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Prevalence, correlates and course of behavioural and psychological symptoms of dementia in the population"}]},{"@id":"https://cir.nii.ac.jp/crid/1361699995789020544","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Sense of Competence in Dementia Care Staff (SCIDS) scale: development, reliability, and validity"}]},{"@id":"https://cir.nii.ac.jp/crid/1361981469764045056","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Predictors of Nursing Home Admission for Persons with Dementia"}]},{"@id":"https://cir.nii.ac.jp/crid/1361981470465651840","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia"}]},{"@id":"https://cir.nii.ac.jp/crid/1361981471418870912","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"An evaluation of palliative care contents in national dementia strategies in reference to the European Association for Palliative Care white paper"}]},{"@id":"https://cir.nii.ac.jp/crid/1362262943641364224","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Challenge Demcare: management of challenging behaviour in dementia at home and in care homes – development, evaluation and implementation of an online individualised intervention for care homes; and a cohort study of specialist community mental health care for families"}]},{"@id":"https://cir.nii.ac.jp/crid/1362262944810308608","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Dementia care mapping: effects on residents’ quality of life and challenging behavior in German nursing homes. A quasi-experimental trial"}]},{"@id":"https://cir.nii.ac.jp/crid/1362262945302104576","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The value of personalized psychosocial interventions to address behavioral and psychological symptoms in people with dementia living in care home settings: a systematic review"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544418957981952","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Prevalence of Neuropsychiatric Symptoms in Dementia and Mild Cognitive Impairment"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544421352424960","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Early psychosocial intervention does not delay institutionalization in persons with mild Alzheimer disease and has impact on neither disease progression nor caregivers' well‐being: ALSOVA 3‐year follow‐up"}]},{"@id":"https://cir.nii.ac.jp/crid/1362825894642983296","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Memory Evaluation in Alzheimer's Disease"}]},{"@id":"https://cir.nii.ac.jp/crid/1362825895521744512","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"A three-year follow-up on the efficacy of psychosocial interventions for patients with mild dementia and their caregivers: the multicentre, rater-blinded, randomised Danish Alzheimer Intervention Study (DAISY)"}]},{"@id":"https://cir.nii.ac.jp/crid/1362825896250935040","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The Neuropsychiatric Inventory"}]},{"@id":"https://cir.nii.ac.jp/crid/1363107369045996032","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"A Model of Consequences of Need‐Driven, Dementia‐Compromised Behavior"}]},{"@id":"https://cir.nii.ac.jp/crid/1363107369840548864","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Living and dying with advanced dementia: A prospective cohort study of symptoms, service use and care at the end of life"}]},{"@id":"https://cir.nii.ac.jp/crid/1363388843630563456","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Results from the multisite implementation of STAR-VA: A multicomponent psychosocial intervention for managing challenging dementia-related behaviors of veterans."}]},{"@id":"https://cir.nii.ac.jp/crid/1363388843844940416","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Move Over ANOVA"}]},{"@id":"https://cir.nii.ac.jp/crid/1363670319387679616","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"On multi-level modeling of data from repeated measures designs: a tutorial"}]},{"@id":"https://cir.nii.ac.jp/crid/1363670319391769088","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The Use of the Neuropsychiatric Inventory in Nursing Home Residents: Characterization and Measurement"}]},{"@id":"https://cir.nii.ac.jp/crid/1363670320172457728","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Psychosocial interventions for people with dementia: An overview and commentary on recent developments"}]},{"@id":"https://cir.nii.ac.jp/crid/1364233269799065600","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The Neuropsychiatric Inventory"}]},{"@id":"https://cir.nii.ac.jp/crid/1370004239352781321","@type":"Product","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Functional analysis-based interventions for challenging behaviour in dementia"}]},{"@id":"https://cir.nii.ac.jp/crid/1370004239352781328","@type":"Product","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Simulated presence therapy for dementia"}]},{"@id":"https://cir.nii.ac.jp/crid/1370870220905131265","@type":"Product","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Dementia behaviour management programme at home: Impact of a palliative care approach on care managers and professional caregivers of home care services"}]},{"@id":"https://cir.nii.ac.jp/crid/1390565159944811136","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"原著 日本語版NPI-NHの妥当性と信頼性の検討"},{"@language":"en","@value":"Validity and Reliability of the Japanese Version of the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH)"},{"@value":"日本語版NPI-NHの妥当性と信頼性の検討"},{"@language":"ja-Kana","@value":"ニホンゴバン NPI NH ノ ダトウセイ ト シンライセイ ノ ケントウ"},{"@value":"Validity and reliability of the Japanese version of the Neuropsychiatric Inventory‐Nursing Home Version (NPI‐NH)"}]},{"@id":"https://cir.nii.ac.jp/crid/1570572700204658944","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Cross-validation of the Barthel Index among Institutional Elderly"},{"@value":"Cross‐validation of the Barthel Index among institutional elderly"}]},{"@id":"https://cir.nii.ac.jp/crid/1571980076267039872","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Functional evaluation : the Barthel Index"},{"@value":"Function evaluation: the Barthel index"}]}],"dataSourceIdentifier":[{"@type":"CROSSREF","@value":"10.3233/jad-171077"},{"@type":"KAKEN","@value":"PRODUCT-22483506"},{"@type":"OPENAIRE","@value":"doi_dedup___::d482d7847d2bcc33439bfc59357ab301"}]}