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Journal of Applied Gerontology
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The Impact of Validation Group Therapy on Nursing Home Residents With Dementia

Ronald W. Toseland

University at Albany, State University of New York

Manfred Diehl

University of Colorado at Colorado Springs

Kurt Freeman

University at Albany, State University of New York

Theresa Manzanares

University at Albany, State University of New York

Matthias Naleppa

Virginia Commonwealth University

Philip McCallion

University at Albany, State University of New York

This study examined the effectiveness of validation group therapy for reducing problem behav iors, use of physical restraints, and use of psychotropic medications, and for increasing positive social interactions and psychosocial well-being in nursing home residents with dementia. In four skilled-care nursing homes, 88 residents with dementia were randomly assigned to a group receiving validation therapy (VT), a social contact (SC) group, or a usual care (UC) control group, and were assessed at baseline, 3 months, and 1 year. The nursing staff reported that VT participants showed less physically and verbally aggressive behavior and were not as depressed as residents in the SC or UC group. VT was not effective, however, in reducing the use of physical restraints or the use of psychotropic medications, and it was less effective than SC or UC in reducing physically nonaggressive problem behaviors.

Journal of Applied Gerontology, Vol. 16, No. 1, 31-50 (1997)
DOI: 10.1177/073346489701600102


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