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Journal of Applied Gerontology
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The Effect of a Wall Mural on Decreasing Four Types of Door-Testing Behaviors

Cynthia Kincaid

University of North Carolina-Charlotte

James R. Peacock

University of North Carolina-Charlotte

This study examined the effect that a wall mural painted over an exit door had on decreasing door-testing behaviors of residents with dementia. Twelve residents who tested the doors regularly were observed over a 12-week period. The frequency of four types of door-testing behaviors before and after the wall mural installation was explored. A significant decrease in overall door-testing behavior and a significant decrease in two of four distinct behavior types occurred. The findings support the idea that by disguising the door with a wall mural, door-testing behaviors are reduced. Wall murals can be an effective way of cueing residents away from a situation that may evoke agitation and a situation of potential harm and litigation.

Key Words: dementia • wall murals • door-testing • behavior

Journal of Applied Gerontology, Vol. 22, No. 1, 76-88 (2003)
DOI: 10.1177/0733464802250046
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