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dc.contributor.authorGigliotti, Christina Marieen_US
dc.date.accessioned2014-03-14T21:09:35Z
dc.date.available2014-03-14T21:09:35Z
dc.date.issued2006-02-06en_US
dc.identifier.otheretd-02172006-114603en_US
dc.identifier.urihttp://hdl.handle.net/10919/37372
dc.description.abstractEngaging persons with dementia in meaningful activities supports well-being; however care staff are challenged to identify activities that are developmentally and generationally appropriate in a group setting. In this study, I compared a randomly assigned treatment group (HT) to a comparison group (traditional activities) on outcome variables, including engagement, affect, and problem behaviors. HT programming was implemented twice weekly at four treatment sites for six weeks, while traditional activities were observed at four comparison sites during that time period. A mixed method assessment was undertaken to examine the processes and outcomes that influenced the observed outcomes and the interrelationships between these dependent variables. Data was gathered from a variety of sources using a range of methods, including structured observational assessments, semi-structured interviews, and a focus group session. Informants included persons with dementia, traditional activity facilitators from the comparison sites, and observational research team members. Nonparametric Mann Whitney-U analyses were used to compare the treatment and comparison groups on behavioral and affective domains, while multiple correspondence analysis (MCA) was used to examine the interrelationships between these outcome variables. Analytic induction and constant comparison enabled the researchers to identify factors that affected the implementation of the intervention and its subsequent impact on the participants. Mann Whitney-U results revealed no statistical differences between the HT and traditional groups on the three affective domains; however, levels of adaptive behavior did differ between the two groups, with the treatment group demonstrating significantly higher levels of active, passive, and other engagement, and the comparison group demonstrating significantly higher levels of self-engagement. MCA analyses indicated that individuals who exhibited high level of active engagement were also likely to display high levels of pleasure and low levels of non-engagement, further supporting the value of active engagement in activities to optimize well-being. Qualitative findings highlighted the importance of simultaneously capturing the participantsâ responses as well as indicators of the social and physical environment to gain a holistic understanding of the intervention and associated outcomes. Results demonstrated that while HT programming results in positive outcomes for participants, facilitation of therapeutic activities for persons with dementia is a critical element influencing the targeted outcomes.en_US
dc.publisherVirginia Techen_US
dc.relation.haspartETDDocumentinFullRev31506.pdfen_US
dc.relation.haspartETDAbstractDocumentRev31006.pdfen_US
dc.rightsI hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Virginia Tech or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report.en_US
dc.subjectengagementen_US
dc.subjectaffecten_US
dc.subjectpersonhooden_US
dc.subjecttheory of environmental pressen_US
dc.subjectdementiaen_US
dc.subjectHorticulture Therapyen_US
dc.titleA Mixed Method Assessment of Horticulture Therapy Programming for Persons with Dementia: An Exploratino and Analysis of Processes and Outcomesen_US
dc.typeDissertationen_US
dc.contributor.departmentHuman Developmenten_US
dc.description.degreePh. D.en_US
thesis.degree.namePh. D.en_US
thesis.degree.leveldoctoralen_US
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen_US
thesis.degree.disciplineHuman Developmenten_US
dc.contributor.committeechairJarrott, Shannon E.en_US
dc.contributor.committeememberStevenson, Michelle L.en_US
dc.contributor.committeememberMancini, Jay A.en_US
dc.contributor.committeememberRelf, Paula Dianeen_US
dc.contributor.committeememberRoberto, Karen A.en_US
dc.identifier.sourceurlhttp://scholar.lib.vt.edu/theses/available/etd-02172006-114603/en_US
dc.date.sdate2006-02-17en_US
dc.date.rdate2006-03-21
dc.date.adate2006-03-21en_US


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