Empirical derivation and validation of a wandering typology

Algase, Donna L. , Antonakos, Cathy L., Beattie, Elizabeth, Beel-Bates, Cynthia A. , & Yao, Lan (2009) Empirical derivation and validation of a wandering typology. Journal of the American Geriatrics Society, 57(11), pp. 2037-2045.

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OBJECTIVES: To develop and validate a wandering typology. ----------

DESIGN: Cross-sectional, correlational descriptive design. ----------

SETTING:: Twenty-two nursing homes and six assisted living facilities. ----------

PARTICIPANTS: One hundred forty-two residents with dementia who spoke English, met Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition, criteria for dementia, scored less than 24 on the Mini-Mental State Examination (MMSE), were ambulatory (with or without assistive device), and maintained a stable regime of psychotropic medications were studied. ----------

MEASUREMENTS: Data on wandering were collected using direct observations, plotted serially according to rate and duration to yield 21 parameters, and reduced through factor analysis to four components: high rate, high duration, low to moderate rate and duration, and time of day. Other measures included the MMSE, Minimum Data Set 2.0 mobility items, Cumulative Illness Rating Scale—Geriatric, and tympanic body temperature readings. ----------

RESULTS: Three groups of wanderers were identified through cluster analysis: classic, moderate, and subclinical. MMSE, mobility, and cardiac and upper and lower gastrointestinal problems differed between groups of wanderers and in comparison with nonwanderers. ----------

CONCLUSION: Results have implications for improving identification of wanderers and treatment of possible contributing factors.

Impact and interest:

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ID Code: 32044
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Wandering, Typology, Observation, Dementia, Cluster Analysis
DOI: 10.1111/j.1532-5415.2009.02491.x
ISSN: 0002-8614
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Aged Health Care (111702)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Aged Care Nursing (111001)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
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Deposited On: 06 May 2010 02:50
Last Modified: 29 Feb 2012 14:08

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