Positive behaviour support in frontotemporal dementia: a pilot study

Claire O'Connor, Eneida Mioshi, Cassandra Kaizik, Alinka Fisher, Michael Hornberger, Olivier Piguet

Research output: Contribution to journalArticle

Abstract

Frontotemporal dementia (FTD) is a progressive neurodegenerative brain condition clinically characterized by marked changes in behaviour that impact the individuals’ relationships and community participation, and present challenges for families. Family carers of individuals with FTD find apathy and disinhibition particularly challenging leading to high levels of stress and burden. Positive behaviour support (PBS) as a behaviour intervention framework has never been trialled in FTD. This pilot study examined the functional basis of apathetic and disinhibited behaviours in four FTD dyads and explored the acceptability of a PBS intervention. The PBS programme was provided by an occupational therapist in the participants’ homes. Measures collected at baseline and post-intervention (M = 3.9 months) assessed: function of behaviours, challenging behaviours, and qualitative outcomes pertaining to the acceptability of the PBS approach. PBS was an acceptable intervention for all four dyads. “Sensory” and “tangible” were the most common functions contributing to the maintenance of behaviour changes, and aspects of apathetic and disinhibited behaviours improved following intervention. This study demonstrates the acceptability and potential benefit of a PBS programme to provide support in FTD. A more rigorous trial will be an important next step in developing improved services tailored to the needs of this unique population.
Original languageEnglish
Pages (from-to)1-24
Number of pages24
JournalNEUROPSYCHOLOGICAL REHABILITATION
DOIs
Publication statusPublished - 3 Jan 2020

Keywords

  • Positive behaviour support
  • Frontotemporal dementia
  • Challenging behaviour
  • Family support
  • Family carer

Fingerprint Dive into the research topics of 'Positive behaviour support in frontotemporal dementia: a pilot study'. Together they form a unique fingerprint.

  • Cite this