Current Gerontology and Geriatrics Research

Research Article

Are Dementia Patient's Engagement Using Tailored Stimuli the Same? The Apathy Dilemma in Nursing Home Residents

Table 4

Observational Measurement of Engagement (OME) scores in guided and unguided conditions in apathetic and non apathetic participants.
Stimulation based on participant’s stimulus choice for each category in Apathetic ( 𝑛 = 1 4 ) and nonapathetic ( 𝑛 = 2 6 ) participantsEngagement duration, s 𝑍 𝑃 valueAttention 𝑍 𝑃 valueAttitude 𝑍 𝑃 value
Category β€œWork”         
ApathyGuidance
Without guidance
Mean difference, 95% CI
364
332
33 [βˆ’134–182]		βˆ’.8.42.7
2.4
0.4 [0.6–2.3]		βˆ’2.0464.6*
4.3
0.3 [βˆ’0.4–0.9]		βˆ’.7.4
Non ApathyGuidance
Without guidance
Mean difference, 95% CI
527
415
111 [22–202]		βˆ’2.6.013
2.7
0.3 [0.03–0.6]		βˆ’2.1.0355.7
4.9
0.8 [0.2–1.4]		βˆ’2.4.016
Category β€œFamily”         
ApathyGuidance
Without guidance
Mean difference, 95% CI
424
360
72 [βˆ’55–221]		βˆ’.5.52.6
2.4
0.3 [βˆ’0.08–0.8]		βˆ’1.3.24.5*
4.5
βˆ’0.08 [βˆ’0.8–0.5]		βˆ’.07.9
Non ApathyGuidance
Without guidanceMean difference, 95% CI
448
365
83 [βˆ’24–194]		βˆ’1.8.082.8
2.7
0.08 [βˆ’0.3–0.4]		βˆ’.5.65.6
4.9
0.7 [0.2–1.2]		βˆ’2.4.01
Category β€œLeisure”         
ApathyGuidance
Without guidance
Mean difference, 95% CI		500
311*
197 [79–332]		βˆ’2.4.013
2.7
0.2 [βˆ’0.08–0.5]		βˆ’1.7.095.1**
4.7*0.4 [0–0.7]		βˆ’1.3.2
Non ApathyGuidance
Without guidance
Mean difference, 95% CI		583
418
165 [62–256]		βˆ’3.0023.1
2.9
0.4 [0–0.8]		βˆ’1.3.25.8
5.5
0.4 [βˆ’0.2–0.8]		βˆ’1.8.08
Category β€œPersonal”         
ApathyGuidance
Without guidance
Mean difference, 95% CI		426
237*200 [84–323]		βˆ’2.9.0042.7
2.5*0.3 [βˆ’0.08–0.8]		βˆ’1.3.24.8*
4.6*0.2 [βˆ’0.4–0.8]		βˆ’.6.5
Non ApathyGuidance
Without guidance
Mean difference, 95% CI		557
444
112 [βˆ’2.9–223]		βˆ’2.0463.1
3.1
0.08 [βˆ’0.3–0.4]		βˆ’.4.65.7
5.6
0.1 [βˆ’0.3–0.5]		βˆ’.6.5
Category β€œNot Interested”        
ApathyGuidance
Without guidanceMean difference, 95% CI		240
181*66 [8–154]		βˆ’1.8.072*
2**0 [βˆ’0.3–0.3]		013.7
3.70 [βˆ’0.5–0.5]		βˆ’.07.9
Non ApathyGuidance
Without guidanceMean difference, 95% CI		237
252
βˆ’10 [βˆ’56–32]		βˆ’.3.72.5
2.60 [βˆ’0.5–0.5]		βˆ’1.34.2
4.20 [βˆ’0.4–0.4]		βˆ’.08.9
Note: Apathy cut off score was based on AI score above 3 out of 12.
*Group with the lowest value compared to their counterpart without apathy, 𝑃 < . 0 2 ,
**Group with lowest value compared to their counterpart without apathy, 𝑃 < . 0 5 .