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Application of behavior-based ergonomics therapies to improve quality of life and reduce medication usage for Alzheimer’s/dementia residents


Mowrey, C., Parikh, P. J., Bharwani, G., Bharwani, M.


American Journal Of Alzheimer's Disease And Other Dementias, Volume: 28, No.: 1, Pages.: 35-41

Year of Publication



Behavior-based ergonomics therapy (BBET) has been proposed in the past as a viable individualized non-pharmacological intervention to manage challenging behaviors and promote engagement among long-term care residents diagnosed with Alzheimer’s/dementia. We evaluate the effect of BBET on quality of life and behavioral medication usage in an 18-bed dementia care unit at a not-for-profit continuing care retirement community in West Central Ohio. Comparing a target cohort during the 6-month pre-implementation period with the 6-month post-implementation period, our study indicates that BBET appears to have a positive impact on the resident’s quality of life and also appears to correlate with behavioral medical reduction. For instance, the number of days with behavioral episodes decreased by 53%, the total Minimum Data Set (MDS) mood counts decreased by 70%, and the total MDS behavior counts decreased by 65%. From a medication usage standpoint, the number of pro re nata (PRN) Ativan doses decreased by 57%.;

Bibtex Citation

@article{Mowrey_2012, doi = {10.1177/1533317512467678}, url = {}, year = 2012, month = {nov}, publisher = {{SAGE} Publications}, volume = {28}, number = {1}, pages = {35--41}, author = {C. Mowrey and P. J. Parikh and G. Bharwani and M. Bharwani}, title = {Application of Behavior-Based Ergonomics Therapies to Improve Quality of Life and Reduce Medication Usage for Alzheimer{textquotesingle}s/Dementia Residents}, journal = {American Journal of Alzheimer{textquotesingle}s Disease and Other Dementias} }


aged, aged, 80 and over, alzheimer disease, bbet, behavior therapy, behaviorbased, cohort studies, drug therapy, ergonomics, female, human engineering, humans, hypnotics and sedatives, instrumentation, long term care, male, methods, motor activity, nursing homes, organization administration, physiology, pilot projects, psychology, quality of life, retrospective studies, therapeutic use, therapy, treatment outcome

Countries of Study


Types of Dementia

Alzheimer’s Disease

Types of Study

Before and After Study, Cost and service use study

Type of Outcomes

Behaviour, Quality of Life of Person With Dementia, Service use or cost reductions (incl. hospital use reduction, care home admission delay)


Long Term Residential Care without medically trained staff

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions

Behavioural Therapies