Serious Mental Illness Treatment Resource Evaluation Center, Office of Mental Health and Suicide Prevention, Department of Veterans Affairs, Ann Arbor, MI, USA.
Center for Integrated Healthcare, VA Western NY Healthcare System, Department of Veterans Affairs, Batavia, NY, USA.
Am J Alzheimers Dis Other Demen. 2020 Jan-Dec;35:1533317520911577. doi: 10.1177/1533317520911577.
The STAR-VA program in Veterans Health Administration Community Living Centers (CLCs, nursing home settings) trains teams to implement a psychosocial intervention with residents with behavioral symptoms of dementia (BSD).
Across 71 CLCs, 302 residents selected as training cases had target behaviors categorized into one of 5 types: physically aggressive (PA), physically nonaggressive, verbally aggressive, verbally nonaggressive, and behavior deficit (BD).
Across all groups, there were significant declines in team-rated behavior frequency (36%) and severity (44%), agitation (10%), distress behaviors (42%), depression (17%), and anxiety (20%). The magnitude of changes varied across behavior category. For example, those with a PA target behavior experienced a greater percentage decline in agitation and distress behavior scores, and those with a BD target behavior experienced a greater percentage decline in depressive and anxiety symptoms.
STAR-VA, a multicomponent intervention, is generally effective across various types of behavioral symptoms associated with dementia.
退伍军人事务部社区生活中心（疗养院环境）中的 STAR-VA 项目培训团队为有行为性痴呆症（BSD）症状的居民实施心理社会干预。
在 71 个 CLC 中，302 名被选为培训病例的居民的目标行为分为以下 5 种类型：身体攻击（PA）、非身体攻击、言语攻击、非言语攻击和行为缺陷（BD）。
所有组的团队评定的行为频率（36%）和严重程度（44%）、激越（10%）、痛苦行为（42%）、抑郁（17%）和焦虑（20%）均显著下降。行为类别变化幅度不同。例如，有 PA 目标行为的患者激越和痛苦行为评分下降的百分比更大，而有 BD 目标行为的患者抑郁和焦虑症状下降的百分比更大。
STAR-VA 是一种多组分干预措施，对各种与痴呆相关的行为症状通常都有效。
