Locations:
Search IconSearch
December 11, 2023/Nursing/Research

Baby Doll Therapy Shows Promise for Managing Agitation in Patients with Dementia

Pilot study confirms feasibility of conducting additional research on the novel treatment

23-NUR-3991010-NN-Rsrch-BabyDollStudy-CQD_650x450

Healthcare facilities that manage patients with dementia or Alzheimer’s disease have reported success in reducing confusion and agitation when using baby dolls or toy dogs and cats. Despite ample anecdotal evidence to support the value of tactile nonpharmacologic interventions, acute-care researchers had not previously explored the feasibility of conducting formal studies to understand the efficacy of baby doll therapy (BDT).

Advertisement

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

A team of Cleveland Clinic nurse investigators addressed this knowledge gap with a pilot study aimed at evaluating the viability of further BDT research. Led by assistant nurse managers Ashley Hall, MSN, RN, and Elizabeth Cai, MSN, RN, CMSRN, the research team not only found BDT worthy of future study, but also confirmed that the therapy itself may provide benefit to patients with dementia.

“Randomized controlled trials can be quite costly, resource intensive and time-consuming, so it was important to test the feasibility of providing baby dolls to patients with cognitive impairment,” says Hall. “We wanted to learn if a larger study could be completed from a logistical standpoint, and we hoped our research would illuminate how patients might respond to their dolls.”

Study specifics

Prior to starting the therapy, all clinical nurses who worked on the two Cleveland Clinic study units were required to attend specialized training on how to use and interpret the agitated behavior scale (ABS). Cai says the training was designed to reduce nurse-to-nurse scoring variations and improve the fidelity of data collection.

The study included 12 hospitalized men and 34 women aged 70 to 96 years with dementia. Subjects were initially evaluated using the ABS; those who scored a 3 or more were issued a doll provided by a grant from the Medina Hospital Foundation.

Warm reception

Hall explains that the feasibility of future research on BDT hinged on answers to several key questions, including whether the dolls would be well received by both male and female patients and their families. “The answer to our primary question was overwhelmingly yes!” she says. “Almost without exception, patients received the dolls with open arms. It was actually quite astonishing to watch how they interacted with their ‘babies.’”

Advertisement

Cai adds that many of the dolls — soft-bodied with blinking eyes — were named by their patient ‘guardians.’ “We were introduced to Violet, Josephine, Daisy and even Sweet Baby Jesus,” she says.

Some patients held or slept with their doll; the bedside table was even used as a crib by one patient and a “baby bouncer” by another, Cai explains. In some cases, the baby doll was forgotten by the patient and had to be reintroduced several times.

Although each patient (study participant) approached their “caregiving responsibilities” differently, interactions with the doll seemed to correspond to a reduction in agitation, says Hall. “Although evaluating the effectiveness of BDT was not our original objective, we found that ABS scores decreased among patients who received a doll,” she adds. “Both caregivers and family members expressed witnessing notable changes in patient demeanor, and we were amazed by the positive
feedback we received.”

Future implications

Ultimately, the pilot study demonstrates that BDT appears to be associated with a reduction in agitation behaviors. However, investigators caution that more research is needed.

“It took us a long time to get from developing a hypothesis to receiving pilot study outcomes, but our findings are encouraging, and we are excited to consider next steps,” says Hall. “We were hopeful that patients would respond positively to the dolls, but we were not expecting the nursing staff to be as engaged in and excited about the therapy as they were. We’re still fielding requests for more dolls!”

Advertisement

Cai adds, “Caring for a doll can put structure and sense of responsibility back into the lives of
patients with dementia and provide them with comfort.”

Advertisement

Related Articles

Procedure room nurse
June 20, 2024/Nursing/Research
Study Examines Value of Procedure Resource Nurses in the ICU

Fellow critical care nurses welcome additional support and expertise

23-NUR-3534832-NN-Rsrch-RiskFactors-Difficult-IV-startsInptnt-CQD-1_650x450
July 26, 2023/Nursing/Research
Ultrasound May Help Nurses Successfully Obtain Peripheral Vascular Access on the First Attempt

Study shows ultrasound can be valuable tool for improving patient satisfaction by reducing failed IV insertions

Caregiver holding sick child's hand
July 12, 2023/Nursing/Research
Automated Tool Helps Identify Pediatric Patients with Slow Clinical Deterioration

New system uses vital signs to predict need for further intervention

Researchers in lab
February 6, 2023/Nursing/Research
Study Connects Hospital Support, Strong Mentorship With the Growth of Nurse-Driven Research

Findings reveal personal and professional factors that influence nurses’ interest in medical research

Nurse researcher at desk
December 12, 2022/Nursing/Research
Nurses Advance Their Profession, Clinical Specialties and Healthcare Industry Through Research

Nurse scientists bridge divide between bench and bedside

Rapid Response Team
July 11, 2022/Nursing/Research
Examination of a Dedicated Rapid Response Team

Study looks at cardiopulmonary arrest and activation rates

Falls prevention research
June 6, 2022/Nursing/Research
Multimodal Intervention for Inpatient Falls Prevention

Video education and nurse-led reinforcement help with fall risk awareness

Ad