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Table 1 Overview of the questionnaires of version 1, 2, and 3

From: Assessing the application of non-pharmacological interventions for people with dementia in German nursing homes: feasibility and content validity of the dementia care questionnaire (DemCare-Q)

Version    Version  
1 2 3 Lead-in question Response format 1 2 3 Response-set
No. No. No.     
Assessments
1. 1. / Was an assessment conducted with a standardized instrument? MR / Behavior
/ Cognition
/ Pain
/ Depression
/ / Quality of life
/ / Mobility
/ / Nutrition
/ / Care dependency
/ Other
2. 2. / How was the pain assessment (PA) conducted? RO / Self-rated pain assessment
Proxy-rated pain assessment
3. 3. / Which instrument was used for self-rated PA?* RO / Numerical rating scale
Visual analogue scale
Verbal rating scale
Smiley scale
Face pain scale
Other
4. 4. / Which instrument was used for proxy-rated PA?* RO / BESD©
BISAD©
ECPA©
ZOPA©
Doloplus
Other
/ / 6. Was a PA conducted with a standardized instrument? Y/N / /  
/ / 7. Which instrument was used for PA?* RO / / Numerical rating scale
Visual analogue scale
Verbal rating scale
Smiley scale
Face pain scale
BESD©
BISAD©
ECPA©
ZOPA©
Doloplus
         Self-developed
Understanding diagnostics
5. 5. 1. Has a case conference (CC) been held since the resident moved into the nursing home? Y/N  
6. 6. 2. When was the last CC conducted?* FT  
/ 6.1 2.1 Estimated period of time* FS / During the last week
Within the last four weeks
Longer than four weeks ago
7. 7. 3. Who took part in the last CC?* MR Resident
Relative
Official legal guardian
Head nurse
Members of the nursing team
Other care staff
Physician
Therapeutic staff
Other
8. 8. / For what reason was the last CC conducted?* MR Admission to nursing home
Health in general
Pain
/ / 4. Why was the last CC conducted?* Problematic situations caused by challenging behavior
Hospital stay
Needs and wishes of the resident/relatives
Other
9. 9.   What was the content of the last CC?* MR Reasons for challenging behavior
Biography
/ / 5. What were you talking about in the last CC?* Decisions on care planning
Changes in medication
Discussion of previous care plans
Needs of the resident
/ Daily activities
/ Enhancement of competencies
/ Relations of residents among each other
      Other
Reminiscence therapy
10. 10. 8. Was the biography of the resident assessed? Y/N  
11. 11. 9. Which topics were assessed?* MR Important events in childhood- youth
Important events in adulthood
/ / Professional life
Hobbies
Favorite food-drinks
Events of the day
Personality
/ Relationships-social environment
/ Habits
Other
12. / / Who was involved in the biography assessment?* MR / / Resident
/ / Relatives-friends
/ / Official legal guardian
/ / Physician
/ / Other
13. 12. 10. Was anything added to the biography assessment after initial assessment?* Y/N  
Multisensory stimulation
14. / / Which of the following multisensory stimulation interventions have been applied, and if so, how often?      
Aroma therapy FS / / Daily/Weekly/Irregular
Hand massage FS / /
Rhythmical massages FS / /
Snoezelen in a snoezelen room FS / /
Snoezelen in the resident’s room FS / /
Listening to relaxation music FS / /
Listening to individual preferred music FS / /
/ 13. 11. Are there multisensory stimulation interventions applied? Y/N /  
/ 14. / What kind of stimulation interventions?* FT / /  
/ / 12. MR / / Aroma therapy
Sound therapy
Massages
Basal stimulation®
Snoezelen
Cuddling pets
Touching different materials
        Other
Validation therapy
15. 15. 13. Is validation therapy applied? Y/N  
16. / / How is validation therapy implemented?* MR Integrated in daily communication/ Validating attitude
     In single sessions with the resident
In group sessions
      / As a crisis intervention
Physical activities
17. 16. 15. How often was the resident in the open air during the last week (e.g., on the balcony, in the garden, out for a walk)? FS Several times a day/Daily/4-6 times a week/1-3 times a week/Not at all
18. 17. / Did the resident use any physical activities? Y/N  
/ / 16. Did the resident use any physical activities offered during the last week?
19. 18. 17. Type of physical activity* MR Gymnastics
Dance
Sports-games (e.g., bowling, ball games, games using a console (e.g., Wii))
Taking a walk
/ / Physiotherapy
/ / Occupational therapy
Other
20. / / Reason for non-participation* MR / / Not interested
/ / Not able due to functional restraints
/ / Not able due to cognitive restraints
/ / Immobile
/ / Other
21. / / How often was the resident physically active at a minimum of 30 minutes at a stretch during the last week? FS 3x or more often/ 1-2x/ none
  19. 18. How often was the resident physically active (e.g. participation on gymnastics or taking a walk) at a minimum of 30 minutes at a stretch during the last week?      
Management of acute crisis intervention
22. / / Has an acute psychiatric crisis occurred since admission that required nursing interventions? Y/N  
/ 20. / Has an acute psychiatric crisis occurred during the last year that required nursing interventions?      
/ / 19. Has an acute psychiatric crisis occurred during the last six months that required nursing interventions?      
/ 21. 20. Frequency of acute crisis during the last year during the last six months* FS / 1-2 times/ 3–4 times/ 5–6 times/more often
Frequency of acute crisis during the last six months*
23. 22. 21. Applied interventions to manage the crisis* MR Consultation with next of kin
Calming talk
Supporting the resident’s emotions
Protecting the resident from others
Consultation with a physician
Use of psychotropic medication
Use of physical restraints
Hospital admission
/ Offering a possibility to reduce physical aggression
Other
Total number of
Lead-in questions   Responses  
23 22 21   81 79 78  
  1. MR –Multiple response RO-Response option FS-Frequency scale FT-Free text Y/N-Yes/No.
  2. *Depending on previous question (conditional question).