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

1.

Was an assessment conducted with a standardized instrument?

MR

Behavior

Cognition

Pain

Depression

Quality of life

Mobility

Nutrition

Care dependency

Other

2.

How was the pain assessment (PA) conducted?

RO

Self-rated pain assessment

Proxy-rated pain assessment

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.

Which instrument was used for proxy-rated PA?*

RO

BESD^©

BISAD^©

ECPA^©

ZOPA^©

Doloplus

Other

/

Was a PA conducted with a standardized instrument?

Y/N

/

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.

Has a case conference (CC) been held since the resident moved into the nursing home?

Y/N

6.

When was the last CC conducted?*

FT

/

Estimated period of time*

FS

During the last week

Within the last four weeks

Longer than four weeks ago

7.

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.

For what reason was the last CC conducted?*

MR

Admission to nursing home

Health in general

Pain

/

Why was the last CC conducted?*

Problematic situations caused by challenging behavior

Hospital stay

Needs and wishes of the resident/relatives

Other

9.

What was the content of the last CC?*

MR

Reasons for challenging behavior

Biography

/

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.

Was the biography of the resident assessed?

Y/N

11.

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.

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

/

Are there multisensory stimulation interventions applied?

Y/N

/

What kind of stimulation interventions?*

FT

/

MR

Aroma therapy

Sound therapy

Massages

Basal stimulation®

Snoezelen

Cuddling pets

Touching different materials

Other

Validation therapy

15.

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.

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.

Did the resident use any physical activities?

Y/N

/

Did the resident use any physical activities offered during the last week?

19.

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

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

/

Has an acute psychiatric crisis occurred during the last year that required nursing interventions?

/

Has an acute psychiatric crisis occurred during the last six months that required nursing interventions?

/

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.

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

23