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Staff Perspectives on Interventions for Confabulation in Brain Injury and Dementia.

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Τίτλος: Staff Perspectives on Interventions for Confabulation in Brain Injury and Dementia.
Συγγραφείς: Sharp R; The University of Auckland, Auckland, New Zealand., Burney V; The University of Auckland, Auckland, New Zealand., Elliffe D; The University of Auckland, Auckland, New Zealand.
Πηγή: Australasian journal on ageing [Australas J Ageing] 2026 Sep; Vol. 45 (3), pp. e70228.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: published on behalf of ACOTA by Wiley-Blackwell Publishing Asia Country of Publication: Australia NLM ID: 9808874 Publication Model: Print Cited Medium: Internet ISSN: 1741-6612 (Electronic) Linking ISSN: 14406381 NLM ISO Abbreviation: Australas J Ageing Subsets: MEDLINE
Imprint Name(s): Publication: Melbourne : published on behalf of ACOTA by Wiley-Blackwell Publishing Asia
Original Publication: Melbourne, Vic. : Council on the Ageing (Australia), [1998-
Ιατρικοί όροι (MeSH): Dementia*/psychology , Dementia*/therapy , Dementia*/diagnosis , Dementia*/epidemiology , Brain Injuries*/psychology , Brain Injuries*/diagnosis , Brain Injuries*/therapy , Memory Disorders*/psychology , Memory Disorders*/therapy , Memory Disorders*/diagnosis , Attitude of Health Personnel* , Health Knowledge, Attitudes, Practice* , Memory*, Humans ; Female ; Male ; Health Care Surveys ; Middle Aged
Περίληψη: Objective: Providing inaccurate narratives of events (confabulation) is a commonly reported difficulty for people with brain injuries and dementia. We aimed to capture staff perceptions on the frequency and cause of confabulation, as well as interventions they find acceptable and effective.
Methods: We surveyed staff in dementia and brain injury services using convenience sampling. We developed a bespoke survey capturing staff views on confabulation prevalence, context, causes, the acceptability and effectiveness of interventions, and staff demographics such as education and experience.
Results: The survey was completed by direct care staff, nurses and allied health professionals supporting people with dementia (n = 46) and people with brain injuries (n = 40). Application of χ2 tests showed that staff in dementia care reported interventions to be less effective and 'playing along' as more acceptable than did staff working with clients who had brain injury. Approximately 20% of each group were not confident in addressing confabulation. Dementia staff witnessed more confabulation about who and where the confabulating person was, and brain injury staff witnessed more confabulation about why the confabulating person was receiving care.
Conclusions: Our findings showed that there is a difference between how staff in brain injury and dementia services perceive the effectiveness and acceptability of interventions for confabulation. Findings suggest that capturing practice-generated knowledge might lead to further empirical demonstrations of effective interventions for confabulation and that there is a need for more support and training of direct care staff in managing confabulation.
(© 2026 The Author(s). Australasian Journal on Ageing published by John Wiley & Sons Australia, Ltd on behalf of AJA Inc.)
References: Aging Ment Health. 2008 Mar;12(2):236-43. (PMID: 18389404)
Gerontologist. 1997 Feb;37(1):20-4. (PMID: 9046701)
J Law Med Ethics. 2021;49(2):257-262. (PMID: 34924046)
Int J Nurs Stud. 2020 Jul;107:103589. (PMID: 32446017)
Clin Neuropsychol. 2022 Nov;36(8):1997-2020. (PMID: 34289780)
J Intellect Disabil Res. 2002 Feb;46(Pt 2):144-50. (PMID: 11869385)
J Contin Educ Nurs. 2021 Sep;52(9):438-444. (PMID: 34432585)
Dementia (London). 2020 Nov;19(8):2582-2600. (PMID: 30803272)
Cogn Neuropsychiatry. 2015;20(1):1-13. (PMID: 25078663)
Psychiatry. 2000 Spring;63(1):85-92. (PMID: 10855763)
Aust Occup Ther J. 2017 Apr;64(2):149-158. (PMID: 27654022)
Int Nurs Rev. 2016 Sep;63(3):507-16. (PMID: 27374988)
J Head Trauma Rehabil. 2013 Mar-Apr;28(2):126-30. (PMID: 22166922)
Nurs Ethics. 2019 Jun;26(4):984-992. (PMID: 29161971)
J Neuropsychiatry Clin Neurosci. 2024 Winter;36(1):45-52. (PMID: 37415502)
West J Nurs Res. 2016 Sep;38(9):1114-38. (PMID: 26955844)
J Exp Anal Behav. 2019 Mar;111(2):342-358. (PMID: 30734313)
Collegian. 2014;21(3):201-7. (PMID: 25632714)
Clin Neuropsychol. 2022 Nov;36(8):2021-2040. (PMID: 34429014)
J Alzheimers Dis. 2024;99(1):85-99. (PMID: 38669539)
Contributed Indexing: Keywords: brain injuries; dementia; health personnel; memory disorders; therapeutics
Entry Date(s): Date Created: 20260901 Date Completed: 20260901 Latest Revision: 20260903
Update Code: 20260903
PubMed Central ID: PMC13531725
DOI: 10.1111/ajag.70228
PMID: 42677979
Βάση Δεδομένων: MEDLINE
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  Data: Staff Perspectives on Interventions for Confabulation in Brain Injury and Dementia.
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  Data: <i>Publication</i>: Melbourne : published on behalf of ACOTA by Wiley-Blackwell Publishing Asia<br /><i>Original Publication</i>: Melbourne, Vic. : Council on the Ageing (Australia), [1998-
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  Data: <searchLink fieldCode="MM" term="%22Dementia%22">Dementia*</searchLink>/<searchLink fieldCode="MM" term="%22Dementia+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Dementia%22">Dementia*</searchLink>/<searchLink fieldCode="MM" term="%22Dementia+therapy%22">therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Dementia%22">Dementia*</searchLink>/<searchLink fieldCode="MM" term="%22Dementia+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Dementia%22">Dementia*</searchLink>/<searchLink fieldCode="MM" term="%22Dementia+epidemiology%22">epidemiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Brain+Injuries%22">Brain Injuries*</searchLink>/<searchLink fieldCode="MM" term="%22Brain+Injuries+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Brain+Injuries%22">Brain Injuries*</searchLink>/<searchLink fieldCode="MM" term="%22Brain+Injuries+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Brain+Injuries%22">Brain Injuries*</searchLink>/<searchLink fieldCode="MM" term="%22Brain+Injuries+therapy%22">therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Memory+Disorders%22">Memory Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Memory+Disorders+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Memory+Disorders%22">Memory Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Memory+Disorders+therapy%22">therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Memory+Disorders%22">Memory Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Memory+Disorders+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Attitude+of+Health+Personnel%22">Attitude of Health Personnel*</searchLink> <br /><searchLink fieldCode="MM" term="%22Health+Knowledge%2C+Attitudes%2C+Practice%22">Health Knowledge, Attitudes, Practice*</searchLink> <br /><searchLink fieldCode="MM" term="%22Memory%22">Memory*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Health+Care+Surveys%22">Health Care Surveys</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink>
– Name: Abstract
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  Data: Objective: Providing inaccurate narratives of events (confabulation) is a commonly reported difficulty for people with brain injuries and dementia. We aimed to capture staff perceptions on the frequency and cause of confabulation, as well as interventions they find acceptable and effective.<br />Methods: We surveyed staff in dementia and brain injury services using convenience sampling. We developed a bespoke survey capturing staff views on confabulation prevalence, context, causes, the acceptability and effectiveness of interventions, and staff demographics such as education and experience.<br />Results: The survey was completed by direct care staff, nurses and allied health professionals supporting people with dementia (n = 46) and people with brain injuries (n = 40). Application of χ<superscript>2</superscript> tests showed that staff in dementia care reported interventions to be less effective and 'playing along' as more acceptable than did staff working with clients who had brain injury. Approximately 20% of each group were not confident in addressing confabulation. Dementia staff witnessed more confabulation about who and where the confabulating person was, and brain injury staff witnessed more confabulation about why the confabulating person was receiving care.<br />Conclusions: Our findings showed that there is a difference between how staff in brain injury and dementia services perceive the effectiveness and acceptability of interventions for confabulation. Findings suggest that capturing practice-generated knowledge might lead to further empirical demonstrations of effective interventions for confabulation and that there is a need for more support and training of direct care staff in managing confabulation.<br /> (© 2026 The Author(s). Australasian Journal on Ageing published by John Wiley & Sons Australia, Ltd on behalf of AJA Inc.)
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  Data: Aging Ment Health. 2008 Mar;12(2):236-43. (PMID: <searchLink fieldCode="PM" term="%2218389404%22">18389404)</searchLink><br />Gerontologist. 1997 Feb;37(1):20-4. (PMID: <searchLink fieldCode="PM" term="%229046701%22">9046701)</searchLink><br />J Law Med Ethics. 2021;49(2):257-262. (PMID: <searchLink fieldCode="PM" term="%2234924046%22">34924046)</searchLink><br />Int J Nurs Stud. 2020 Jul;107:103589. (PMID: <searchLink fieldCode="PM" term="%2232446017%22">32446017)</searchLink><br />Clin Neuropsychol. 2022 Nov;36(8):1997-2020. (PMID: <searchLink fieldCode="PM" term="%2234289780%22">34289780)</searchLink><br />J Intellect Disabil Res. 2002 Feb;46(Pt 2):144-50. (PMID: <searchLink fieldCode="PM" term="%2211869385%22">11869385)</searchLink><br />J Contin Educ Nurs. 2021 Sep;52(9):438-444. (PMID: <searchLink fieldCode="PM" term="%2234432585%22">34432585)</searchLink><br />Dementia (London). 2020 Nov;19(8):2582-2600. (PMID: <searchLink fieldCode="PM" term="%2230803272%22">30803272)</searchLink><br />Cogn Neuropsychiatry. 2015;20(1):1-13. (PMID: <searchLink fieldCode="PM" term="%2225078663%22">25078663)</searchLink><br />Psychiatry. 2000 Spring;63(1):85-92. (PMID: <searchLink fieldCode="PM" term="%2210855763%22">10855763)</searchLink><br />Aust Occup Ther J. 2017 Apr;64(2):149-158. (PMID: <searchLink fieldCode="PM" term="%2227654022%22">27654022)</searchLink><br />Int Nurs Rev. 2016 Sep;63(3):507-16. (PMID: <searchLink fieldCode="PM" term="%2227374988%22">27374988)</searchLink><br />J Head Trauma Rehabil. 2013 Mar-Apr;28(2):126-30. (PMID: <searchLink fieldCode="PM" term="%2222166922%22">22166922)</searchLink><br />Nurs Ethics. 2019 Jun;26(4):984-992. (PMID: <searchLink fieldCode="PM" term="%2229161971%22">29161971)</searchLink><br />J Neuropsychiatry Clin Neurosci. 2024 Winter;36(1):45-52. (PMID: <searchLink fieldCode="PM" term="%2237415502%22">37415502)</searchLink><br />West J Nurs Res. 2016 Sep;38(9):1114-38. (PMID: <searchLink fieldCode="PM" term="%2226955844%22">26955844)</searchLink><br />J Exp Anal Behav. 2019 Mar;111(2):342-358. (PMID: <searchLink fieldCode="PM" term="%2230734313%22">30734313)</searchLink><br />Collegian. 2014;21(3):201-7. (PMID: <searchLink fieldCode="PM" term="%2225632714%22">25632714)</searchLink><br />Clin Neuropsychol. 2022 Nov;36(8):2021-2040. (PMID: <searchLink fieldCode="PM" term="%2234429014%22">34429014)</searchLink><br />J Alzheimers Dis. 2024;99(1):85-99. (PMID: <searchLink fieldCode="PM" term="%2238669539%22">38669539)</searchLink>
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