Assessment & Research

Behavior-analytic research on dementia in older adults.

Trahan et al. (2011) · Journal of applied behavior analysis 2011
★ The Verdict

Dementia remains a near-empty playground for behavior analysts—your next case could become the evidence we need.

✓ Read this if BCBAs who consult in nursing homes, assisted living, or adult day health.
✗ Skip if Clinicians who work only with young children.

01Research in Context

01

What this study did

Hattier et al. (2011) counted every behavior-analytic paper on dementia they could find.

They looked from 1986 up to 2010. The tally was still tiny.

The authors called for more ABA work with older adults who have dementia.

02

What they found

Almost no new studies appeared after earlier pleas for research.

The field stayed quiet while dementia cases kept rising.

The review shows a wide-open space for behavior analysts to step in.

03

How this fits with other research

Aggio et al. (2018) updated the count seven years later. They found only 16 cognition-language studies. The number grew, but not by much.

Lucock et al. (2019) narrowed the lens to adults who have both IDD and dementia. They located just six intervention papers. This extends the 2011 gap call to a new high-risk group.

Together the three reviews tell the same story: behavior analysts are still scarce in dementia care.

04

Why it matters

If you serve older adults, you can be the one who brings ABA to memory-care units. Start small: functional assessment of wandering or meal-time refusal. Publish what you do. The field needs your data.

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Pick one dementia-related behavior on your caseload, run a brief functional analysis, and graph the results.

02At a glance

Intervention
not applicable
Design
systematic review
Population
dementia
Finding
not reported

03Original abstract

It is estimated that 1 in 10 adults aged 65 years and older have been diagnosed with dementia, which is associated with numerous behavioral excesses and deficits. Despite the publication of a special section of the Journal of Applied Behavior Analysis (JABA) on behavioral gerontology (Iwata, 1986), there continues to be a paucity of behavior-analytic research with this population. This review compares the research published before and after the behavioral gerontology special section and evaluates the most recently published aging articles in JABA.

Journal of applied behavior analysis, 2011 · doi:10.1901/jaba.2011.44-687