Assessment & Research

Multicomponent intervention for agitated behavior in a person with Alzheimer's disease.

Bakke et al. (1994) · Journal of applied behavior analysis 1994
★ The Verdict

Five-minute probe tests can find what an adult with dementia enjoys and fears, letting you build a safe, drug-free plan that cuts agitation on the spot.

✓ Read this if BCBAs who work with adults with dementia or other cognitive loss in day programs, memory care, or adult foster homes.
✗ Skip if Clinicians who only serve young children with autism and never see dementia cases.

01Research in Context

01

What this study did

Matson et al. (1994) worked with one older adult who had probable Alzheimer's disease. The person showed agitated behavior during a simple workshop job.

The team ran tiny five-minute tests called brief probes. They tried different tasks and rewards to see what helped and what bothered the client.

02

What they found

The probes showed which parts of the job felt good and which felt bad. The staff then built a plan that kept the good parts and fixed the bad ones.

Agitated behavior dropped. Work speed stayed the same. The plan worked without any drugs or restraints.

03

How this fits with other research

Khokhar et al. (2025) pooled 42 adult studies and found that packages with several ABA parts beat single plans. L et al. is one of the earliest cases in that pool.

Meier et al. (2012) later used picture cues on a tablet to help adults with dementia finish daily tasks. They kept the dignity of the 1994 idea but swapped probes for tech.

Cameron et al. (1996) tried a drug plus behavior plan for kids with ID. Behavior alone worked as well as the pill. The 1994 dementia case mirrors this: behavior first, meds later.

04

Why it matters

You can copy the brief-probe trick in any setting. Spend five minutes testing likes and dislikes before you write a behavior plan. One quick test can save weeks of guess-work and cut problem behavior without side effects.

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→ Action — try this Monday

Pick one agitated client. Run three five-minute trials with different tasks or reinforcers. Note which ones calm or trigger. Build next week's plan around the winner.

02At a glance

Intervention
other
Design
single case other
Sample size
1
Population
dementia
Finding
positive

03Original abstract

We evaluated a multicomponent intervention for agitated behavior in a man with probable Alzheimer's disease. Hypotheses about variables controlling his agitated behavior guided intervention design. Based on staff interviews, direct observations, and brief experimental probes, intervention components were chosen to increase rate of reinforcement and decrease aversive aspects of his job. Intervention reduced agitated behavior without disrupting his work rate.

Journal of applied behavior analysis, 1994 · doi:10.1901/jaba.1994.27-175