Background/Objectives: Aggression is a major challenge for children with autism spectrum disorder (ASD), their family members, friends, and teachers because it can pose a threat or harm not only to the children with ASD but also to others. This study is a case study aimed at verifying the effectiveness of a virtual reality-based aggression control program for children with ASD. Methods: The participants were two children (one was a 10-year-old boy and the other was a 6-year-old girl) who participated in the ACAA (Aggression Replacement Training for Children and Adolescents with ASD) Program for eight sessions over three weeks. Results: The frequency (C1: 48 → 3; C2: 32 → 3) and severity of aggressive behaviors in both participants decreased after the intervention compared to before. Additionally, overall problematic behaviors were also reduced after the intervention (C1: 85 → 70; C2: 87 → 64). Furthermore, both participants demonstrated a slight increase in their levels of adaptation (C1: 17 → 20; C2: 16 → 18). Conclusions: The effectiveness of the ACAA program has been demonstrated in reducing levels of aggression in children with ASD. Therefore, the ACAA program may contribute to helping aggressive children with ASD live in harmony with others in society and promote independence.

Park J, et al. Korean J Adult Nurs. 2018 Dec;30(6):586-598. https://doi.org/10.7475/kjan.2018.30.6.586

Purpose: This study aims to describe the structure of the experience related to acceptance of illness among people with early-stage dementia (PWED).Methods: Participants were six people who had Alzheimer’s disease or vascular dementia. Their clinical dementia rating scores were 0.5 or 1. Data were collected from individual in-depth interviews. The collected qualitative data were analyzed based on Giorgi’s descriptive phenomenological method.Results: The five constituents and eight sub-constituents were derived from the experience related to acceptance of illness among PWED; ‘Facing the changed me’, ‘Facing changes in roles and relationships with others’, ‘Conflict between recognizing and denying dementia in daily life’, ‘Perceiving the limits and accepting dementia’, and ‘Reconstructing daily life for the prolongation of the current health status’.Conclusion: This study contributes to the expansion of the in-depth understanding of the experience related to acceptance of illness among PWED. The results of the study will be helpful as basic data for community health nurses to develop interventions to improve acceptance of illness of PWED.

Purpose: This review synthesized qualitative evidence on informal caregivers' experiences in decision-making about end-of-life care for people with dementia.Methods: A meta-aggregation approach based on the Joanna Briggs Institute methodology was applied. Literature searches were conducted across 11 databases including PubMed, as well as ProQuest Dissertations & Theses Global, OpenGrey, and citation searches for grey literature. The search and study selection were carried out between February 13 and June 28, 2025.Results: Twenty-one qualitative studies involving 502 informal caregivers were included. Three synthesized findings emerged from nine categories: (1) formation and readiness in end-of-life care decision-making, including role assignment, prior discussions, and preparedness; (2) factors and emotional impacts, encompassing barriers, facilitators, decision-making bases, and emotional consequences; and (3) caregivers' needs in end-of-life care decision-making, reflecting their desire to make appropriate decisions for people with dementia and the requirements to do so.Conclusion: This review offers a comprehensive understanding of caregivers' experiences and provides practical insights for healthcare professionals. The findings support the development of guidance to assist caregivers, reduce decision-making burden and emotional distress, and promote more meaningful and satisfactory end-of-life care decisions.