Influence of a "friendly visitor" program on the cognitive functioning and morale of elderly persons.

Forty-nine nursing home residents were randomly assigned to a visitation condition focusing on conversational interaction, a visitation condition in which the playing of cognitively challenging games supplemented conversation, or a no-treatment control condition. Each subject in a visitation condition was visited by an undergraduate student twice per week for 8 weeks. Before and after the visitation period, all subjects were given four tests of cognitive functioning (vocabulary, matrices, memory, problem-solving), three tests of morale (Life Satisfaction Index A; Philadelphia Geriatric Center Morale Scale, self-perceived health), and were rated by nursing home activity directors on morale, program participation, alertness, sociability, and physical condition. A multivariate analysis of covariance, in which age, education, and length of nursing home residency were covariates, revealed a reliable overall effect for the treatment (p = .001). Subjects in both visitation conditions generally demonstrated improved performance relative to control subjects, and subjects in the conversation-plus-games condition demonstrated the greatest improvement. The univariate effects for memory, self-perceived health, and ratings of sociability were reliable.