Effectiveness of an individualized functional training program on affective disturbances and functional skills in mild and moderate dementia--a randomized control trial.
Objectives We reported the findings of a randomized controlled trial (RCT) to examine the effects of an individualized functional enhancement program (FEP) on functional skills and mood symptoms in mild and moderate dementia. Subjects & Methods 74 Chinese older persons with dementia were recruited i...
| Publicado en: | International Journal of Geriatric Psychiatry Vol. 25; no. 2; pp. 133 - 142 |
|---|---|
| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2010
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105302637&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105302637 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08856230 BWG jtl: International Journal of Geriatric Psychiatry issn: 08856230 maglogo: Y pubinfo: dt: Feb2010 vid: 25 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105302637 105302637 2010546911 10.1002/gps.2309 NLM19582757 105302637 ppf: 133 ppct: 9 formats: tig: atl: Effectiveness of an individualized functional training program on affective disturbances and functional skills in mild and moderate dementia--a randomized control trial. aug: au: Lam LCW Lui VWC Luk DNY Chau R So C Poon V Tam P Ching R Lo H Chiu J Fung A Ko FS affil: Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong sug: subj: Dementia Rehabilitation Functional Status Occupational Therapy Rehabilitation, Geriatric Aged, 80 and Over Analysis of Covariance Chi Square Test Clinical Trials Data Analysis Software Female Funding Source Hong Kong Human Interviews Male Paired T-Tests Psychological Tests Scales Aged, 80 & over Female Male ab: Objectives We reported the findings of a randomized controlled trial (RCT) to examine the effects of an individualized functional enhancement program (FEP) on functional skills and mood symptoms in mild and moderate dementia. Subjects & Methods 74 Chinese older persons with dementia were recruited into a skills training program by occupational therapists (OT). Thirty seven subjects were trained with an individualized selection of daily activities (FEP Intervention, I); 37 were trained with general occupational therapy (Control, C). The FEP comprised of twice weekly group sessions of skills training and problem solving using cognitive behavioral approach. Results At 1 month after completion of program, both I and C subjects showed an improvement in process skills of the assessment of motor and process skills (AMPS)(paired t-tests, p < 0.05). At 4 months post-program, the I group showed a further reduction of cornell scale for depression in dementia (CSDD) scores (paired t-test, p = 0.02); Apathy improved at 1 month post-training (p = 0.04), but deteriorated at 4 months (p = 0.01). Group differences in changes of mood and functional scores were not significant (ANVOCA, p > 0.05). Conclusions The findings suggested a potential benefit for individualized occupational therapy. It should be tailor made with individual needs and continued for sustained effectiveness. Copyright © 2009 John Wiley & Sons, Ltd. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|