This site uses cookies to measure how you use the website so it can be updated and improved based on your needs and also uses cookies to help remember the notifications you’ve seen, like this one, so that we don’t show them to you again. If you could also tell us a little bit about yourself, this information will help us understand how we can support you better and make this site even easier for you to use and navigate.

Effectiveness of an individualized functional training program on affective disturbances and functional skills in mild and moderate dementia–a randomized control trial


Lam, Linda C. W., Lui, Victor W. C., Luk, Daisy N. Y., Chau, Rachel, So, Clifton, Poon, Vickie, Tam, Peter, Ching, Raymond, Lo, Henry, Chiu, Julian, Fung, Ada, Ko, Flora S. L.


International Journal Of Geriatric Psychiatry, Volume: 25, No.: 2, Pages.: 133-141

Year of Publication



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.;

Bibtex Citation

@article{Lam_2010, doi = {10.1002/gps.2309}, url = {}, year = 2010, month = {feb}, publisher = {Wiley-Blackwell}, volume = {25}, number = {2}, pages = {133--141}, author = {Linda CW Lam and Victor WC Lui and Daisy NY Luk and Rachel Chau and Clifton So and Vickie Poon and Peter Tam and Raymond Ching and Henry Lo and Julian Chiu and Ada Fung and Flora SL Ko}, title = {Effectiveness of an individualized functional training program on affective disturbances and functional skills in mild and moderate dementia-a randomized control trial}, journal = {Int. J. Geriat. Psychiatry} }


activities of daily living, aged, aged, 80 and over, analysis of variance, apathy, cognition disorders, cognitive therapy, dementia, depressive disorder, diagnosis, disability evaluation, female, humans, male, mood disorders, motor skills, neuropsychological tests, physiology, program evaluation, psychology, psychomotor performance, rehabilitation

Countries of Study

Hong Kong

Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

ADLs/IADLs, Depression and Anxiety

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions

Occupational Therapy