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Efficacy of an occupational group therapy in degenerative dementias: a controlled study in the nursing home setting

Authors

Pickel, Sabine, Gräßel, Elmar, Luttenberger, Katharina

Journal

Psychiatrische Praxis, Volume: 38, No.: 8, Pages.: 389-396

Year of Publication

2011

Abstract

Objective: We investigated the effectiveness of an occupational group therapy, tailored to dementia patients, performed regularly 6 days a week, on everyday-practical capabilities and dementia-related behavior.; Methods: Fifty-six dementia patients in one nursing home in Northern Bavaria (Germany) were observed for 6 months: 28 patients in a therapy group and 28 patients in a matched controlled group. Performance tests, ADAS-kog and E-ADL-Test, were carried out blinded. Data were analyzed using adjusted mean differences for baseline and 6-months follow-up data and multiple regression analysis.; Results: The therapy leads to stabilization of everyday-practical capabilities (adjusted mean difference 4.0; 95 % CI 1.6-6.3; p = 0.002) and of dementia-related behavior (adjusted mean difference -6.8; 95 % CI -11.8–1.8; p = 0.009) compared to deterioration in the control group who received treatment as usual. The effect power (Cohen d) on everyday-practical capabilities is |0.83|. The therapy had no significant effect on cognitive capacity.; Conclusions: An occupational therapy program directed particularly to everyday-practical activities cannot slow the progression of all dementia-related symptoms, but has a main target effect on everyday-practical capabilities.; © Georg Thieme Verlag KG Stuttgart · New York.

Bibtex Citation

@article{Pickel_2011, doi = {10.1055/s-0030-1266137}, url = {http://dx.doi.org/10.1055/s-0030-1266137}, year = 2011, month = {may}, publisher = {Thieme Publishing Group}, volume = {38}, number = {08}, pages = {389--396}, author = {Sabine Pickel and Elmar Grä{ss}el and Katharina Luttenberger}, title = {Wirksamkeit eines beschäftigungstherapeutischen Gruppenangebots bei degenerativen Demenzen: Eine kontrollierte Verlaufsstudie im Pflegeheim}, journal = {Psychiatrische Praxis} }

Keywords

activities of daily living, aged, aged, 80 and over, alzheimer disease, comorbidity, diagnosis, disease progression, double-blind method, female, homes for the aged, humans, male, mental status schedule, nursing homes, occupational therapy, psychology, therapy, treatment outcome

Countries of Study

Germany

Types of Dementia

Dementia (general / unspecified)

Types of Study

Non randomised controlled trial

Type of Outcomes

ADLs/IADLs, Cognition

Settings

Nursing Homes

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions

Occupational Therapy