Occupational Therapy Programme of Patients With Dementia Performing Activities of Daily Living

Effectiveness of A Therapy Programme Based On The Reestablishment of Cognitive Functions on The Independence of Patients With Dementia Performing Activities of Daily Living - A Pilot Study

Sponsors

Lead Sponsor: University of Extremadura

Source University of Extremadura
Brief Summary

To assess the effectiveness of the Stimulation of Activities of Daily Living (SADL) Occupational Therapy programme on the independence of ADL by persons with dementia who are institutionalized. This programme is based on the recovery of the cognitive functions.

Detailed Description

This study is a longitudinal and prospective clinical trial approved by the bioethics Commission of the University of Extremadura. 58 senior citizens institutionalized with dementia in residential homes in Extremadura (Spain) received a treatment focusing on activities of daily living with the SADL programme and with conventional occupational therapy during 5 weeks. The studied variables were the cognitive level and the independence level performing ADL. The variables were measured by an occupational therapist independent to the study at baseline, after 5 weeks of experimental treatment and 6 weeks after the treatment was completed. The standardized tests used were Barthel Index, Lobo's Cognoscitive mini test, Lawton and Brody Scale and Global Deterioration Scale (GDS).

Overall Status Completed
Start Date November 2012
Completion Date April 2013
Primary Completion Date February 2013
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Dependency level after 5 weeks of treatment and after 6 weeks of follow up
Secondary Outcome
Measure Time Frame
Cognitive level. After 5 weeks of treatment and after 6 weeks of follow up
Enrollment 58
Condition
Intervention

Intervention Type: Other

Intervention Name: Stimulation of Activities Daily Living

Description: Experimental group: SADL programme which is a new treatment approach created by the authors of this study for the training of ADL through cognitive intervention. The programme is based on the reestablishment of the cognitive functions implied in the performance of basic activities of daily living. The treatment was carried out twice a week (Tuesday and Thursday) for 45 minutes during 5 weeks.

Arm Group Label: Stimulation of Activities Daily Living

Other Name: Occupational therapy

Intervention Type: Other

Intervention Name: Conventional ADLOccupational Therapy

Description: Control group treatment: conventional occupational therapy intervention for the management of ADL deficits. The compensation approach was used and environment modifications and simplification of activities were applied as the intervention method. The treatment was carried out twice a week (Tuesday and Thursday) for 45 minutes during 5 weeks.

Arm Group Label: Conventional ADLoccupational therapy

Eligibility

Criteria:

Inclusion Criteria:

- Institutionalization in residential homes at least 6 months before the commencement of the study.

- Diagnosis of dementia for at least one year according to the Diagnostic and Statistical Manual of Mental Disorders (DMS IV) criteria.

- Over 60 years old.

- Barthel Index scores greater than or equal to 40%.

- Lobo´s Cognitive Mini Test scores greater than or equal to 15 points.

- To be included in the BADL intervention programme of Occupational therapy in the previous 6 months and to have the informed consent signed by the legal tutor.

Exclusion Criteria:

- To present psychological or behavior symptoms diagnosed by a doctor.

- Barthel Index scores less than 40%

- Not being included in the BADL intervention programme of Occupational therapy in the previous 6 months.

Gender: All

Minimum Age: 60 Years

Maximum Age: N/A

Healthy Volunteers: Accepts Healthy Volunteers

Overall Official
Last Name Role Affiliation
Maria Jimenez, Professor Principal Investigator University of Extremadura
Location
Facility: 'CARE' elderly residential homes
Location Countries

Spain

Verification Date

July 2014

Responsible Party

Type: Principal Investigator

Investigator Affiliation: University of Extremadura

Investigator Full Name: MARIA JIMENEZ PALOMARES

Investigator Title: Profesor of Occupational Therapy

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: Stimulation of Activities Daily Living

Type: Experimental

Description: The experimental group received the Stimulation of Activities of Daily Living (SADL) programme which is a new treatment approach created by the authors of this study for the training of activities of daily living (ADL) through cognitive intervention. The programme is based on the reestablishment of the cognitive functions implied in the performance of basic activities of daily living. The sequence of the sessions was always the same, varying the activities, subject, cognitive functions and BADL to work on. Each session started with an activity of temporal and space orientation, continued with the performance of the specific activity of the session and finished with a reminiscence activity. The treatment was applied twice a week (Tuesday and Thursday) for 45 minutes during 5 weeks.

Label: Conventional ADLoccupational therapy

Type: Active Comparator

Description: The control group treatment was based on a conventional occupational therapy intervention for the management of ADL deficits. The compensation approach was used and environment modifications and simplification of activities were applied as the intervention method. The treatment was carried out twice a week (Tuesday and Thursday) for 45 minutes during 5 weeks.

Acronym OTSALD
Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Treatment

Masking: Double (Participant, Outcomes Assessor)

Source: ClinicalTrials.gov