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 |
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| 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. |
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| 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). |
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| Overall Status | Completed | ||||||
| Start Date | November 2012 | ||||||
| Completion Date | April 2013 | ||||||
| Primary Completion Date | February 2013 | ||||||
| Phase | N/A | ||||||
| Study Type | Interventional | ||||||
| Primary Outcome |
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| Secondary Outcome |
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| Enrollment | 58 | ||||||
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| 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 |
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| 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 |
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| Overall Official |
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| Location |
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| Location Countries |
Spain |
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| Verification Date |
July 2014 |
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| Responsible Party |
Type: Principal Investigator Investigator Affiliation: University of Extremadura Investigator Full Name: MARIA JIMENEZ PALOMARES Investigator Title: Profesor of Occupational Therapy |
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| 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. |
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| Acronym | OTSALD | ||||||
| Study Design Info |
Allocation: Randomized Intervention Model: Parallel Assignment Primary Purpose: Treatment Masking: Double (Participant, Outcomes Assessor) |
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