Effects of Community Occupational Therapy in Older Patients With Dementia and Their Caregivers.

NCT00295152 | Unknown

• 2 other identifiers: EDO projectGrant V-1999-023.
• Study Type: interventional
• Target: 135
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine the effects of community occupational therapy in older patients with mild ot moderate dementia and their primary caregivers.

Conditions

Community Occupational Therapy; Dementia Patients; Primary Caregivers of Dementia Patients

Keywords

elderly/aged; occupational therapy; daily activities; caregivers; sense of competence

Outcome Measures

Primary Outcomes (3)

• 1.process skills scores of the patients on the Assessment of Motor and Process Skills (AMPS);

• 2. performance scores in daily activities of the patients on the Interview of Deterioration in Daily Activities in Dementia (IDDD);

• 3. Sense of competence scores of the primary caregivers on the Sense of Competence Questionnaire (SCQ).

Secondary Outcomes (14)

• Patients:

• 1. motor skills scores on the AMPS

• 2. initiative in performing daily activities on the IDDD

• 3. general health scores on the General Health Questionnaire (GHQ-12)

• 4.Quality of life scored on the Dementia Quality of Life Instrument (DQOL)

Interventions

community occupational therapy in dementia BEHAVIORAL

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• aged 65 years or older
• mild to moderate dementia (MMSE 10-24)
• living in the community at maximum of 50 kilometers from the Memory Clinic
• having an informal primary caregiver who was involved in the care for the patient at least once a week

You may not qualify if:

• depression: score \> 12 on the Geriatric Depression Scale
• severe behavioral or psychological symptoms in dementia (BPSD) judged by a geriatrician
• severe illnesses, judged by a geriatrician
• no OT goals, determined by the researcher or research assistant
• caregivers having severe illnesses

Sponsors & Collaborators

• Radboud University Medical Center: lead
• Alzheimer's Association: collaborator
• VCVGZ Fund;: collaborator
• Dutch Occupational Therapy Association: collaborator

Study Sites (1)

Memory Clinic and Geriatic Department Radboud University Nijmegen Medical Centre

Nijmegen, PO Box 9101, 6500 HB, Netherlands

Location

Related Publications (10)

• Gitlin LN, Winter L, Corcoran M, Dennis MP, Schinfeld S, Hauck WW. Effects of the home environmental skill-building program on the caregiver-care recipient dyad: 6-month outcomes from the Philadelphia REACH Initiative. Gerontologist. 2003 Aug;43(4):532-46. doi: 10.1093/geront/43.4.532.

  PMID: 12937332 BACKGROUND

• Steultjens EM, Dekker J, Bouter LM, Jellema S, Bakker EB, van den Ende CH. Occupational therapy for community dwelling elderly people: a systematic review. Age Ageing. 2004 Sep;33(5):453-60. doi: 10.1093/ageing/afh174.

  PMID: 15315918 BACKGROUND

• Vernooij-Dassen MJ, Felling AJ, Brummelkamp E, Dauzenberg MG, van den Bos GA, Grol R. Assessment of caregiver's competence in dealing with the burden of caregiving for a dementia patient: a Short Sense of Competence Questionnaire (SSCQ) suitable for clinical practice. J Am Geriatr Soc. 1999 Feb;47(2):256-7. doi: 10.1111/j.1532-5415.1999.tb04588.x. No abstract available.

  PMID: 9988301 BACKGROUND

• Vernooij-Dassen M, Lamers C, Bor J, Felling A, Grol R. Prognostic factors of effectiveness of a support program for caregivers of dementia patients. Int J Aging Hum Dev. 2000;51(4):259-74. doi: 10.2190/P8L1-N8QD-VTJ4-EURT.

  PMID: 11246648 BACKGROUND

• Teunisse S, Derix MM. The interview for deterioration in daily living activities in dementia: agreement between primary and secondary caregivers. Int Psychogeriatr. 1997;9 Suppl 1:155-62. doi: 10.1017/s1041610297004845.

  PMID: 9447438 BACKGROUND

• Graff MJL, et al.Occupational therapy at home for older individuals with mild to moderate cognitive impairments and their primary caregivers: a pilot study. Occupational Therapy Journal of Research 23, 155-163, 2003.

  RESULT

• Graff MJL, Melick van MBM. The development, testing and implementation of an occupational therapy guideline. The guideline for the OT diagnosis and treatment of older persons with cognitive impairments. Ducth Occupational Therapy Journal 28, 169-174, 2000.

  RESULT

• Melick van MBM, Graff MJL. Occupational therapy for geriatric patients. The guideline for occupational therapy in geriatric patients with mild to moderate cognitive impairments. Dutch Journal of Occupational Therapy 28, 176-181, 2000

  RESULT

• Graff MJL, et al. How can occupational therapy improve the daily performance and communication of an older patient with dementia and his primary caregiver: a case study. Dementia: the journal of social research and practice. 2006. In press.

  RESULT

• Graff MJ, Vernooij-Dassen MJ, Thijssen M, Dekker J, Hoefnagels WH, Rikkert MG. Community based occupational therapy for patients with dementia and their care givers: randomised controlled trial. BMJ. 2006 Dec 9;333(7580):1196. doi: 10.1136/bmj.39001.688843.BE. Epub 2006 Nov 17.

  PMID: 17114212 DERIVED

Study Officials

• Marcel GM Olde-Rikkert, PhD, MD

  Department of Geriatrics Radboud University Nijmegen Medical Centre

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: February 21, 2006
• First Posted: February 22, 2006
• Study Start: April 1, 2001
• Study Completion: February 1, 2005
• Last Updated: November 17, 2011

Record last verified: 2006-02

Locations

NL (1)