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

NCT02199353 | Completed

• 1 other identifier: 46/2012
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

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.

Conditions

Dementia

Keywords

Activities of daily living, Occupational Therapy, Dementia

Outcome Measures

Primary Outcomes (1)

• Dependency level

  In order to assess the basic activities of daily living (BADL), Barthel Index published in 1.965 by Mahoney y Barthel was applied. This scale provides information at a global level with the general scores (dependence level) and at a specific level with each item's score. A score of less than 20 means total dependence, 20-35 scores mean severe dependence, 40-55 scores mean moderate dependence, equal or over 60 means mild dependency and 100 means independence. This allows the assessment of any changes in each basic activity area evaluated with this scale

  after 5 weeks of treatment and after 6 weeks of follow up

Secondary Outcomes (1)

• Cognitive level.

  After 5 weeks of treatment and after 6 weeks of follow up

Study Arms (2)

Stimulation of Activities Daily Living

EXPERIMENTAL

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.

Other: Stimulation of Activities Daily Living

Conventional ADLoccupational therapy

ACTIVE COMPARATOR

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.

Other: Conventional ADLOccupational Therapy

Interventions

Stimulation of Activities Daily Living OTHER

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.

Also known as: Occupational therapy

Stimulation of Activities Daily Living

Conventional ADLOccupational Therapy OTHER

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.

Conventional ADLoccupational therapy

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• University of Extremadura: lead

Study Sites (1)

'CARE' elderly residential homes

Cáceres, Cáceres, 10004, Spain

Location

MeSH Terms

Conditions

Dementia

Interventions

Occupational Therapy

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics

Study Officials

• Maria Jimenez, Professor

  University of Extremadura

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Profesor of Occupational Therapy

Study Record Dates

• First Submitted: July 22, 2014
• First Posted: July 24, 2014
• Study Start: November 1, 2012
• Primary Completion: February 1, 2013
• Study Completion: April 1, 2013
• Last Updated: July 25, 2014

Record last verified: 2014-07

Locations

ES (1)