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Novel occupational therapy interventions may improve quality of life in older adults with dementia
BACKGROUND: Dementia is a major health problem in advancing age with no definitive treatment. Occupational therapy interventions are recognized strategies in treatment of dementia. Quality of life (QOL) assessment has been reliably used as an objective index of an individual’s well being pertaining...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4076057/ https://www.ncbi.nlm.nih.gov/pubmed/24982692 http://dx.doi.org/10.1186/1755-7682-7-26 |
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author | Kumar, Prakash Tiwari, Sarvada Chandra Goel, Ashish Sreenivas, Vishnubhatla Kumar, Nand Tripathi, Rakesh Kumar Gupta, Vineet Dey, Aparajit Ballave |
author_facet | Kumar, Prakash Tiwari, Sarvada Chandra Goel, Ashish Sreenivas, Vishnubhatla Kumar, Nand Tripathi, Rakesh Kumar Gupta, Vineet Dey, Aparajit Ballave |
author_sort | Kumar, Prakash |
collection | PubMed |
description | BACKGROUND: Dementia is a major health problem in advancing age with no definitive treatment. Occupational therapy interventions are recognized strategies in treatment of dementia. Quality of life (QOL) assessment has been reliably used as an objective index of an individual’s well being pertaining to interventions in dementia. A randomized controlled trial was conducted to study the effects of a novel occupational therapy program in improving QOL of subjects having mild to moderate dementia. METHODOLOGY: 273 subjects older than 60 years were screened. 196 were excluded having cognitive impairment with no dementia (CIND). Remaining 77 subjects after satisfying DSM IV criteria for diagnosis of dementia were included in the study and were randomly assigned to experimental and control groups. Experimental group received a novel occupational therapy regimen along with medical treatment, while control group received only medical treatment for 5 weeks. Outcome measures included standard occupational therapy assessment and WHOQOL-BREF. Subjects were assessed at baseline and post intervention. RESULT: The mean age of participants was 69.39 years with male preponderance (80.5% male, 19.5% female). The quality of life (QOL) scores of physical and psychological domain in experimental groups significantly increased from 37.30 ± 5.42 and 45.13 ± 3.52 to 45.43 ± 7.32 and 51.50 ± 6.46 respectively. The QOL scores in social and environmental domains did not change significantly. The QOL scores in control groups declined in all domains with statistical significance found in social and environmental domain. (29.67 ± 4.58 and 38.49 ± 1.77 to 28.45 ± 5.26 and 38.18 ± 2.15 respectively). CONCLUSION: This novel occupational therapy program improved the short term physical performance and psychological well being domain of quality of life in older adults with dementia. An improved physical performance is achieved by physical exercise of novel program and it creates sense of independency, increased motivation, positive outlook and reduced behavioral and psychological symptoms. The long term effects of the intervention can be ascertained in a study with longer period of intervention and follow-up. TRIAL REGISTRATION: [CTRI/2014/01/004290] |
format | Online Article Text |
id | pubmed-4076057 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-40760572014-07-01 Novel occupational therapy interventions may improve quality of life in older adults with dementia Kumar, Prakash Tiwari, Sarvada Chandra Goel, Ashish Sreenivas, Vishnubhatla Kumar, Nand Tripathi, Rakesh Kumar Gupta, Vineet Dey, Aparajit Ballave Int Arch Med Original Research BACKGROUND: Dementia is a major health problem in advancing age with no definitive treatment. Occupational therapy interventions are recognized strategies in treatment of dementia. Quality of life (QOL) assessment has been reliably used as an objective index of an individual’s well being pertaining to interventions in dementia. A randomized controlled trial was conducted to study the effects of a novel occupational therapy program in improving QOL of subjects having mild to moderate dementia. METHODOLOGY: 273 subjects older than 60 years were screened. 196 were excluded having cognitive impairment with no dementia (CIND). Remaining 77 subjects after satisfying DSM IV criteria for diagnosis of dementia were included in the study and were randomly assigned to experimental and control groups. Experimental group received a novel occupational therapy regimen along with medical treatment, while control group received only medical treatment for 5 weeks. Outcome measures included standard occupational therapy assessment and WHOQOL-BREF. Subjects were assessed at baseline and post intervention. RESULT: The mean age of participants was 69.39 years with male preponderance (80.5% male, 19.5% female). The quality of life (QOL) scores of physical and psychological domain in experimental groups significantly increased from 37.30 ± 5.42 and 45.13 ± 3.52 to 45.43 ± 7.32 and 51.50 ± 6.46 respectively. The QOL scores in social and environmental domains did not change significantly. The QOL scores in control groups declined in all domains with statistical significance found in social and environmental domain. (29.67 ± 4.58 and 38.49 ± 1.77 to 28.45 ± 5.26 and 38.18 ± 2.15 respectively). CONCLUSION: This novel occupational therapy program improved the short term physical performance and psychological well being domain of quality of life in older adults with dementia. An improved physical performance is achieved by physical exercise of novel program and it creates sense of independency, increased motivation, positive outlook and reduced behavioral and psychological symptoms. The long term effects of the intervention can be ascertained in a study with longer period of intervention and follow-up. TRIAL REGISTRATION: [CTRI/2014/01/004290] BioMed Central 2014-05-20 /pmc/articles/PMC4076057/ /pubmed/24982692 http://dx.doi.org/10.1186/1755-7682-7-26 Text en Copyright © 2014 Kumar et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Original Research Kumar, Prakash Tiwari, Sarvada Chandra Goel, Ashish Sreenivas, Vishnubhatla Kumar, Nand Tripathi, Rakesh Kumar Gupta, Vineet Dey, Aparajit Ballave Novel occupational therapy interventions may improve quality of life in older adults with dementia |
title | Novel occupational therapy interventions may improve quality of life in older adults with dementia |
title_full | Novel occupational therapy interventions may improve quality of life in older adults with dementia |
title_fullStr | Novel occupational therapy interventions may improve quality of life in older adults with dementia |
title_full_unstemmed | Novel occupational therapy interventions may improve quality of life in older adults with dementia |
title_short | Novel occupational therapy interventions may improve quality of life in older adults with dementia |
title_sort | novel occupational therapy interventions may improve quality of life in older adults with dementia |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4076057/ https://www.ncbi.nlm.nih.gov/pubmed/24982692 http://dx.doi.org/10.1186/1755-7682-7-26 |
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