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Effects of community occupational therapy on quality of life, mood, and health status in dementia patients and their caregivers
 — a randomized controlled trial
Author(s)Maud J L Graff, Myrra J M Vernooij-Dassen, Marjolein Thijssen
Journal titleJournals of Gerontology: Series A, Biological Sciences and Medical Sciences, vol 62A, no 9, September 2007
Pagespp 1002-1009
Sourcehttp://www.geron.org
KeywordsOccupational therapy ; Dementia ; Informal care ; Quality of life ; Depression ; Health [elderly] ; Evaluation ; Netherlands.
AnnotationCure of dementia is not possible, but quality of life for patients and caregivers can be improved. In this Dutch study, 135 pairs of community-dwelling patients aged 65+ with mild to moderate dementia and their informal caregivers were randomly assigned to 10 sessions of occupational therapy over 5 weeks or no intervention. Cognitive and behavioural interventions were used to train patients in the use of aids to compensate for cognitive decline, and caregivers in coping behaviours and supervision. The Dementia Quality of Life Instrument (DQOL), Cornell Scale for Depression (CSD), Center for Epidemiologic Studies Depression Scale (CES-D) and General Health Questionnaire (GHQ-12), and Mastery Scale (for caregivers' sense of control over life) were used. Overall improvement of DQOL in both patients and caregivers was significantly better in the intervention group as compared to controls. Scores on other outcome measures also improved significantly. This improvement was still significant at 12 weeks. Community occupational therapy should be advocated both for dementia patients and their caregivers, because it improves their mood, quality of life and health status, and caregivers' sense of control over life. (RH).
Accession NumberCPA-080305204 A
ClassmarkLOH: EA: P6: F:59: ENR: CC: 4C: 76H

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