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Centre for Policy on Ageing | |
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Use of the Tailored Activities Program to reduce neuropsychiatric behaviors in dementia
— an Australian protocol for a randomized trial to evaluate its effectiveness | | Author(s) | C M O'Connor, L Clemson, H Brodaty |
| Journal title | International Psychogeriatrics, vol 26, no 5, May 2014 |
| Publisher | Cambridge University Press, May 2014 |
| Pages | pp 857-869 |
| Source | journals.cambridge.org/ipg |
| Keywords | Dementia ; Behaviour disorders ; Psychiatric treatment ; Activities of older people ; Occupational therapy ; Clinical surveys ; Evaluation ; Cost effectiveness ; Australia. |
| Annotation | Behavioural and psychological symptoms of dementia (BPSD) are often considered to be the greatest challenge in dementia care, leading to increased healthcare costs, caregiver burden and placement into care facilities. With potential for pharmacological intervention to exacerbate behaviours or even lead to mortality, the development and rigorous testing of non-pharmacological interventions is vital. A pilot of the Tailored Activities Program (TAP) for reducing problem behaviours in people with dementia was conducted in the United States with promising results. This randomised trial investigated the effectiveness of TAP for reducing the burden of BPSD on persons with dementia and family caregivers within an Australian population. The trial also examined the cost-effectiveness and willingness to pay for TAP compared with a control group. The study aimed to recruit 180 participant dyads of a person with dementia and their caregivers. Participants had a diagnosis of dementia, exhibited behaviours as scored by the Neuropsychiatric Inventory, and the caregiver had to have at least seven hours of contact per week. Participants were randomly allocated to intervention (TAP) or control (phone-based education sessions) groups, both provided by a trained occupational therapist. Primary outcome measure was the revised Neuropsychiatric Inventory _ Clinician rating scale (NPI-C) to measure BPSD exhibited by the person with dementia. This trial investigated the effectiveness and cost-effectiveness of TAP within an Australian population. The results will address a significant gap in the current Australian community-support base for people living with dementia and their caregivers. (JL). |
| Accession Number | CPA-150529295 A |
| Classmark | EA: EP: LP: G: LOH: 3G: 4C: WEC: 7YA |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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