Community Occupational Therapy Clinical Trial
Official title:
Effects of Community Occupational Therapy on the Daily Performance of Older Patients With Mild to Moderate Dementia and on the Sense of Competence of Their Primary Caregivers.
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.
| Status | Active, not recruiting |
| Enrollment | 135 |
| Est. completion date | February 2005 |
| Est. primary completion date | |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 65 Years and older |
| Eligibility |
Inclusion Criteria: - 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 Exclusion Criteria: - 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 |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Single Blind, Primary Purpose: Treatment
| Country | Name | City | State |
|---|---|---|---|
| Netherlands | Memory Clinic and Geriatic Department Radboud University Nijmegen Medical Centre | Nijmegen |
| Lead Sponsor | Collaborator |
|---|---|
| Radboud University | Alzheimer's Association, Dutch Occupational Therapy Association, VCVGZ Fund; |
Netherlands,
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. — View Citation
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.
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.
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
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
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. Review. — View Citation
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. — View Citation
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. — View Citation
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. — View Citation
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | 1.process skills scores of the patients on the Assessment of Motor and Process Skills (AMPS); | |||
| Primary | 2. performance scores in daily activities of the patients on the Interview of Deterioration in Daily Activities in Dementia (IDDD); | |||
| Primary | 3. Sense of competence scores of the primary caregivers on the Sense of Competence Questionnaire (SCQ). | |||
| Secondary | Patients: | |||
| Secondary | 1. motor skills scores on the AMPS | |||
| Secondary | 2. initiative in performing daily activities on the IDDD | |||
| Secondary | 3. general health scores on the General Health Questionnaire (GHQ-12) | |||
| Secondary | 4.Quality of life scored on the Dementia Quality of Life Instrument (DQOL) | |||
| Secondary | 5. Self-perception scores in occupational performance and satisfaction scores with this performance, scored on the Canadian Occupational Performance Measurement (COPM) | |||
| Secondary | 6. Mood/depression scored on the Cornell Depression Scale (CDS) | |||
| Secondary | Caregiver: | |||
| Secondary | 1. mastery skills scored on the Mastery Scale | |||
| Secondary | 2. general health scores on the GHQ-12 | |||
| Secondary | 3. quality of life scores on the DQOL | |||
| Secondary | 4. self-perception scores in occupational performance and satisfaction scores on the COPM | |||
| Secondary | 5. mood/depression scores on the Center for Epidemiologic Studies Depression Scales (Ces-D) | |||
| Secondary | 6. Copings skills scores on the JCS |