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Effectiveness of an individualized functional training program on affective disturbances and functional skills in mild and moderate dementia - a randomized control trial
- Authors:
- LAM Linda C.W., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 25(2), February 2010, pp.133-141.
- Publisher:
- Wiley
Depression is common in people suffering from dementia, occurring in people suffering from mild cognitive impairment. This study of 74 older Chinese people, reports on the findings of a randomised controlled trial to examine the effects of an individualised functional enhancement program (FEP) on functional skills and mood symptoms in both mild and moderate dementia, by recruiting the group into a skills training programme by occupational therapists. 37 subjects were trained with an individualised selection of daily activities; 37 were trained with general occupational therapy. The FEP comprised of twice weekly group sessions of skills training and problem solving using cognitive behavioural approach. At 1 month after completion of program, both groups showed an improvement in process skills of the assessment of motor and process skills. At 4 months post-program, the first group showed a further reduction of Cornell Scale for depression in dementia scores. Apathy also improved at 1 month post-training, but deteriorated at 4 months. Group differences in changes of mood and functional scores were not significant. The findings suggest a potential benefit for individualised occupational therapy. It should be tailored to an individual needs and continued for sustained effectiveness.