Journal article
ADDRESSING DEMENTIA CLINICAL SYMPTOMS USING NONPHARMACOLOGICAL STRATEGIES: WHAT WORKS AND FOR WHOM?
Innovation in aging, v 3(Suppl 1), pp S182-S182
08 Nov 2019
Abstract
People living with dementia experience behavioral symptoms and functional decline and their caregivers (CG), reduced wellbeing. In an RCT (N=250 dyads), we tested whether tailoring activities to interests/abilities and providing CGs with instruction in their use (Tailored Activity Program, TAP) reduced clinically significant agitation/aggression (main outcome), functional decline and improved CG wellbeing (secondary outcomes) compared to CG education/support alone; with both groups receiving 8-sessions over 3-months. At 3-months,TAP had no effects on agitation/aggression compared to CG education/support but reduced functional decline (p=0.03), improved CG wellbeing (p=0.01) and confidence using activities (p=0.02). In secondary analyses, black vs. white CGs reported reduced agitation/aggression (p=0.01); female CGs reported reduced burden with TAP whereas male CGs reported reduced burden from education/support (p=0.04); spouses vs. non-spouses reported slower functional decline in participants (p=0.01). This trial suggests outcomes vary by subgroups. Different nonpharmacological approaches are needed for specific clinical characteristics: one size will not fit all.
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Details
- Title
- ADDRESSING DEMENTIA CLINICAL SYMPTOMS USING NONPHARMACOLOGICAL STRATEGIES: WHAT WORKS AND FOR WHOM?
- Creators
- Laura N Gitlin - Drexel UniversityKatherine A Marx - Johns Hopkins UniversityCatherine Verrier Piersol - Thomas Jefferson UniversityNancy A Hodgson - University of PennsylvaniaJin Huang - Johns Hopkins UniversityDavid Roth - Johns Hopkins UniversityConstantine G Lyketsos - Johns Hopkins Bayview Medical Center
- Publication Details
- Innovation in aging, v 3(Suppl 1), pp S182-S182
- Publisher
- Oxford University Press
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991020111619204721