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An intervention to reduce neuropsychiatric symptoms and caregiver burden in dementia: Preliminary results from a randomized trial of the tailored activity program-outpatient version
Journal article   Peer reviewed

An intervention to reduce neuropsychiatric symptoms and caregiver burden in dementia: Preliminary results from a randomized trial of the tailored activity program-outpatient version

Alexandra Martini de Oliveira, Marcia Radanovic, Patricia Cotting Homem de Mello, Patricia Cardoso Buchain, Adriana Dias Vizzotto, Janaína Harder, Florindo Stella, Catherine Verrier Piersol, Laura N Gitlin and Orestes Vicente Forlenza
International journal of geriatric psychiatry, v 34(9), pp 1301-1307
Sep 2019
PMID: 30035341

Abstract

Adaptation, Psychological Aged Aged, 80 and over Caregivers - psychology Dementia - psychology Dementia - therapy Female Humans Leisure Activities - psychology Male Middle Aged Occupational Therapy - methods Patient Education as Topic - methods Stress, Psychological - prevention & control
To evaluate the efficacy of the tailored activity program-outpatient version (TAP-O) and to reduce neuropsychiatric symptoms (NPS) in patients with dementia and caregiver burden compared with a control group (psychoeducation intervention). Twenty-one persons with dementia and their caregivers were recruited and randomized. The intervention group received TAP-O, designed for outpatients with dementia and their caregivers. TAP-O consisted of eight sessions in which an occupational therapist assessed the patient's abilities and interests; prescribed tailored activities; and educated caregivers about dementia, NPS, and how to implement meaningful activities in the daily routine. The control group received eight sessions of a psychoeducation intervention about dementia and NPS. Compared with controls, patients receiving TAP-O had a significant decrease in hallucination (P = 0.04), agitation (P = 0.03), anxiety (P = 0.02), aggression (P = 0.01), sleep disorder (P = 0.02), aberrant motor behavior (P = 0.02), and in caregiver burden (P = 0.003). Findings suggest that TAP-O may be an effective nonpharmacological strategy to reduce NPS of outpatients with dementia and to minimize caregiver burden.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Geriatrics & Gerontology
Gerontology
Psychiatry
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