Life Sciences & Biomedicine Rehabilitation Science & Technology
Purpose: The purpose of this study is to describe the intervention process and results of the Tailored Activities Program (TAP) in two people diagnosed with Frontotemporal Dementia (FTD). Method: TAP is an occupational therapy (OT) community-based intervention program that prescribes personalised activities to reduce difficult behaviours of dementia. The OT works with carers over a 4-month period (assessment, activity prescription and generalisation of strategies). Study measures were collected (blind researcher) pre- and post-intervention: cognition, functional disability, behavioural symptoms and Caregiver Confidence and Vigilance. Results: A 51-year-old woman with behavioural-variant FTD could consistently engage in more activities post-intervention, with scores indicating improvements to behaviour, function and caregiver confidence. A 63-year-old man with semantic variant FTD engaged well in the prescribed activities, with scores reflecting reduced carer distress regarding challenging behaviours and improved caregiver vigilance. Conclusions: TAP is efficacious in FTD, allowing for differences in approach for FTD subtype, where behavioural symptoms are very severe and pervasive.Implications for RehabilitationThe Tailored Activities Program is an intervention which can be tailored to account for unique behavioural and language profiles inherent across frontotemporal dementia (FTD) subtypes.Maintaining a flexible approach when applying an intervention in FTD allows for tailoring to individual case variability within FTD subtypes.
Enhancing caregivers' understanding of dementia and tailoring activities in frontotemporal dementia: two case studies
Creators
Claire M. O'Connor - The University of Sydney
Lindy Clemson - The University of Sydney
Henry Brodaty - UNSW Sydney
Laura N. Gitlin - Johns Hopkins University
Olivier Piguet - Neuroscience Research Australia
Eneida Mioshi - University of Cambridge
Publication Details
Disability and rehabilitation, v 38(7), pp 704-714
Publisher
Taylor & Francis
Number of pages
11
Grant note
NIRP-12-258380 / Alzheimer Association USA; Alzheimer's Association
APP1022684 / NHMRC Clinical Career Development Fellowship; National Health and Medical Research Council (NHMRC) of Australia
Alzheimer's Australia Dementia Research Foundation
APP1036639 / NHMRC; National Health and Medical Research Council (NHMRC) of Australia
Resource Type
Journal article
Language
English
Academic Unit
College of Nursing and Health Professions; Drexel University
Web of Science ID
WOS:000367902500012
Scopus ID
2-s2.0-84954544840
Other Identifier
991020112275604721
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