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Enhancing caregivers' understanding of dementia and tailoring activities in frontotemporal dementia: two case studies
Journal article   Open access   Peer reviewed

Enhancing caregivers' understanding of dementia and tailoring activities in frontotemporal dementia: two case studies

Claire M. O'Connor, Lindy Clemson, Henry Brodaty, Laura N. Gitlin, Olivier Piguet and Eneida Mioshi
Disability and rehabilitation, v 38(7), pp 704-714
26 Mar 2016
PMID: 26056858
url
https://ueaeprints.uea.ac.uk/id/eprint/56681/1/Accepted_Article_11_07_15.pdfView
Accepted (AM)Open Access (License Unspecified) Open

Abstract

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.

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Domestic collaboration
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Web of Science research areas
Rehabilitation
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