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Community based occupational therapy improved daily functioning in older patients with dementia

Clinical impact ratings GP/FP/Primary care GP/FP/Mental health Geriatrics Occupational & environmental health Psychiatry

Key Words: dementia • occupational therapy

The first 150 words of the full text of this article appear below.

METHODS
Design: randomised controlled trial.

Allocation: {concealed^*}.

Blinding: blinded {data collectors, data analysts, data safety monitoring committee and manuscript writers}.^*

Follow up period: 12 weeks.

Setting: memory and day clinics of a geriatrics department and patients’ homes in Nijmegen and the surrounding area, the Netherlands.

Patients: 135 patients 65 years of age (mean age 78 y, 56% women) who had mild to moderate dementia, were living in the community, and were visited by primary caregivers weekly. Exclusion criteria included scores >12 on the Geriatric Depression Scale, severe behavioural or psychological symptoms in dementia, severe illness judged by a geriatrician, and <3 months treatment with the same dose of a cholinesterase inhibitor or memantine.

Intervention: 10 one hour sessions of OT at home over 5 weeks (n = 68), or no OT (n = 67). OT was given by trained and experienced therapists using a client centred guideline for . . . [Full text of this article]

Calvin Hirsch, MD

University of California, Davis, Medical Center
Sacramento, California, USA

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Other articles noted
Evid. Based Med. 2007 12: 63-64. (in ) [Extract] [Full Text] [PDF]