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

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 Q In older patients with dementia, does community based occupational therapy (OT) improve daily functioning?

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

METHODS

Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

{concealed*}.

Embedded ImageBlinding:

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

Embedded ImageFollow up period:

12 weeks.

Embedded ImageSetting:

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

Embedded ImagePatients:

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 …

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