Effects of the Tailored Activity Program in Brazil (TAP-BR) for Persons With Dementia

Abstract

The results provide compelling evidence that the TAP-BR is an effective strategy to support dementia caregivers in other cultures (cross-validation).

Occupational therapy for people with dementia and their family carers provided at home: a systematic review and meta-analysis

“…Fifteen studies14 15 17 31–42 were eligible for inclusion from a total of 9737 articles identified from database searches and other sources (see online supplementary file 4: PRISMA flow diagram). A number of these studies reported the results of different outcomes for the same study in separate reports.…”

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

“…There were two modifications made to the original TAP: the context in which the intervention was delivered and the resource book provided to caregivers. TAP‐O sessions occurred at the hospital and a Brazilian book, You're not Alone , provided by the Brazilian Association of Alzheimer's and used in the TAP‐Brazilian in‐home version replaced the 36 Hour Day (Mace & Rabins, 2012). Table details these modifications.…”

“…In a pilot study of 60 dyads (persons with dementia and their caregivers), reductions in the overall incidence of NPS and specific behaviors such as shadowing, agitation, argumentation, and repetitive questioning were reported. In a Brazilian study of the TAP home‐based intervention, Novelli et al demonstrated that after 4 months of implementation, individuals with dementia had a reduced frequency and intensity of behaviors; caregivers showed reduced distress and improved quality of life. There are no studies testing TAP in an outpatient setting with patients undergoing treatment for dementia; thus, this study aims to investigate the effectiveness of the TAP intervention adapted for an outpatient memory clinic (tailored activity program–outpatient version [TAP‐O]) on reducing NPS and caregiver burden in patients with dementia.…”

Psychosocial interventions for dementia in low- and middle-income countries (LMICs): a systematic review of effectiveness and implementation readiness

“…The average Downs and Black score awarded to studies was 19/26 ( Table 2). The lowest quality study was the adaptation of CST in sub-Saharan Africa (12/26) (Mkenda et al, 2018) and the highest quality studies were cognitively stimulating activities intervention in China (Niu, Tan, Guan, Zhang, & Wang, 2010) and a Tailored Activity Programme in Brazil (Novelli et al, 2018) (both 24/26). Successful blinding of participants to allocation into case and control groups (item 14) was not possible due to the nature of the interventions.…”

“…Second, a parallel two group, single blind RCT was conducted with 30 dyads, who had been diagnosed with dementia (all variants), in the community (Novelli et al, 2018). This study was of greater quality (24/26) and judged to be more implementation ready (32/52).…”