Impact of a Multimodal Rehabilitative Intervention on Demented Patients and Their Caregivers

Onor, Maria Luisa; Trevisiol, Marianna; Negro, C.; Signorini, A; Saina, M.; Aguglia, Eugenio

doi:10.1177/1533317507302071

Cited by 64 publications

(89 citation statements)

References 46 publications

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“…Positive emotions, enjoyment, creativity, belief, even spirituality can contribute to cognition as much as exercise and diet for example. Onor et al (2007) reported that socialization itself can lead to improvements, and 'programs that take a more holistic approach to the individual are more effective than those focusing on cognitive rehabilitation alone' (p. 270). Maci et al (2012) echoed this with their integrated approach of CS, physical activity and socialisation to slow down affective decline and reduce carer burden.…”

Section: Discussionmentioning

confidence: 99%

A mixed methods systematic review of multimodal non-pharmacological interventions to improve cognition for people with dementia

2018

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Objective: Multimodal non-pharmacological interventions have been argued to have the potential to complement current pharmacological approaches to improving quality of life for people living with dementia. The aim of this review was to identify, synthesise and appraise the evidence for the effectiveness of multimodal non-pharmacological interventions for improving cognitive function specifically. Method: After a comprehensive search strategy including grey literature, 26 studies were reviewed. The inclusion criteria concerned adults with a primary diagnosis of dementia. Studies used two or more different modes of intervention, and measured a cognitive outcome. Due to differences in the conceptualisations of the term 'multimodal', a typology of modes and methods was developed to facilitate classification of candidate studies. Results: Twenty-one group studies and five case studies were found. Group studies used two or three modes of intervention and multiple methods to implement them. Interventions utilised were cognitive, physical, psychological and psychosocial, nutrition, fasting, gut health, sleep hygiene, stress reduction, detoxification, hormonal health and oxygen therapy. Five individual case studies were found in two separate papers. Each personalised patient treatment utilised in-depth assessments and prescribed up to nine different modes. In 19 (90%) of the 21 group comparisons, participants were reported to have cognitive improvements, stability with their

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Section: Discussionmentioning

confidence: 99%

A mixed methods systematic review of multimodal non-pharmacological interventions to improve cognition for people with dementia

2018

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“…It is characterized by an inability to carryout everyday tasks. Many individuals with AD commonly exhibit other behaviors such as agitation, aggression, or wandering (5,6) .…”

Section: Introductionmentioning

confidence: 99%

Efficacy of leisure experiences in controlling the onset of dementia in older adults

Tortosa-Martínez

Zoerink²,

Manchado

2011

International Journal on Disability and Human Development

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There is compelling evidence supporting the protective effects that different leisure activities have on dementia. The focus of this study was to explore the degree to which leisure experiences that occur during the lifespan prevent or delay the onset of dementia. Greater protective effects against dementia were associated with engagement in a higher number of activities and greater frequency of participation. Leisure activities were divided into three main groupings: mental, social, and physical activities. All activity groups present positive effects separately; however, leisure activities involving these three components at the same time seem to be most benefi cial for preventing or reducing the risk of dementia in later life.

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“…The absence of significant differences in quality of life self-reported by CIND patients could be related with a better stability in the social life, a different situation that that lived by patients with mild AD. Onor and colleagues 36 reported that during the rehabilitation program, AD patients increased their socialization and created a network of alliances and mutual help.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary rehabilitation program: effects of a multimodal intervention for patients with Alzheimer’s disease and cognitive impairment without dementia

Santos¹,

Nunes²,

Stella³

et al. 2015

Arch. Clin. Psychiatry (São Paulo)

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Background: Non-pharmalogical interventions represent an important complement to standard pharmalogical treatment in dementia. Objective: This study aims to evaluate the effects of a multidisciplinary rehabilitation program on cognitive ability, quality of life and depression symptoms in patients with Alzheimer's disease (AD) and cognitive impairment without dementia (CIND). Methods: Ninety-seven older adults were recruited to the present study. Of these, 70 patients had mild AD and were allocated into experimental (n = 54) or control (n = 16) groups. Two additional active comparison groups were constituted with patients with moderate AD (n = 13) or with CIND (n = 14) who also received the intervention. The multidisciplinary rehabilitation program lasted for 12 weeks and was composed by sessions of memory training, recreational activities, verbal expression and writing, physical therapy and physical training, delivered in two weekly 6-hour sessions. Results: As compared to controls, mild AD patients who received the intervention had improvements in cognition (p = 0.021) and quality of life (p = 0.003), along with a reduction in depressive symptoms (p < 0.001). As compared to baseline, CIND patients displayed at the end of the intervention improvements in cognition (p = 0.005) and depressive symptoms (p = 0.011). No such benefits were found among patients with moderate AD. Discussion: This multidisciplinary rehabilitation program was beneficial for patients with mild AD and CIND. However, patients with moderate dementia did not benefit from the intervention.

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Impact of a Multimodal Rehabilitative Intervention on Demented Patients and Their Caregivers

Cited by 64 publications

References 46 publications

A mixed methods systematic review of multimodal non-pharmacological interventions to improve cognition for people with dementia

A mixed methods systematic review of multimodal non-pharmacological interventions to improve cognition for people with dementia

Efficacy of leisure experiences in controlling the onset of dementia in older adults

Multidisciplinary rehabilitation program: effects of a multimodal intervention for patients with Alzheimer’s disease and cognitive impairment without dementia

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Impact of a Multimodal Rehabilitative Intervention on Demented Patients and Their Caregivers

Cited by 64 publications

References 46 publications

A mixed methods systematic review of multimodal non-pharmacological interventions to improve cognition for people with dementia

A mixed methods systematic review of multimodal non-pharmacological interventions to improve cognition for people with dementia

Efficacy of leisure experiences in controlling the onset of dementia in older adults

Multidisciplinary rehabilitation program: effects of a multimodal intervention for patients with Alzheimer&#8217;s disease and cognitive impairment without dementia

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Multidisciplinary rehabilitation program: effects of a multimodal intervention for patients with Alzheimer’s disease and cognitive impairment without dementia