Psychosocial interventions for dementia patients in long-term care

Vernooij‐Dassen, Myrra; Vasse, Emmelyne; Zuidema, Sytse U.; Cohen‐Mansfield, Jiska; Moyle, Wendy

doi:10.1017/s1041610210001365

Cited by 114 publications

(81 citation statements)

References 33 publications

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“…Several studies show a positive impact of these interventions on the well-being, cognition, social life and daily functioning of persons with dementia (PwD) (Hulme et al, 2010; Vernooij-Dassen et al, 2010; Dickson et al, 2012; Oyebode and Parveen, 2016). In recent years a growing number of studies have focused on the use of social robots in interventions for PwD.…”

Section: Introductionmentioning

confidence: 99%

Affective and Engagement Issues in the Conception and Assessment of a Robot-Assisted Psychomotor Therapy for Persons with Dementia

et al. 2017

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The interest in robot-assisted therapies (RAT) for dementia care has grown steadily in recent years. However, RAT using humanoid robots is still a novel practice for which the adhesion mechanisms, indications and benefits remain unclear. Also, little is known about how the robot's behavioral and affective style might promote engagement of persons with dementia (PwD) in RAT. The present study sought to investigate the use of a humanoid robot in a psychomotor therapy for PwD. We examined the robot's potential to engage participants in the intervention and its effect on their emotional state. A brief psychomotor therapy program involving the robot as the therapist's assistant was created. For this purpose, a corpus of social and physical behaviors for the robot and a “control software” for customizing the program and operating the robot were also designed. Particular attention was given to components of the RAT that could promote participant's engagement (robot's interaction style, personalization of contents). In the pilot assessment of the intervention nine PwD (7 women and 2 men, M age = 86 y/o) hospitalized in a geriatrics unit participated in four individual therapy sessions: one classic therapy (CT) session (patient- therapist) and three RAT sessions (patient-therapist-robot). Outcome criteria for the evaluation of the intervention included: participant's engagement, emotional state and well-being; satisfaction of the intervention, appreciation of the robot, and empathy-related behaviors in human-robot interaction (HRI). Results showed a high constructive engagement in both CT and RAT sessions. More positive emotional responses in participants were observed in RAT compared to CT. RAT sessions were better appreciated than CT sessions. The use of a social robot as a mediating tool appeared to promote the involvement of PwD in the therapeutic intervention increasing their immediate wellbeing and satisfaction.

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Section: Introductionmentioning

confidence: 99%

Affective and Engagement Issues in the Conception and Assessment of a Robot-Assisted Psychomotor Therapy for Persons with Dementia

et al. 2017

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“…A recent meta-analysis showed how non-pharmacological interventions reduced the frequency and severity of dementia symptoms [7]. However, there is scarce evidence of positive results in residential settings [8].…”

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confidence: 99%

Non-pharmacological interventions as a best practice strategy in people with dementia living in nursing homes. A systematic review

Cabrera

Sutcliffe

Verbeek

et al. 2015

European Geriatric Medicine

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“…In order to be able to replicate and implement any treatment, a good manual is needed, particularly in the case of non-drug therapies [52]. For the MAKS therapy, in particular, this is ensured by the compilation of 125 structured days of therapy in the 6-month controlled intervention phase.…”

Section: Discussionmentioning

confidence: 99%

The German day-care study: multicomponent non-drug therapy for people with cognitive impairment in day-care centres supplemented with caregiver counselling (DeTaMAKS) – study protocol of a cluster-randomised controlled trial

Behrndt

Straubmeier

Seidl

et al. 2017

BMC Health Serv Res

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BackgroundIt is the wish of both people with cognitive impairment and their informal caregivers for the impaired person to live at home for as long as possible. This is also in line with economic arguments about health. The existing structure of day-care services for the elderly can be used to achieve this. Due to the current lack of empirical evidence in this field, most day-care centres do not offer a scientifically evaluated, structured intervention, but instead offer a mixture of individual activities whose efficacy has not yet been established. Informal caregivers of people with dementia use day-care centres primarily to relieve themselves of their care tasks and as a support service.Methods/designThe present study therefore investigates the effectiveness of a combination of a multicomponent activation therapy for people with mild cognitive impairment (MCI) or mild to moderate dementia at day-care centres and a brief telephone intervention for their informal caregivers. The study is conducted as a cluster-randomised intervention trial at 34 day-care centres in Germany with a 6-month treatment phase. The centres in the waitlist control group provide “care as usual”. A power analysis indicated that 346 people should initially be included in the study. The primary endpoints of the study include the ability to perform activities of daily living (ADL) and cognitive capacities on the side of the day-care centre users and the subjectively perceived burden and well-being of the informal caregivers. The total duration of the study is 3 years, during which data are collected both by the psychometric testing of the people with cognitive impairment and by telephone interviews with informal caregivers.DiscussionThe project has three distinctive quality features. First, it is embedded in real care situations since the day-care services have already been established for this target group. Second, due to the large number of cases and the fact that the participating day-care centres are spread across the entire country, the results can be expected to be generalisable. Third, the interventions can be assumed to be implementable as they required only a one-day training event for the staff already working at the centres.Trial registration ISRCTN16412551 (Registration date: 30 July 2014, registered retrospectively).

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Psychosocial interventions for dementia patients in long-term care

Cited by 114 publications

References 33 publications

Affective and Engagement Issues in the Conception and Assessment of a Robot-Assisted Psychomotor Therapy for Persons with Dementia

Affective and Engagement Issues in the Conception and Assessment of a Robot-Assisted Psychomotor Therapy for Persons with Dementia

Non-pharmacological interventions as a best practice strategy in people with dementia living in nursing homes. A systematic review

The German day-care study: multicomponent non-drug therapy for people with cognitive impairment in day-care centres supplemented with caregiver counselling (DeTaMAKS) – study protocol of a cluster-randomised controlled trial

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