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Transcript of Designed by TheTemplateMart.com EVALUATING RESULTS OF A 6 MONTH INTERVENTION PROGRAM IN A DEMENTIA...
Designed by TheTemplateMart.com
EVALUATING RESULTS OF A 6 MONTH INTERVENTION PROGRAM
IN A DEMENTIA DAY CARE CENTER
Efthymiou, A., Karpathiou, N., Dimakopoulou, E., Nikolaou, K., Sakka, P.
ATHENS ASSOCIATION OF ALZHEIMER’S DISEASE AND RELATED DISORDERS
www.alzheimerathens.gr
• 150.000 demented patients in Greece
• 89% of patients cared for at home
• Principal caregivers
Dementia in Greece
DEMENTIA SURVEY , Greece 2005DEMENTIA SURVEY , Greece 2005
spouse (32%)spouse (32%)
children (50%)children (50%)
• 15 Memory Clinics organised from Neurology departments of General Hospitals
• 7 Day Care Centers
Dementia Day Care Center in Athens
Since February 2007, a Dementia Day Center for patients suffering from dementia and their families has opened in Athens.
The project is supported by European Social Funds (3rd Community Support Framework) and the Greek Ministry of Health with the responsibility of the Athens Association of Alzheimer’s Disease and Related Disorders.
Dementia Day Care Center in Athens
AIMS:
1. Training, help and support of patients suffering from Dementia (cognitive training, physical exercise, occupational therapy, art therapy)
2. Education and support of carers
3. Advocacy of patients’ and carers’ rights and needs
4. Increase of public awareness
5. Scientific research on Dementia
MemoryClinic
Dementia Day Care
Center
Cognitive trainingGroups /
Reminiscencesessions
Occupational Therapy/
Language Therapy
Support groups
For Caregivers
Physical training
programs
Increase of Public
Awareness
Help at HomePrograms
Managementof behavioural
disorders
Health Professionals
• 1 Psychiatrist – Scientific Supervisor• 1 Neurologist• 4 Psychologists• 2 Nurse• 1 Social Worker• 1 Speech and Language Therapist• 2 Assistant Personnel
Scheduling Therapeutic Intervention
• Physical examination • Neuropsychological
Assessment• Functional Assessment• Case History
Therapeutic framework
• Cognitive Training and Cognitive Stimulation
Cognitive training consists of a variety of exercises designed to help improve functioning in areas such as attention, memory, visual and auditory processing, language process, thinking skills and executive skills
• Patients were divided in 4 levels (8 groups- A, B, C, D), according to their cognitive and functional status, social skills and educational level
• Each group consisted of 8 – 10 members and was run by 2 coordinators
• The frequency of intervention was twice a week and every session lasted 50’
• The total number of participants was 75 Results of the intervention are presented for 65 participants.
• Statistical analysis was made with SPSS 13.0
Method
MethodNeuropsychological Assessment
• Test Administration: Neuropsychological tests:• MINI MENTAL STATE EXAMINATION• CLOCK DRAWING TEST (CDT)• GERIATRIC DEPRESSION SCALE (GDS)• MONTREAL COGNITIVE ASSESSMENT (MOCA)• BOSTON NAMING TEST- 15SH (BNT)• FRONTAL ASSESSMENT BATTERY (FAB)• VERBAL AND CATEGORY FLUENCY • STROOP TEST• REY COMPLEX FIGURE
• Period of Intervention: 6 months• Reassessement: Test readministration
RESULTS
RESULTS
Descriptive Statistics
65 0 22 10,43 5,601
65
education
Valid N (listwise)
N Minimum Maximum Mean Std. Deviation
Results GROUP A
Neuropsychological assessment tSig.
(2-tailed)
MOCA_pre – MOCA_post-5,27 ,000
BNT_pre – BNT_post-2,95 ,009
VERBL Fl._pre-VERBAL Fl._post-4,32 ,000
CATEGORY Fl._pre- CATEGORY Fl._post-2,19 ,039
REYDELAYEDREC _pre – REYDELAYEDREC-post -2,11 ,046
ResultsGroup B & C
In group B & C analysis, there was no statistical significance between pre and post intervention
• In group D, there was a statistically significant difference (p= 0.17, p= 0,35) in post and pre intervention for the Category Fluency and Rey Complex Figure (copy condition)
Patients of that group had lower scores at post intervention assessment
ResultsGroup D
Neuropsychological assessment Ζ Sig. (2-tailed)
_Categ Fl _Categ Fl_post
-2.38(b) .017
REY copy_ REY copy_post-2.11(b) .035
Conclusions• The Dementia Day Care Users with Mild
Cognitive Impairment and early Dementia seems to benefit more from a well structured non-pharmachological program than patients in more severe stages of Dementia.
• Patients in medium and severe stage had a qualitative improvement in social abilities, mood, eye contact that couldn’t be depicted in neuropsychological assessment.
• In a following research it is essential the Quality of Life of Caregivers of Demented Patients is measured.
PHOTOS
Nomiki KarpathiouEleni Dimakopoulou
Efstathios TryfonopoulosTheofilos Krasakis
Danai KavouridiLena MargiotiNandia Avrami
Kartsaklis LykourgosKostas NikolaouParaskevi Sakka
CO
LL
EA
GU
ES