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Cited by 56Dementia and Cognitive Impairment ResearchAlzheimer's disease research and treatmentsOccupational Therapy Practice and Research

Efficacy of Recreational and Occupational Activities Associated to Psychologic Support in Mild to Moderate Alzheimer Disease: A Multicenter Controlled Study

Farina, Elisabetta, Mantovani, Federica, Fioravanti, Raffaella, Rotella, Gerardo, Villanelli, Fabiana, Imbornone, Emilia, Olivotto, Fabrizio, Tincani, Morena +4 more·2006·Alzheimer Disease & Associated Disorders
DOI 10.1097/01.wad.0000213846.66742.90
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Abstract

We evaluated the efficacy of a stimulation program mainly based on recreational and occupational activities, associated with a brief cycle of support psychotherapy for patients and caregivers, in mild to moderate Alzheimer Disease (AD) associated or not with cerebrovascular lesions. Sixty-seven patients and 31 controls from 2 Italian towns entered the study. The control group was comprised of AD subjects who voluntarily declined to participate in the program for practical reasons. Patients were divided in groups of 4 subjects: treatment was delivered for 6 weeks. Multidimensional efficacy assessment of functional, behavioral, and neuropsychologic aspects was performed. When comparing baseline with posttraining condition, patients displayed a substantial reduction in disruptive behavior, and a tendency to a general reduction of behavioral symptoms compared with controls (Revised Memory and Behavior Problems Checklist--RMBPC--symptoms frequency-total P=0.07; frequency of disruptive behavior P=0.008). This reduction was mirrored by a significant reduction of caregiver reaction to behavioral disturbances (RMBPC caregiver reaction-total P=0.035; reaction to disruptive behavior, P=0.011). At 3 months follow-up, the reduction of caregiver reaction to behavioral symptoms results was confirmed (RMBPC caregiver reaction-total P=0.014, caregiver reaction to disruptive behavior P=0.028). No other significant difference was detected. These results partially confirm findings of previous studies, showing that AD patients treated with similar techniques demonstrated an improvement in behavioral disturbances.

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Crossref · 10.1097/01.wad.0000213846.66742.90

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  • Multidimensional Stimulation Therapy was more effective than a cognitive-specific intervention in improving both behavioral and functional outcomes in AD patients.

    “An Italian group developed the Multidimensional Stimulation Therapy (MST), a multidimensional approach that combined cognitive stimulation, recreational activities, OT and physical exercises, and demonstrated that MST was more effective than a cognitive-specific intervention in improving both behavioral and functional outcomes in AD patients (167, 168).”

    From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [168]

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Authors
Farina, E., Mantovani, F., Fioravanti, R., Rotella, G., Villanelli, F., Imbornone, E., Olivotto, F., Tincani, M., Alberoni, M., Petrone, E., Nemni, R., & Postiglione, A.
Affiliations
  • University of Milan (IT)
  • Federico II University Hospital (IT)
Corresponding author
  • Farina, Elisabetta
  • Mantovani, Federica
  • Fioravanti, Raffaella
  • Villanelli, Fabiana
  • Imbornone, Emilia
  • Olivotto, Fabrizio
  • Tincani, Morena
  • Alberoni, Margherita
  • Nemni, Raffaello
ORCID
Venue
Alzheimer Disease & Associated Disorders
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2006-10
Volume
20
Issue
4
Pages
275-282
ISSN
0893-0341 (ISSN-L)
DOI
10.1097/01.wad.0000213846.66742.90
OpenAlex
W1989723255
Cited by
56
References
35
Citations by year
2026: 1 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 4 · 2013: 3 · 2012: 2
FWCI
2.97
Type
journal article
Language
en
Open access
closed
Locations
  • Alzheimer Disease & Associated Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
Keywords
Alzheimer's disease, recreational activities, occupational therapy, behavioral problems, disruptive behavior, caregiver reactions, psychotherapy, cerebrovascular lesions, mild to moderate dementia, functional assessment, neuropsychological assessment
MeSH terms
Alzheimer Disease, Humans, Neuropsychological Tests, Occupational Therapy, Recreation, Cognitive Behavioral Therapy, Caregivers

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