A systematic review of the effects of occupational therapy for persons with dementia: a meta-analysis of randomized controlled trials
Abstract
OBJECTIVE: Meta-analysis was conducted to examine effects of OT interventions based on sensory stimulation, environmental modification and functional task activity on the behavioral problems and depression of individual with dementia. SEARCH STRATEGY: An extensive search in database such as MEDLINE, CINAHL, ProQuest Medical Library, and Cochrane and OT related 11 journals was performed. SELECTION CRITERIA: Potential studies were identified through the KEYWORDS: dementia or Alzheimer, randomized controlled trials and occupational therapy or occupational therapist or ADL or sensory stimulation or Snoezelen or environmental modification or education for caregivers. DATA COLLECTION AND ANALYSIS: Two reviewers independently identified studies, extracted data, assessed methodological quality of the studies. Effect size was estimated using standardized mean difference with 95% confidence intervals. Significant heterogeneity and publication bias were investigated. MAIN RESULTS: Nine studies including 751 people were selected. Sensory stimulation was effective intervention in improving behavioral problems (0.32; 95% CI, 0.04 to 0.59). CONCLUSION: This review identified that OT intervention based on sensory stimulation was effective intervention to improve behavioral problems. However, the number of studies included in this review is limited. More research is needed to enable evidence-based OT for dementia patients.
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Occupational therapy interventions based on sensory stimulation, environmental modification, and functionally oriented tasks are effective in improving behavioral and psychological symptoms of dementia and depression in dementia.
“These positive results have been confirmed in a recent review that showed OT interventions based on sensory stimulation, environmental modification and functionally oriented tasks, to be effective in improving BPSD and depression in dementia (130).”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [130]
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(2012) · Neurorehabilitation · doi:10.3233/nre-2012-31417
Tractaments eficaços i clínicament útils, en demències
Laura, E. A., Talia, T. B., Núria, P. M., & Itxaso, T. A. (2016) · Anuari de Psicologia de la Societat Valenciana de Psicologia · doi:10.7203/anuari.psicologia.17.2.135
Occupational therapy for vascular dementia:A case report
Jongprasitkul, H. (2014) · Chulalongkorn Medical Journal · doi:10.58837/chula.cmj.58.3.4
- Authors
- Kim, S.-Y., Yoo, E.-Y., Jung, M.-Y., Park, S.-H., & Park, J.-H.
- Affiliations
- Yonsei University (KR)
- Corresponding author
- Yoo, Eun-Young
- Venue
- NeuroRehabilitation: An International, Interdisciplinary Journal
- Publisher
- SAGE Publications
- Published
- 2012-07-26
- Volume
- 31
- Issue
- 2
- Pages
- 107-115
- ISSN
- 1053-8135 (ISSN-L)
- 1878-6448
- OpenAlex
- W1580098699
- Cited by
- 70
- References
- 31
- Citations by year
- 2024: 3 · 2022: 2 · 2021: 4 · 2020: 4 · 2019: 5 · 2018: 10 · 2017: 11 · 2016: 9 · 2015: 7 · 2014: 10 · 2013: 4 · 2012: 1
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurorehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- occupational therapy, dementia, sensory stimulation, Snoezelen, environmental modification, behavioral problems, depression, caregiver education, activities of daily living
- MeSH terms
- Dementia, Humans, Occupational Therapy, Randomized Controlled Trials as Topic, Databases, Factual
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