Effects of Client-Centered Occupational Therapy on Behavioral Psychological Symptoms, Social Interaction, Occupational Performance, Quality of Life, and Caregiver Burden among the Individuals with Dementia

Abstract This study aimed to verify the effects of client-centered occupational therapy on individuals with dementia. Twenty participants were randomly assigned to an experimental group (client-centered occupational therapy) and a control group (general occupational therapy). A pretest, post-test, and follow-up tests were used to compare the effects of the intervention. The experimental group had significant changes in all variables, and the control group showed significant differences in verbal social interaction, quality of life, and burden of caregivers (p < 0.05). As a result of repeated measurement variance analysis, it was found that there was a significant effect within the group except for the NPI-Q distress items (p < 0.05), but the effect was not verified in all areas between the groups. Client-centered customized occupational therapy can be more effective than general occupational therapy in problem behavior, social interaction, quality of life, caregiver burden, and occupational performance of individuals with dementia.

[1]  長嶋 起久雄,et al.  Canadian Occupational Performance Measureを用い た作業療法士としての終末期がん患者のいきがいへの関 わり , 2015 .

[2]  W. Mann,et al.  A non-pharmacologic approach to address challenging behaviors of Veterans with dementia: description of the tailored activity program-VA randomized trial , 2013, BMC Geriatrics.

[3]  N. Pickens,et al.  Home Modification Assessments: Clinical Utility and Treatment Context , 2010 .

[4]  Anna Trakoli,et al.  Model of Human Occupation: Theory and Application , 2010 .

[5]  J. Morris,et al.  Client-centred home modifications improve daily activity performance of older adults , 2009, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[6]  Joost Dekker,et al.  Community occupational therapy for older patients with dementia and their care givers: cost effectiveness study , 2008, BMJ : British Medical Journal.

[7]  千敬 髙島,et al.  呼吸器疾患におけるAssessment of Motor and Process Skillsの応用 , 2007 .

[8]  W. Hoefnagels,et al.  Effects of community occupational therapy on quality of life, mood, and health status in dementia patients and their caregivers: a randomized controlled trial. , 2007, The journals of gerontology. Series A, Biological sciences and medical sciences.

[9]  Joost Dekker,et al.  Community based occupational therapy for patients with dementia and their care givers: randomised controlled trial , 2006, BMJ : British Medical Journal.

[10]  W. Hauck,et al.  Maintenance of effects of the home environmental skill-building program for family caregivers and individuals with Alzheimer's disease and related disorders. , 2005, The journals of gerontology. Series A, Biological sciences and medical sciences.

[11]  Doh-Kwan Kim,et al.  The Standardization of the Ge riatric Quality of Life s cale-Dementia(GQOL-D) , 2004 .

[12]  W W Hauck,et al.  A randomized, controlled trial of a home environmental intervention: effect on efficacy and upset in caregivers and on daily function of persons with dementia. , 2001, The Gerontologist.

[13]  T. Bakas,et al.  Effective caregiving approaches for patients with Alzheimer's disease. , 1998, Geriatric nursing.

[14]  L. Gwyther,et al.  Caregiver well-being: a multidimensional examination of family caregivers of demented adults. , 1986, The Gerontologist.

[15]  G. Kielhofner,et al.  The relationships between volition, activity pattern, and life satisfaction in the elderly. , 1986, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[16]  R. Patterson Overcoming Deficits of Aging: A Behavioral Approach , 1982 .

[17]  박수향,et al.  The effect of Client-Centered Cognitive Stimulation Therapy on The progression of Mild and Moderate Dementia , 2015 .

[18]  W. Hauck,et al.  Tailored activities to manage neuropsychiatric behaviors in persons with dementia and reduce caregiver burden: a randomized pilot study. , 2008, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[19]  Ursula Kirk,et al.  Understanding awareness deficits following brain injury. , 2000, NeuroRehabilitation.

[20]  Gary Kielhofner,et al.  Model of human occupation : theory and application , 1985 .

[21]  L. Penner,et al.  Overcoming Deficits of Aging , 1982 .

[22]  Michael Argyle,et al.  Social Skills and Mental Health , 1978 .