A Randomized Control Trial on Activity Scheduling to Reduce Impact of Caring Role for Older Adults with Dementia

Ho Yin Lai

Research output: Unpublished conference presentation (presented paper, abstract, poster)Conference presentation (not published in journal/proceeding/book)Academic researchpeer-review


Background: Activity scheduling is a tailor-made personalized activity that can be used as a media for behavioral activation. It has been established as a core component of evidenced-based treatment for depression with equivalent outcomes to behavior activation.
This study is a pioneer attempt to examine if AS would show its effectiveness in the field of dementia. The first objective is to study the outcome of activity scheduling on impact of caring role through assessing individual caregivers’ perceived burden in care. The second objective is to study the change of individuals’ behavioural and psychological symptoms of dementia, before and after the intervention.
Method: This is a 12-week single-blinded randomized control trial with a parallel group experimental design study. Community-dwelling older adults with mild to moderate dementia and their spouse received the community health education program in the first two-weeks. Then for the following 10 weeks, the participants were randomized and received one of two interventions. In control group, participants received 10 weekly education sessions on dementia care education. In experimental group, participants received of the same dementia care education program, plus activity scheduling that offered by occupational therapists with intervention focused on pleasant event scheduling and improving communication.
Result: From August 2018 to August 2019, 50 couples completed the intervention, activity scheduling showed improvement in alleviating impact of care-giving role, reducing behavioural and psychological symptoms of dementia, decreasing caring demand and improved in quality of life. Between group showed significant difference in impact of caring role, alleviation of disruption and depression behavior, with effect size of .54 (95% CI = .39-.67) and .42 (95% CI = .35-.71) respectively.
Conclusion: Activity scheduling is straightforward to administer and personalized in nature. There were significant reductions in demand of care-giving. Through proper coaching and regular facilitation, activity scheduling can help caregivers to create pleasant events in their daily living . Individuals’ quality of life can be much enhanced
Original languageEnglish
Publication statusPublished - Jul 2020
EventAlzheimer Association International Conference 2020 -
Duration: 27 Jul 202031 Jul 2020


ConferenceAlzheimer Association International Conference 2020
Abbreviated titleAAIC2020
Internet address


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