Effectiveness of an individualized functional training program on affective disturbances and functional skills in mild and moderate dementia - A randomized control trial

Linda C.W. Lam, Victor W.C. Lui, Daisy N.Y. Luk, Rachel Chau, Clifton So, Vickie Poon, Peter Tam, Raymond Ching, Henry Lo, Julian Chiu, Ada Fung, Flora S.L. Ko

Research output: Journal article publicationJournal articleAcademic researchpeer-review

36 Citations (Scopus)

Abstract

Objectives: We reported the findings of a randomized controlled trial (RCT) to examine the effects of an individualized functional enhancement program (FEP) on functional skills and mood symptoms in mild and moderate dementia. Subjects & Methods: 74 Chinese older persons with dementia were recruited into a skills training program by occupational therapists (OT). Thirty seven subjects were trained with an individualized selection of daily activities (FEP Intervention, I); 37 were trained with general occupational therapy (Control, C). The FEP comprised of twice weekly group sessions of skills training and problem solving using cognitive behavioral approach. Results: At 1 month after completion of program, both I and C subjects showed an improvement in process skills of the assessment of motor and process skills (AMPS)(paired t-tests, p<0.05). At 4 months post-program, the I group showed a further reduction of cornell scale for depression in dementia (CSDD) scores (paired t-test, p=0.02); Apathy improved at 1 month post-training (p=0.04), but deteriorated at 4 months (p=0.01). Group differences in changes of mood and functional scores were not significant (ANVOCA, p>0.05). Conclusions: The findings suggested a potential benefit for individualized occupational therapy. It should be tailor made with individual needs and continued for sustained effectiveness.

Original languageEnglish
Pages (from-to)133-141
Number of pages9
JournalInternational Journal of Geriatric Psychiatry
Volume25
Issue number2
DOIs
Publication statusPublished - 1 Feb 2010
Externally publishedYes

Keywords

  • Apathy
  • Dementia
  • Depression
  • Skills training

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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