Reality Orientation for Dementia
Author(s) -
Aimee Spector,
Stephen Davies,
Bob Woods,
Martin Orrell
Publication year - 2000
Publication title -
the gerontologist
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.524
H-Index - 138
eISSN - 1758-5341
pISSN - 0016-9013
DOI - 10.1093/geront/40.2.206
Subject(s) - orientation (vector space) , confidence interval , dementia , cognition , randomized controlled trial , inclusion (mineral) , interval (graph theory) , physics , psychology , medicine , combinatorics , mathematics , geometry , psychiatry , social psychology , disease
The effectiveness of classroom reality orientation (RO) in dementia was evaluated by conducting a systematic literature review. This yielded 43 studies, of which 6 were randomized controlled trials meeting the inclusion criteria (containing 125 subjects.) Results were subjected to meta-analysis. Effects on cognition and behavior were significant in favor of treatment (cognition standardized mean difference [SMD] = -0.59; 95% confidence interval [CI] -0.95(-)-0.22; behavior SMD = -0.64, 95% CI = -1.20(-)-0.08). The evidence indicates that RO has benefits on both cognition and behavior for dementia sufferers. However, a continued program may be needed to sustain potential benefits. Future research should evaluate RO in well-designed multicenter trials.
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