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O2‐07–04: A cross‐cultural qualitative study of barriers and facilitators to good quality care for people with dementia
Author(s) -
Banerjee Sube
Publication year - 2008
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2008.05.361
Subject(s) - dementia , ethnic group , qualitative research , psychology , feeling , grounded theory , gerontology , medicine , social psychology , sociology , disease , social science , pathology , anthropology
establish links to prior knowledge at encoding, but if strategies are provided which perform this linking function, or if the stimuli themselves drive appropriate processing, then adequate learning can be achieved (Grinstead and Rusted 2001; Thoene and Glisky 1995). The evidence suggests, therefore, that if appropriate help with learning designed to ensure adequate encoding can assist with getting event-and-knowledgebased information into the memory store, there is a reasonable likelihood of retention. Methods: Development of a person centered research based cognitive training intervention program was undertaken. The program was designed to be used by formal and informal caregivers in primarily residential settings with family members diagnosed with early to moderately severe AD. (MMSE 16-26) The program consists of a structured series of cognitive and sensory stimulation exercises and activities based on a cognitive stimulation paradigm. Participants are “coached” through the program exercises by a family member, close friend, or other primary caregiver two times weekly, one hour per session. The program is a non-pharmacologic intervention that compliments current therapies for Alzheimer’s disease and does not interfere with medical management or require modification of the current standard treatment regimen. Results: Results of a review which followed 50 patients on the program for a 12 month period found clinically significant improvement in MMSE scores using the program intervention in residential settings utilizing formal and informal caregivers to facilitate program participation. While the data lacks a control placebo group, most AD patients are expected to decline by 2-3 MMSE points over a one year period (Dorauswany,2001). Conclusions: Preliminary clinical data indicates a robust effect on MMSE scores using this intervention. Comparative data analysis of participants strongly suggests that repeated practice appears to produce positive improvements in MMSE scores of 2-3 points over 12 months.