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Effectiveness of a community‐based multidomain cognitive intervention program in patients with A lzheimer's disease
Author(s) -
Kim HeeJin,
Yang YoungSoon,
Oh JeongGun,
Oh Seongil,
Choi Hojin,
Kim Kyoung Hee,
Kim Seung Hyun
Publication year - 2016
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12453
Subject(s) - cognition , medicine , intervention (counseling) , dementia , cognitive intervention , effects of sleep deprivation on cognitive performance , cognitive training , physical therapy , clinical psychology , disease , psychiatry
Aim The aim of the present study was to evaluate the efficacy of a multidomain program in patients with A lzheimer's disease ( AD ). Methods A total of 53 patients with probable AD participated in the present study. The participants were classified to a cognitive programming group ( n = 32) and control group ( n = 21). Participants in the cognitive intervention program received multidomain cognitive stimulation including art, music, recollection and horticultural therapy, each period of intervention lasting 1 h. This program was repeated five times per week over a period of 6 months at the S eongdong‐gu C enter for D ementia. The M ini‐ M ental S tate E xamination, the K orean version of C onsortium to E stablish a R egistry for A lzheimer's D isease, C linical dementia rating scales, and the K orean version of the Q uality of L ife‐ A lzheimer's D isease were used to evaluate cognitive ability at baseline and after intervention. After 6 months, cognitive abilities were compared between patients actively participating in cognitive intervention and the pharmacotherapy only group. Results Patients receiving cognitive intervention showed significant cognitive improvement in the word‐list recognition and recall test scores versus the control. There was no change in the overall C linical dementia rating score, but the domain of community affairs showed a significant improvement in the cognitive intervention group. Q uality of L ife‐ A lzheimer's D isease of caregivers was slightly improved in the cognitive intervention group after 6 months. Discussion Multidomain cognitive intervention by regional dementia centers has great potential in helping to maintain cognitive function in patients with dementia, increase their social activity and reduce depression, while enhancing the quality of life of caregivers. Geriatr G erontol I nt 2016; 16: 191–199.