Effects of a Multimodal Intervention Program on Cognitive Function and Depression of the Elderly With Early Dementia

Kim, Seo-Eun; 박상미; Jung， Min-Ye

Korean Journal of Occupational Therapy

Abbr : Korean J of Occup Ther
2017, 25(1), pp.45-55
Publisher : Korean Society Of Occupational Therapy
Research Area : Working Therapeutics

Kim, Seo-Eun ¹ , 박상미 ² , Jung， Min-Ye ³

¹ 연세대학교(원주캠퍼스)
² 연세대학교 대학원 작업치료학과
³ 연세대학교

ABSTRACT

Objective : The purpose of this study was to investigate the effects of a multimodal intervention program organized with purposeful activities, including physical activity, cognitive activity, social interaction, play, and craft making on the cognitive function and depression of older adults with early dementia. Methods : This study was executed using a single group pretest-posttest design. The participants joined eight weekly sessions of group intervention, and every session took 90 min to complete. A Mini-Mental State Examination-Dementia Screening (MMSE-DS) and the Korean Version of the Short form Geriatric Depression Scale (SGDS-K) were used to evaluate the cognitive function and depression of the participants. Results : After a multimodal intervention, the participants showed a significant increase in their average score of cognitive function, and a significant decrease in their average score of depression. The six participants with a suspicious depression were shown to be within the normal range after intervention. Conclusion : Multimodal intervention has the effect of delaying the progress of cognitive impairment and decreasing the depression level of older adults with early dementia. Further research is recommended to prove the results of this study more concretely. Research on the quality of intervention regarding therapists’ attitude or abilities in terms of the way they provide intervention for their clients is suggested
KEYWORDS

Community-based occupational therapy , Early dementia , Group intervention , Multimodal intervention
REFERENCES (37)

[book] 강원도광역치매센터 / 2016 / 두뇌건강놀이책 / 강원일보 출판기획국

[book] 김기웅 / 2015 / 반짝활짝 뇌운동 / 중앙치매센터

[other] 김도균 / 2016 / 2016 국가치매관리워크숍 자료집 / 중앙치매센터

[report] 김상우 / 2014 / 치매관리사업의 현황과 개선 과제 / 국회예산정책처

[web] 법제처 / 2017 / 치매관리법 / http://www.law.go.kr/lsSc.do?menuId=0&subMenu=1&query=%EC%B9%98%EB%A7%A4%EA%B4%80%EB%A6%AC%EB%B2%95#undefined

[web] 서유진 / 2015 / 2050년 세계 치매 환자 1억 …한국 가장 빨리 늘어 271만 / http://news.joins.com/article/17027521

[book] 양영애 / 2016 / 지역사회 작업치료학 / 에듀팩토리

[web] 중앙치매센터 / 2014 / 치매예방운동법 / http://bit.ly/1utn3o9

[web] 한영일 / 2017 / 국내 노인 700만명...전체 인구보다 증가율 10배 빨라 / http://www.sedaily.com/NewsView/1OAV6ZYI0A

[journal] Francesca Baglio / 2014 / Multistimulation Group Therapy in Alzheimer’s Disease Promotes Changes in Brain Functioning / Neurorehabilitation and Neural Repair / SAGE Publications 29 (1) : 13~24 / 10.1177/1545968314532833

[journal] Henry Brodaty / 2012 / Meta-Analysis of Nonpharmacological Interventions for Neuropsychiatric Symptoms of Dementia / American Journal of Psychiatry / American Psychiatric Publishing 169 (9) : 946~953 / 10.1176/appi.ajp.2012.11101529

[journal] Sandy C. Burgener / 2008 / The Effects of a Multimodal Intervention on Outcomes of Persons With Early-Stage Dementia / American Journal of Alzheimer's Disease & Other Dementiasr / SAGE Publications 23 (4) : 382~394 / 10.1177/1533317508317527

[journal] Cho, M. J. / 1999 / Validation of Geriatric Depression Scale, Korean Version (GDS) in the assessment of DSM-Ⅲ-R major depression / Journal of the Korean Neuropshchiatric Association 38 (1) : 48~63

[journal] E. Ron de Kloet / 2005 / Stress and the brain: from adaptation to disease / Nature Reviews Neuroscience / Springer Nature 6 (6) : 463~475 / 10.1038/nrn1683

[journal] K. J. Gilhooly / 2016 / A meta-review of stress, coping and interventions in dementia and dementia caregiving / BMC Geriatrics / Springer Nature 16 (1) / 10.1186/s12877-016-0280-8

[journal] Laura N. Gitlin / 2010 / The Cost-Effectiveness of a Nonpharmacologic Intervention for Individuals With Dementia and Family Caregivers: The Tailored Activity Program / The American Journal of Geriatric Psychiatry / Elsevier BV 18 (6) : 510~519 / 10.1097/JGP.0b013e3181c37d13

[journal] Laura N. Gitlin / 2008 / Tailored Activities to Manage Neuropsychiatric Behaviors in Persons With Dementia and Reduce Caregiver Burden: A Randomized Pilot Study / The American Journal of Geriatric Psychiatry / Elsevier BV 16 (3) : 229~239 / 10.1097/01.JGP.0000300629.35408.94

[journal] Laura N. Gitlin / 2010 / A Biobehavioral Home-Based Intervention and the Well-being of Patients With Dementia and Their Caregivers / JAMA / American Medical Association (AMA) 304 (9) : 983~ / 10.1001/jama.2010.1253

[journal] 한지원 / 2010 / A Normative Study of the Mini-Mental State Examination for Dementia Screening(MMSE-DS) and Its Short form(SMMSE-DS) in the Korean Elderly / 노인정신의학 / 대한노인정신의학회 14 (1) : 27~37

[journal] 정원미 / 2008 / Effects of a Group Cognitive Rehabilitation Therapy on Mild Dementia Patients in a Community - Focused Occupational Therapy Intervention Process Model - / 대한작업치료학회지 / 대한작업치료학회 16 (4) : 1~17

[journal] 김희정 / 2015 / The effect of the multi intervention program applying to dementia elderly / 대한지역사회작업치료학회지 / 대한지역사회작업치료학회 5 (2) : 11~21 / http://dx.doi.org/10.18598/kcbot.2015.05.02.0

[journal] Tae Hui Kim / 2010 / Korean Version of Mini Mental Status Examination for Dementia Screening and Its Short Form / PSYCHIATRY INVESTIGATION / 대한신경정신의학회 7 (2) : 102~108

[journal] 이경주 / 2008 / Quality of Life and the Associated Factors Dementia / 정신간호학회지 / 정신간호학회 17 (3) : 273~280

[journal] 이석범 / 2009 / Nonpharmacological Interventions for Alzheimer’s Disease / 대한의사협회지 / 대한의사협회 52 (11) : 1069~1076

[journal] 이예진 / 2014 / The Effect of Multimodal Intervention on Quality of Life, Depression, and Cognitive Function in Elderly People With Dementia: A Pilot Study / 대한작업치료학회지 / 대한작업치료학회 22 (3) : 85~98 / 10.14519/jksot.2014.22.3.07

[journal] Logsdon, R. G. / 2007 / Evidence-based interventions to improve quality of life for individuals with dementia / Alzheimer’s Care Today 8 (4) : 309~318

[web] Medical Advisory Secretariat / 2008 / Caregiverand patient-directed interventions for dementia: An evidence-based analysis / http://www.health.gov.on.ca/ohtas

[web] National Collaborating Centre for Mental Health / 2007 / Dementia: A NICE-SCIE guideline on supporting people with dementia and their carers in health and social care / https://www.scie.org.uk/publications/misc/dementia/dementia-fullguideline.pdf

[thesis] Park, S. J. / 2008 / Factors Impacting on the Quality of Life of the Dementia Elderly / Doctor / Yeungnam University

[journal] Park, S. J. / 2008 / The study on the rise in quality of life-dementia / Journal of Public Welfare Administraion 18 (2) : 115~142

[book] Schaber, P. / 2010 / Occupational therapy practice guidelines for adults with Alzheimer’s disease and related disorders / AOTA Press

[journal] 신송재 / 2013 / The Effect of a Group Occupational Therapy on Cognitive Function and Depression for Mild Dementia Patients in a Community / 대한작업치료학회지 / 대한작업치료학회 21 (3) : 45~60

[journal] Takeda, M. / 2012 / Non-pharmacological intervention for dementia patients / Psychiatry and Clinical Neurosciences 66 (1) : 1~7

[web] Wisconsin Department of Health Services / 2015 / Wisconsin dementia care guiding principles / https://www.dhs.wisconsin.gov/earch?search=P-01022

[web] World Health Organization / 2012 / Dementia: A public health priority / http://pps.who.int/iris/bitstream/10665/75263/1/9789241564458_eng.pdf

[journal] Yamaguchi, H. / 2010 / Overview of non‐pharmacological intervention for dementia and principles of brain‐activating rehabilitation / Psychogeriatrics 10 (4) : 206~213

[journal] Yesavage, J. A. / 1983 / Development and validation of a geriatric depression screening scale: A preliminary report / Journal of Psychiatric Research 17 (1) : 37~49
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