Effects of a Group Cognitive Rehabilitation Therapy on Mild Dementia Patients in a Community - Focused Occupational Therapy Intervention Process Model - (지역사회 경증치매환자에서의 집단인지재활 치료효과 - 작업치료 치료과정모델을 중심으로 -)

JEONG, WON-MEE (정원미); Lee, Dong-Young (이동영); Ryu, Seung-Ho (유승호); Hwang Yun Jung (황윤정); Seulgee Kim (김슬기); Choo Il-Han (추일한); Ki Woong Kim (김기웅)

Effects of a Group Cognitive Rehabilitation Therapy on Mild Dementia Patients in a Community - Focused Occupational Therapy Intervention Process Model -

Korean Journal of Occupational Therapy
Abbr : Korean J of Occup Ther
2008, 16(4), pp.1-17
Publisher : Korean Society Of Occupational Therapy
Research Area : Medicine and Pharmacy > Working Therapeutics

JEONG, WON-MEE ¹, Lee, Dong-Young ², Ryu, Seung-Ho ³, Hwang Yun Jung ⁴, Seulgee Kim ⁵, Choo Il-Han ⁴, Ki Woong Kim ⁶

¹동남보건대학교
²서울대학교병원 신경정신과 및 서울대학교의과대학 정신과학교실
³건국대학교병원 신경정신과
⁴서울대학교병원 신경정신과 임상의학연구소
⁵함께걸음 의료생활협동조합
⁶분당서울대학교병원 신경정신과 및 서울대학교의과대학 정신과학교실

Accredited

ABSTRACT

Objective : This study aims to understand the effects of Group Cognitive Rehabilitation Therapy (GCRT) based on Occupational Therapy Intervention Process Models (OTIPM) on the Activities of Daily Living (ADL), cognitive function, and depression of mild dementia patients, and to suggest the basic data for GCRT for dementia patients. Methods : GCRT was applied two times a week for eight weeks to 14 mild dementia patients who visited the Gwanak Center for Managing Dementia and the Seongbuk Center for Dementia in Seoul between August 2007 and July 2008. The research was conducted for a total of 12 weeks including a tracking evaluation conducted four weeks later. Based on OTIPM, the GCRT was applied by selecting a compensation model, an education teaching model, a restorative model, and an acquisitional model. Moreover, a one-group pretest-post test design, which is a quasi-experiment and research tool, was also applied in order to verify the effects of the rehabilitation therapy on the subjects' ability toward ADL, cognitive function, and depression. Results : A significant effect was confirmed (p<.05) from the GCRT, which was comprised of a verbal fluency test, MMSE-KC, ACL, and AMPS. In contrast, there was no significant effect in MMSE-KC, which was comprised of Boston naming, word list memory, constructional praxis, and word list recall tests. No significant effect on improving the depression syndromes from GDS was found either. Conclusion : It seems that GCRT based on OTIPM has an effect on the improvement of the ability toward ADL and on the cognitive function of mild dementia patients living in a community.

KEYWORDS

ADL, Cognitive Function, Dementia, GCRT, OTIPM

Citation status

* References for papers published after 2023 are currently being built.

[book] 김향희 / 1997 / 한국판 보스톤 이름대기 검사(K-BNT) / 도서출판 학지사

[journal] 권용철 / 1989 / 노인용 한국판 Mini-Mental State Examination(MMSE-K)의 표준화연구 / 신경정신의학 28 : 125~135

[thesis] 배재남 / 1996 / DSM-III-R 주요 우울증에 대한 Geriatric Depression Scale(GDS)의 진단 정확 / 석사 / 서울대학교

[journal] 이동영 / 2001 / 치매에서 나타나는 초조 증상의 임상적 이해와 치료 / 정신병리학 10(2) : 87~96

[book] 이정원 / 2006 / 노인작업치료학 / 한미출판

[journal] 정원미 / 2006 / Development of Curriculums for Training Elderly Dementia Occupational Therapists / 대한작업치료학회지 / 대한작업치료학회 14(3) : 95~104

[thesis] 지혜련 / 2003 / 치매간호중재 프로그램이 경증치매환자의 인지기능, 우울, 일상생활수행능력 및 사회적 행동에 미치는 효과 / 박사 / 전남대학교

[journal] 지혜련 / 2004 / 지속적인 치매간호중재프로그램이 지역사회 경증치매노인의 인지기능 및 우울에 미치는 효과 / 노인간호학회지 6(2) : 216~227

[journal] 황옥남 / 2002 / 치매예방 프로그램 운영 및 효과 검증 연구 / 한국재활간호학회 5(2) : 156~165

[book] American Psychiatric Association / 1994 / Diagnostic and statistical manual of mental disorders(4th ed.) / American Psychiatric Association

[book] Allen, C. K. / 1985 / therapy for psychiatric disease: Measurement and management of cognitive disability / Little Brown

[book] Allen, C. K. / 1993 / Allen diagnostic module. Colchester / S&S/Worldwide

[report] Allen, C. K / 1992 / Occupational therapy treatment goals for the physically and cognitively disabled / American Occupational Therapy Association.

[journal] Burgener, S. / 1998 / Effective caregiving approaches for patients with alzheimer’s disease / Geriatric Nursing 19(3) : 121~126

[journal] Callahan, C. M. / 2006 / Effectiveness of collaborative for older adults with alzheimer’s disease in primary care / Journal of the American Medical Association 295(19) : 2148~2157

[journal] Cherry, K. E. / 2005 / Long-term effectiveness of spaced-retrieval memory training for older adults with probable alzheimer's disease / Experimental Aging Research 31(3) : 261~289

[book] Cole, M. B. / 1998 / Group dynamics in occupational therapy / Slack.

[journal] Devereaux, E. / 1992 / The role of occupational therapy in the management of depression / American Journal of Occupational Therapy 46(2) : 175~180

[book] Devi, G. / 2004 / Alzheimer`s disease / Warner Books

[book] Doble, S. E. / 1992 / Validation of the assessment of motor and process skills with elderly adults with dementia / Dalhousie University

[journal] Dooley, N. R. / 2004 / Improving quality of life for persons with alzheimer's disease and their family caregivers: Brief occupational therapy intervention / American Journal of Occupational Therapy 58(5) : 561~569

[book] Fisher, A. G / 1995 / Assessment of motor and process skills / Three Star Press

[book] Fisher, A. G. / 2002 / A model for planning and implementing top-down, client-centered and occupation-based occupational therapy intervention / Three Star Press

[book] Fisher, A. G. / 2003 / Assessment of motor and process skills(5th ed.) / Three Star Press

[book] Fisher, A. G. / 2006 / Assessment of motor and process skills: Development, standardization and administration manual / Three Star Press

[journal] Fisher, A. G. / 2007 / Effectiveness of occupational therapy with frail community living older adults / Scandinavian Journal of Occupational Therapy 14(4) : 240~249

[journal] Folstein, M. F. / 1975 / Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician / Journal Psychiatry Research / A practical method for grading the cognitive state of patients for the clinician.Journal Psychiatry Research,12.189-198. 12 : 189~198

[book] Fotuhi, M. / 2003 / The memory cure / McGraw Hill

[journal] Gitlin, L. N. / 2001 / A randomized,controlled trial of a home environmental invention-effect on efficacy and upset in caregivers and on daily function of persons with dementia.The / The Gerontologist 41 : 4~14

[journal] Gitlin, L. N. / 2005 / Maintenance of effects of the home environmental skill-building program for family caregivers and individuals with alzheimer’s disease and related disorders / The Journal of Gerontology 60 : 368~374

[journal] Glishky, E. L. / 1986 / Learning and retention of computer related vocabulary in memory-impaired patients: Method of vanishing cues / Journal of Clinical and Experimental Neuropsychology 8(3) : 292~312

[journal] Goto, S. / 1996 / AMPS applied cross-culturally to the Japanese / American Journal of Occupational Therapy 50 : 798~806

[journal] Graff, M. J. / 2006 / Community based occupational therapy for patients with dementia and their caregiver: Randomised controlled trial / British Medical Journal 333 : 1196~1204

[journal] Graff, M. J. / 2006 / How can occupational therapy improve the daily performance and communication of an older patient with dementia and his primary caregiver? / Dementia 5(4) : 503~532

[journal] Graff, M. J. / 2007 / Effect of community occupational therapy on quality of life, mood, and health status in dementia patients and their categivers: A randomized controlled trial / The Journal of Gerontology 62 : 1002~1009

[journal] Graff, M. J. / 2008 / Community occupational therapy for older patients with dementia and their caregiver: Cost effectiveness study / British Medical Journal 336 : 134~138

[journal] Hartman, M. L. / 1999 / Assessment of functional ability of people with alzheimerʼs disease / Scandinavian Journal of Occupational Therapy 6 : 111~118

[journal] Hughes, C. P. / 1982 / A new clinical scale for the staging of dementia / British Journal of Psychiatry 140 : 566~572

[journal] Josephsson, S. / 1995 / Effectiveness of an intervention to improve occupational performance in dementia / Occupational Therapy Journal of Research 15(1) : 36~49

[book] Kaplan, E. / 1983 / The boston naming test / Lea & Febiger

[book] Kielhofner, G / 1995 / A model of human occupation: Theory and application(2nd ed) / Williams & Wilkins

[book] Kielhofner, G / 2002 / A model of human occupational: Theory and application / Williams & Wilkins

[journal] Law, M. / 1990 / The canadian occupational performance measure: An outcome measure for occupational therapy / Canadian Journal of Occupational Therapy 57 : 82~87

[journal] Law, M. / 1996 / The person-environment- occupation model: A trans active approach to occupational performance / Canadian Journal of Occupational Therapy 63(1) : 9~23

[book] Law, M. / 1998 / Client-centered occupational therapy / Slack

[journal] Lee, D. Y. / 2002 / The prevalence of dementia in older people in an urban population of korea: The seoul study / Journal of the American Geriatric Society 59(7) : 1233~1239

[journal] Lee, J. H. / 2002 / Development of the korean version of the consortium to establish a registry for alzheimer's disease assessment Packet (CERAD-K): Clinical and neuropsychological assessment batteries / Journal of Gerontology Psychological and Social Sciences 57 : 47~53

[journal] Liu, K. P. Y. / 2007 / Activities of daily living performance in dementia / Neurological Scandinavian 116 : 91~95

[book] Nissenboim, S. / 2003 / The positive interactions program of activities for people with alzheimer`s disease / Health Professions Press

[journal] Mace, N / 1985 / Do we need special care units for dementia patients? / Journal of Gerontology Nurse 11 : 3708~

[journal] McKhann, G. M. / 1984 / Clinical diagnosis of alzheimer's disease: Report of the NINCDS-ADRDA work group under the auspices of department of health and human services task force on alzheimer's disease / Neurology 34 : 939~944

[book] Mosey, A. C. / 1986 / Psychosocial components of occupational therapy / Raven Press

[journal] Nygaord, L. / 2001 / The experience and management of temporality in five cases of dementia / Scandinavian Journal of Occupational Therapy 8 : 85~95

[journal] Nygaord, L. / 2002 / Managing changes in everyday occupations: The experience of persons with alzheimerʼs disease / Occupational Therapy Journal of Rearch 2 : 70~81

[journal] Perfetti, C. / 1997 / The cognitive therapeutic exercise in hemiplegic rehabilitation: Rehabilitation as a learning process / Physical Therapy 26 : 50~54

[book] Patterson, R. L. / 1982 / Overcoming deficits of the aging: A behavioral approach / Plenum Press.

[book] Robinson, S. / 1994 / Functional and cognitive assessment in Dementia. Unpublished master`s thesis / University of Bath

[book] Rockwood, K. / 1996 / Measuring functional change in elderly adults with alzheimer`s disease / Dalhousie University

[journal] Roman, G. C. / 1993 / Vascular dementia: Diagnostic criteria for research studies / Neurology 43 : 250~260

[journal] Rosen, W. G. / 1979 / Pathological verification of ischemic sore in differentiation of dementias / Annual Neurology 7 : 486~488

[journal] Reuben, D. B. / 1995 / What`s wrong with ADLs? / Journal of the American Geriatrics Society 43 : 936~937

[journal] Scogin, F. / 1994 / Efficacy of psychosocial treatment for geriatric depress: A quantitative review / Journal of Consulting and Clinical Psychology 62(1) : 69~74

[book] Sodeman, W. A. / 2005 / Introductions for geriatric patients (3rd ed.) / Elsevier/Saunders

[journal] Trombly, C. A. / 1993 / The issue is anticipating the future: Assessment of occupational function / American Journal of Occupational Therapy 47 : 253~257

[journal] Trombly, C. A. / 1995 / Occupational purposefulness and meaningfulness as therapeutic mechanisms / American Journal of Occupational Therapy 49 : 960~972

[journal] Velligan, D. I. / 1995 / The validity of the allen cognitive levels assessment: A tri-ethnic comparison / Psychiatry Research 56(2) : 101~109

[confproc] Voyetich, D. / 2002 / Relationship between the allen cognitive levels and rancho los amigos cognitive levels / Brain Injury Association Conference / Minneapolis

[journal] Woo, J. I. / 1998 / Prevalence estimation of dementia in a rural area of korea / Journal of the American Geriatrics Society 46(8) : 983~987

[journal] Wright, B. D. / 1993 / Measuring functional status in rehabilitation / Assessment 4 : 475~491

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

KJCKorea
Journal Central

Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81