Can reality orientation be rehabilitated? Development and piloting of an evidence-based programme of cognition-based therapies for people with dementia

Can reality orientation be rehabilitated? Development and piloting of an evidence-based programme of cognition-based therapies for people with dementia
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现实导向能否恢复?

DOI:
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发表时间:
2001
期刊:
影响因子:
--
通讯作者:
B. Woods
B. Woods
中科院分区:
--
文献类型:
--
作者:
A. Spector;M. Orrell;S. Davies;B. Woods

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这项研究描述了基于认知的痴呆症治疗计划的开发和实施。该计划的设计是在进行广泛的系统审查后,提炼现实导向和相关方法有效性的证据。利用该领域专家的专业知识,从先前的研究中确定的最有益的要素被提取并纳入该计划。该计划包括 15 节课,每次 45 分钟,每周两次。该项目在一日间中心和三所住宅中进行,涉及 27 名痴呆症患者(17 名治疗对象和 10 名对照对象)。试点研究的结果显示了认知方面的积极趋势,以及治疗后抑郁和焦虑减少的趋势。没有发现负面影响。我们讨论了如何利用试点研究的结果来修改该计划,该计划现在具有更强的认知元素。这一完善的计划目前正在作为大型多中心随机对照试验的一部分进行测试。
This study describes the development and implementation of a programme of cognition-based therapies for dementia. The programme was designed by distilling the evidence of the effectiveness of Reality Orientation and related approaches, following a broad-based systematic review. The most beneficial elements identified from previous studies were extracted and incorporated into the programme, using the expertise of specialists in the field. The programme comprised of 15 45-min, twice weekly sessions. It ran in one day centre and three residential homes, involving 27 people with dementia (17 treatment and 10 control subjects). The results of the pilot study showed positive trends in cognition, and trends towards reduced depression and anxiety following treatment. No negative effects were identified. We discuss how the outcomes of the pilot study were used to modify the programme, which now has a stronger cognitive element. This refined programme is currently being tested as part of a large multicentre, randomised controlled trial.
DOI: 10.1176/ajp.141.11.1356
发表时间: 1984-11
期刊: The American journal of psychiatry
影响因子: --
作者:
W. Rosen;R. Mohs;K. Davis
通讯作者: W. Rosen;R. Mohs;K. Davis
基于家庭的策略对阿尔茨海默病的不同影响。
DOI: 10.1093/geront/29.2.150
发表时间: 1989
期刊: The Gerontologist
影响因子: --
作者:
Quayhagen,MP;Quayhagen,M
通讯作者: Quayhagen,M