ACTIVITY VS DISCOURSE TO IMPROVE COMMUNICATION IN AD

阿尔茨海默病最具破坏性的副作用之一是 交流能力的逐渐衰退。 那个女人 这项研究的长期目标是帮助个人 中晚期阿尔茨海默病，以改善他或她的 通过使用非药物进行交流的能力 干预措施。 为了实现这一目标， 这项研究的具体目标是： 1 .一、测试计划步行对沟通绩效的影响 老年痴呆症患者。 2.测试会话处理对交际效果的影响 阿尔茨海默病患者的表现。 3.测试有计划的步行和交谈相结合的效果 对个人沟通表现的处理 老年痴呆症 4.测试心理结构的直接和间接影响 心理状态、体能和情绪对沟通表现的影响 和治疗机构之后。 本研究的目的是测试两种截然不同的方法 改善沟通、表现、有计划的步行和交谈 在三组实验设计中， 随机选择和随机分配 72名受试者 确诊可能的阿尔茨海默病和站立能力 在一个人的帮助下走25英尺 从大型养老院的长期护理人群中选择， 随机分配到三个治疗组之一。 三十分钟 每星期进行三次个别治疗， 周 每个受试者的精神状态、情绪状态、身体状况 表现和沟通能力将从六个方面收集： 治疗开始前两个月基线， 治疗期间、治疗中期、治疗结束时和 治疗后2个月和4个月随访。 数据分析将包括 每个结果指标的重复测量ANOVA， 改变了六个测试点和因果分析的直接和 身体表现、精神状态和情绪对 治疗前后的沟通也会进行。

One of the most devastating secondary effects of Alzheimer's disease is the progressive deterioration in the ability to communicate. The broad, long-term objective of this research is to assist the individual in the middle and later stages of Alzheimer's disease to improve his or her ability to communicate through the use of non-pharmacological interventions. To move toward accomplishment of this objective, the specific aims of this study are to: 1 . Test the effect of planned walking on the communication performance of individuals with Alzheimer's disease. 2. Test the effect of conversation treatment on the communication performance of individuals with Alzheimer's disease. 3. Test the effect of combining planned walking and conversation treatment on the communication performance of individuals with Alzheimer's disease. 4. Test the direct and indirect effects of the constructs of mental status, physical performance and mood on communication performance before and after institution of treatments. The purpose of this study is to test two distinctly different approaches to improving communication, performance, planned walking and conversation treatment, alone and in combination, in a three-group experimental design with random selection and random assignment. Seventy-two subjects with a confirmed diagnosis of probable Alzheimer's disease and ability to stand and walk 25 feet with the assistance of one person will be randomly selected from the long-term care population of a large nursing home and randomly assigned to one of the three treatment groups. Thirty-minute individual treatment sessions will be conducted three times a week for 16 weeks. Data on each subject's mental status, mood state, physical performance and communication ability will be collected at six points: baseline two months before treatment is initiated, immediately before treatment, at the midpoint of treatment, at the end of treatment and at follow-up two and four months post-treatment. Data analysis will include repeated measures ANOVA of each outcome measure, Growth curve analysis of change over the six testing points and causal analysis of the direct and indirect effects of physical performance, mental status and mood on communication before and after treatment will also be done.