ACTIVITY VS DISCOURSE TO IMPROVE COMMUNICATION IN AD

阿尔茨海默病最具破坏性的次要影响之一是 沟通能力的逐渐下降。宽阔的， 这项研究的长期目标是帮助个人在 阿尔茨海默病的中晚期改善 通过使用非药物性药物进行沟通的能力 干预措施。为了朝着实现这一目标迈进， 这项研究的具体目的是： 1.测试计划步行对通信性能的影响 阿尔茨海默氏症患者的名字。 2.测试会话处理对沟通的影响 阿尔茨海默病患者的表现。 3.测试计划散步和交谈相结合的效果 心理障碍患者沟通能力的研究进展 阿尔茨海默氏症。 4.测试心理结构的直接效应和间接效应 状态、体能表现和情绪对沟通绩效的影响 并在治疗机构之后。 这项研究的目的是测试两种截然不同的方法 到改善沟通、表现、有计划的走路和交谈 三组实验设计中的单独和联合治疗 随机选择和随机分配。72名受试者 疑似阿尔茨海默病的确诊和站立能力 在一个人的帮助下步行25英尺将是随机的 选自一家大型养老院的长期护理人群和 随机分配到三个治疗组中的一个。30分钟 每周进行三次个别治疗，共16次 几周。关于每个受试者的精神状态、情绪状态、身体状况的数据 绩效和沟通能力将从六个方面收集： 治疗开始前两个月的基线，紧接在 治疗、治疗中点、治疗结束时和治疗结束时 治疗后随访2个月和4个月。数据分析将包括 重复测量每项结果的方差分析、增长曲线分析 六个测试点的变化及原因分析 身体表现、心理状态和情绪对心理健康的间接影响 还将在治疗前后进行沟通。

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.