Dementia
Conditions
Brief summary
The purpose of this study is to determine if a home based occupational therapy is effective in the treatment of dementia.
Interventions
optimized home Based Occupational Therapy including: * diagnostic assessment * patient-centered definition of targets involving the care giver * occupational therapy
Sponsors
Study design
Eligibility
Inclusion criteria
1. Dementia (according to DSM-IV TR) 2. A score 26 to 12 on the MMSE 3. Must be 55 or older 4. Patient is living at home or therapeutical flat sharing 5. Primary care giver at least 2 days / week available at home 6. Written informed consent from patient and care giver 7. German as dominant language
Exclusion criteria
1. Other dementia (p.e. frontotemporal dementia, dementia with Lewy Bodies, Creutzfeldt-Jakob disease, Parkinson's disease or atypical Parkinson's syndromes 2. Dementia with relevant displaying behavioural problems (neuropsychiatric Inventory; NPI, Subscore ≥ 8) 3. Depressive episodes (Geriatric Depression Scale, GDS (short version) ≥ 6) 4. Mental disability 5. Home Based Occupational Therapy for Dementia within the last 6 months 6. Impairment of visual and/or acoustic cognition which does not allow Occupational Therapy 7. Apoplexy with movement disorders which does not allow Occupational Therapy 8. Severe physical/systemic illnesses (cardio-pulmonal, Hematological or metabolic) which do not allow participating 9. Recent history of addictive disorder 10. Intermittent intake of depressant medication, that likely causes an impairment of cognitive performance during the trial 11. Participation in another clinical trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Alzheimer's Disease Cooperative Study/Activities of Daily Living | 2 weeks, 3 and 6 months after invention or 9, 19 and 31 weeks after randomization (treatment-as-usual-group) |
Secondary
| Measure | Time frame |
|---|---|
| - for patients: cognitive performance, displaying behavioural problems, satisfaction with occupational therapy, costs of occupational therapy - for family care givers: burden, medical condition, life-satisfaction | 2 weeks, 3 and 6 months after invention or 9, 19 and 31 weeks after randomization (treatment-as-usual-group) |
Countries
Germany