Dementia Frontal
Conditions
Keywords
dignity, music therapy, physical activity
Brief summary
Fronto lobe dementia constitutes 10-20 % of dementia conditions within younger persons (\>65). People with neuronal degeneration in frontal and temporal lobes demonstrate a decline in social conduct, apathy, loss of insight that is gradual and progressive. Family members often experience guilt and shame because of the patients' behavior before institutionalization, and different behavioral disorders will cause great challenges to family caregivers and to staff after institutionalization. Preservation of dignity, both in regards to the person being affected, and their relatives, therefore seem highly relevant both before and after institutionalization.
Detailed description
The purpose of this study was to evaluate whether a combined intervention of physical activity and music therapy could reduce restlessness, irritability, and aggression among institutionalized people with severe dementia. An exploratory design was used to evaluate a combined intervention of physical activity, music therapy, and in- or outdoors walking daily, systematically implemented for eight weeks for persons with severe dementia in institutional care.
Interventions
OTHERmusic and physical activity
This feasibility study focus on promoting a combination of music therapy and physical activity with the primary goal to describe the influence on restlessness, irritability, and aggression in persons with severe stage of dementia with a mixture of symptoms including frontal lobe problems in institutional care. A secondary goal is to investigate the treatment fidelity.
Sponsors
Oslo Metropolitan University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
case studies
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
Persons with dementia with symptoms of frontal lobe dementia, who had lived for at least 6 months in a unit special care dementia unit in a nursing home \-
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Brøset Violence Checklist | change from baseline to eight weeks into intervention | The BVC assesses the presence of six observable patient behaviors, namely whether the patient is confused, irritable, boisterous, verbally threatening, physically threatening, and/or attacking objects |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neuropsychiatric Inventory | baseline | The Neuropsychiatric Inventory-Questionnaire \[NPI-Q\] is a clinical instrument for assessing behavioral and psychological symptoms in dementia |
Countries
Norway
Outcome results
None listed